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SANT1WKETAN
'"

VlSWABHARATI LIBRARY
917-6/3

K9*
V-3

AN ENGLISH TRANSLATION
01'

THE SUSHRUTA SAMHITA


Vol.
TIF.

UTTARA-TANTRA

AN ENGLISH TRANSLATION
01''

THE SUSHRUTA SAMHITA


WITH
A FULL AND COMPREHENSIVE INTRODUCTION, ADDITIONAL TEXTS, DIFFERENT READINGS, NOTES, COMPARATIVE
VIEWS, INDEX, GLOSSARY

AND PLATES

(IN

THREE VOLUMES)

EDITED

I!V

KAVIRAJ KUNJA LAL MI1SHAGRATN A,


M. K. A.
S.

(Lond.)

Vol.

III.

TITTARA-TANTRA

PUBLISHED BY
S. L.

BHADURI,

. L.

10,

KASHI GHOSE'S LANE, CALCUTTA

1916
All Rights Reserved.

PRINTED AT THE BHARAT M1IIIR PRESS BY

M.

BHATTACHARYYA OF

Messrs. SANYAL & Co., 25, ROY P.AGAN STREET, CALCUTTA.

Kaviraj Kunja Lall Bhishagratna, M.R.R.S. (Lond.)

PKEFACE.
It

was some years ago that we took upon ourof bringing

selves the rather ambitious task


the Sushruta Samhita
in

out

English.
the

And we may
first

mention that the appreciation

instal-

ment

of our undertaking

met with

at the

hands of

scholars at

home and abroad


completing
this

considerably encour-

aged us

in

huge undertaking.
our deepest feelings

We
Sir

desire to record here

of gratitude towards His

Highness the Maharaja


I.,

Sawai

Jai

Singh

Bahadoor, K. C. S.
has,

of

Alwar (Rajputana), who


ant

by

his

princely

donation, enabled us to bring this

highly import-

work

to a completion.
illustrious

It is

known throughis

out India that the

Ruler of Alwar

a great patron of letters and a lover of Ayurvedic


Science,

and many noble undertakings


largely

in

our

country have depended


support. press

upon

his

liberal

No

words of mine can adequately exis

my

admiration for the good he

doing

to

our country.

Now
its

that the whole

work

is

before the public,

worth and importance

will

be duly judged

Our
as

translation does not claim to

have *any

liter-

ary excellence, as our sole aim has been to render


faithfully

as

we

could the original into one

of the

European languages.
in

The

technical terms

occurring

the

Sushruta Samhita cannot

be

accurately

translated into
in

English, as

there are

no corresponding words

that language

which

would convey the exact meaning of the original. We have therefore retained the Sanskrit terms,

and have

in

some

cases put within brackets such

English words as may approximately render the meaning of the original. No apology is needed for placing before
the learned world of the of ancient India.
the
of

We

West a scientific treatise may only mention that


is is

Hindu system of medicine mere antiquarian interest. It


being treated according

not a thing

a living

sys-

tem,
are

and even to-day millions of people

in India

to this system.

A
and

system which has stood the

test of centuries,

which

still

holds

its

own

against rival systems of

the day, cinnot be lightly brushed aside as wholly


unscientific.
It

has been said

that

system

which recognises prayer as one of the means of curing human ailments, can lay no claim to

any
in

scientific character.

All

that
is

we need say
humanity has
in

answer

to

this

criticism

that

not yet risen above prayer in world,

any country
prayer
in

the

and
is,

faith in the efficacy of

curing

diseases
in

instead of dying out,


scientific world.

gaining ground

the
be,

modern

may

in actual practice,

Whatever that Hindu medical men,

like their brethren of

Europe, rely chiefly upon medicine and surgery, but occasionally prescribe

prayer also as an efficient form of remedy.

While

recognising the influence of mind on body, and the

Ill

efficacy of faith in certain forms of


treat
it

disease,

they

as a special method, falling

more properly
to

within the province of priests.

few words,

however,

seem necessary

show what abiding interest there is for all time We do in such a work as the Sushruta Samhita. not wish to enter into any historical criticism to
prove that the different systems
other countries, of medicine in

new

or old, have received

more

than a mere stimulus

from

the Indian

System,

and that many foreign discoveries may be traced to the work we are now presenting to the world.

The

opinions of

some modern men of


demonstrate
its

science,

who

cannot be accused of having any bias in favour


of our system, will

abiding value.
Lukis,

Surgeon General Sir Pardey


T.

M.

D.,

M.

S.,

K. C. S.
Service,

1.,

Director-General of Indian
to

Medical

was pleased
in

remark

in the

course nf his speech

Council

the

Imperial

Legislative

"

Many

of the

so-called discoveries of

recent years are merely re-discoveries of the facts

known
British

centuries

ago

to

the

ancients
this

(Indians)."

In noticing the

first

volume of

very work, the


its

Medical Journal observed in

November, 1912: "It is certain that in this ancient medical book there are traces of kpowledge which is comparatively recent in the West." We do not know what reception will be accorded to this work by the public, but
fairly

issue

of

we may
Indian

hope that now that

the

ancient

Medical

System and the Indigenous Drugs of

IV

this

country arc being investigated by

scientific

experts
of

under the direction of the Government


this
will

India,

ancient

system of Medicine and

Surgery

attract the attention of those


it

who

have hitherto neglected


from

as

unworthy of

notice.

The encouragement which we have

received

the Governments of Bengal and Nepal and

from the States of Baroda and Mysore, has helped


us a great
deal

and we take
us
in

this

opportunity

of expressing our active

gratitude towards them.

The

help

extended to

the preparation

of this

work by Vaidyaratna Kaviraj Jogindra Nath Sen, Vidyabhusan, M. A., Kaviraj Madhav Chandra Tarkatirtha, Kaviraj Jnanendranath Sen,
Kaviratna, B. A., Prof. Satyendranath Sen, Vidytivagis'a,

M.
B.

A.,
L.,

B. A.,

and Babu Sachindralal Bhaduri, we also specially and thankfully

acknowledge.
to Dr.

We offer

our sincerest thanks also


P.,

U. D. Banerjeo, L. R. C.

M. R. C.

S.

Dr. Y.

M.

Bose, M. D. (Chicago^, and Kaviraj

Goswami, Yidyavinode. B. A., L. M. S. who have never failed to give us their valuable suggestions whenever we have sought
Surendranath
their advice.

JO,

KASHl GHCSE'S Calcutta,

I.ANE,
[

KUNJA LAL BHISHAGRATNA,

May

35, /p/6.

CONTENTS.
(Uttara-Tantra.)

Diseases of the eyes, etc. : Diseases of the eye and its appendages Description of Drishti Mandalas and Sandhis Description of

CHAPTER

I.

Premonitory symptomsCauses of eye-diseasesClassification PittajaKaphajaKaktaja and Tri-doshaja eyediseases Seals of the eye-diseases. 8
Patalas

Prognosis of Vataja

...

...

...

CHAPTER
ture

II.

Pathology of the diseases of the eye-joints : Their nomencla... Number Symptoms. ... ... ... 9 n

CHAPTER

III.

Pathology Of the diseases Of the eye-lids : Causes and names

Specific symptoms of Utsangini Kumbhika Pjthaki Ars'ovarlma Anjana Klishta-varlma Vartma-bandhaka, ij 15


elc.

elc.

,.,

CHAPTER
number
laka

IV.

Pathology of the diseases of the sclerotic coat : Names and

Sirii-jdla

Symptoms of S'uklarma Lohitarma S'uktikaArjuna PishBalasa-grathita, 16 17


etc. etc.
...

...

CHAPTER
S'ukra Akshi-pakatyaya Ajak.
...

V.

Pathology of the diseases of the black part of the eye-.

Number NamesSymptoms Prognosis A-vrana-s'ukra


...

Jata

Sa-vrana...

18

19

11

CONTENTS.

CHAPTER

VI.

Pathology of the diseases affecting the eyes as a whole Names and Causes Symptoms of Vitaja Pittaja Kaphaja and Raktaja

S'ushkakshi-pdka Anyalo-viila Amla-dhyushita S'irot-pKta


harsha.
...
... ... ...

AbhishyandaCauses of Adhimantha Symptoms of Vataja Pittaja Kaphaja and Raktaja Adhimantha Prognosis Symptoms of Sa-s'opha and A-s'opha Akshi-pdka Symptoms of Hatadbimantha Vdta-paryaya

S\\i-

...

20

24

CHAPTER
first

VII.
:

Pathology Of the diseases Of the Pnpil


third
Specific

-Description of Drishti

Symptoms When second Patola attacked and Blindness symptoms of Vataja Pittaja Kaphaja and Sannipatika Timira Parimlayi Different colours of the pupil cases of Linga-nas'a Specific of Vataja Kaphaja and Sannipatika
fourth
in
traits

Pittaja

Linga-nas'a

Smoky

sight

traumatic

Traits of Vdtaja Pittaja and Kaphaja Vidagdha-Drishti Hrasva-Jitya Nakulandhya, Gambhirika Symptoms of Linga-nas'a. 25 31
...
...

...

...

CHAPTER
Classification
fication

VIII.

and treatment of ocular affections :ClassiChhedya

Names

of

Lekhya Bhedya Vyadhya


to

eye-diseases

Names

of eye-diseases

where operation not


...

be risked
...

Names
...

of

curable and incurable eye-diseases.

32

33

CHAPTER
Treatment
.Fumigation Snuff

IX.

of

Va'taja Ophthalmia : tarpana Puta-paka Wash Eye-drop Colly ri mn Treatment of Anyato-

vita

Vata-paryiiya S'ubhkakshi-pjka.

...

...

...

34

37

CHAPTER
and Dhuma-dars'i.
...
...

X.
of

Treatment of Pittaja Ophthalmia : Tarpana measuresWash

Snuff Anjana Rasa-kriya AVchyotana Treatment


...

S'ukti-p^ka
...

38

40

CONTENTS.

CHAPTER XI.
Treatment

Treatment of HJleshmaja Ophthalmia : Fomcntationr-Anjana 4146 of Baldsa-grathita Pishtaka Praklinna-vartnia. ...

CHAPTER

XII.

Treatment Of Baktaja Ophthalmia : VenesectionInhalation

Eye-dropSnuffs Plaster Vartis Treatment harsha Arjuna. Scarifying Anjana Treatment


Anjana Soothing applications Treatment
of Ajaka"

of of

S'irotpdta

Sird-

S'ukra

Kshara4753

Akshi-pSka Puyd...

lasa Praklinna-Vartma and Aklinna-Vartma.

...

CHAPTER
Satisfactory defective
amenable
to scarification.

XIII.
of treatment by Scarification

Treatment Of Lekhya-roga : Mode


and excessive
...

scarification
...

Names

of diseases
...

...

5456

CHAPTER

XIV.

Treatment of eye-diseases which require Incision : Treatment of Visa-granthi LaganaAnjana Krimi-granthi and Upanaha.

Application of Sneha and Sveda.

...

...

...

57

58

CHAPTER
ment of
treatment

XV.

Treatment of eye diseases which require Excision : TreatArmans Preliminary actions Mode of operation Medicinal

Treatment

of

Sird-j ala

Siraja-pidaka Parvanika. Churna...

Anjana

Treatment of the inner

part of the eye-lids.

5g

63

CHAPTER

XVI.

Treatment of diseases peculiar to eye-lashes and eye-lids : Surgical treatment of Pakshma-kopa Preliminary actions Mode of operation Cauterisation and other measures. . ... 6465

iv

CONTENTS.

CHAPTER
treatment
of
Pitta

XVII.

Treatment of diseases of pupil and crystalline less : General


and
of

S'leslima-Vidagdha-Drishti. Pushpinjana
of

Dravanjana Gudikanjana
blindness Application

Treatment

Day-blindness

Nocturnal

Vartis Rasa-kriyanjanaKshudrSnjana

Treatment of a

palliative

type Triphali-GhritaNavana-errhines Puta-

paka Pratyanjana Treatment of PittajaVataja Kaphaja and Triof ParimlayiDiet Blooddoshaja Kacha Fumigation Treatment

Prognosis Surgical treatment of Kaphaja after-measures Symptoms and treatment of the disorders Llnga-nasa resulting from an injudicious operation Causes of relapse Symptoms
lettingTreatment ofTimira
Its

produced by the defects of the S'aldkd Description of the S'aldka

Derangements due

to

defective

operations
...

Their

treatment
...

invigorating Anjanas and Vartis.

Eye-sigM66 83
...

CHAPTER
in general
:

XVIII.

Preparations and medicinal measures for ocular affections The Tarpana measures.-rMode of application Symptoms

of satisfactory

excessive and defective

Tarpana

Treatment

of excessive

Cases of TarpanaThe Puta-pdka measures Scraping and Healing Puta-paka Preparations of Snehana Lekhana and Ropana Puta-pka Prohibition and Remedies infringementsSymptoms of satisfactory excessive and defective applications of
and defective Tarpana
Emulsive
for

Puta-pika Mode of preparing Puta-pika Mode of application As'chyotana and Seka their classes Maximum time for Seka Time for application
size

S'iro-vastiLekhana Ropana and Prasadana AnjanaForms of and dose Materials of vessels and rod Anjana Their the use of
for

Anjana How to apply Anjana Forbidden cases for the application of Anjana Symptoms of satisfactory excessive and deficient use of Lekhana Anjana Prasadana Anjana Ropana Anjana Recipe of several

principal

Anjanai Bhadrodaya-Anjana Vartis

Findanjana.

...

84

101

CHAPTER

XIX.

Treatment Of hurt Or Injury to the eye : General TreatmentPrognosis Treatment of sunken eye Symptom', and treatment of Kukunaka Conclusion. ... ... ... , 10210?

CONTENTS.

CHAPTER

XX.

Causes and symptoms of Ear -disease : Classifications Symp.


toms of Ka/na-s'ula Prandda Vacihirya Kshveda Karna-srava KarnaKrimikarna Karna-vidradhi kandu Karna-gutha Karna-pratindha

Karna-pfika

Puti-karna.

...

...

...

...

106108

CHAPTER
Medical

XXI.
TreatmentVddhiryya.

Treatment

of Ear-disease :- General
kinds

Treatment of Vataja ear -disease


of

Karna-s'ula Pranaclaand
ear-ache

S'iro-vasti Dipika-Taila Different


specific

of Ear-drop General and

treatment

Pittaja

and

Kaphaja

Karna-s'ula

Treatment of Deafness
Karna-srava

General and Special Treatment of Krimi-karna Karna-kshvcda Vidradhi,


...

Puti-karna

etc.
...

Kama109
117

kandu

Kama-pa'ka.

...

CHAPTER
Rakta-pitta

XXII.
:

Causes and symptoms of diseases of the nose -Nomenclature and Classification Symptoms of Apinasa Puti-nasya Nasa-pilka

Puya-rakta Kshavathu Bhrams'athu Dipti Pratindha Parisrava Pari.&'osha Ais'as S'opha Arvuda Pratis'yaya 118 120

CHAPTER
rakta

XXIII.

Therapeutics of nasal diseases : Treatment of Puti-naiya Apinasa. Diet Errhines Treatment of Nasa-paka S'onita-pitta Puya-

Kshavathu Bhrams'athu Dipti Nasanaha Nasa-srava


...
...
... ...

Nas.'l-

.s'osha etc.

121

122

CHAPTER XXIV.
Symptoms and treatment of Catarrh '.Causes Premonitory symptoms Specific symptoms of Vataja Pittaja Kaphaja Tri-doshaja
types Raktaja-pratis'ydya Prognosis General treatment of Pratis'yaya Regimen of diet and conduct Treatment of Vataja Pittaja Kaphaja

and Tri-doshaja types.

...

...

...

,.,

124

130

vi

CONTENTS.

CHAPTER XXV.
of

SymptotUS Of diseaBOS Of the head : Classification Symptoms Vataja rittaja Kaphaja Tri-doshaja Kshayaja Raktaja Krimija

S'iro-roga

Symptoms

of

Suryavarla
...

Ananla-vata Ardhava-bhedaka
... ...

and S'amkhaka.

3< 33

CHAPTER
Pittaja

XXVI.
of

Raktaja S'viroroga Food Treatment of Kaphaja Tri-doshaja Kshayaja Krimija Ardhava-bhedaka Ananta-vata and S'amkhaka.
Conclusion
...
...

Treatment of diseases of the head : Treatment

Vataja

...

...

...

134 140

Here ends the ^a'la'kya-Tantra.

CHAPTER
Specific features of nine

XXVII.

malignant Grahas : Different names

General course ol altnek Symptom* of attack uy Skanda Skandapasimira S'akuni Revati l'ulana Andha-putana S'lta putana Mukhamandika Nnigam-sha Prognosis Rules to be observed. 141 144
...

CHAPTER

XXVIII.

Therapeutics of an attack by Skanda Grata : General treatment Fumigation Mantras ... ... ... 145 146

CHAPTER XXIX,
Therapeutics of an attack by Skandapasmara: General treatment sprinkling Anointment Uts^dana Fumigation Religious pro-

pitiation

Mantras.

...

...

...

...

|^y

j,8

CHAPTER XXX.
Treatment of an attack by S'akuni graha : Sprinkling Anointment PradehaFumigationReligious propitiation Mantras. I49 150

CONTENTS.

CHAPTER
ment

XXXI.
...

Theraputics of an attack by Revati-graha : Sprinkling Anoint-

Plaster Religious propitiation Mantras.

...

151

-52

CHAPTER
ment

XXXII.
...

Treatment of an attack by Putani-graha :WashingAnoint-

Fumigation Religious propitiation Mantras.

153

154

CHAPTER
gation

XXXIII.
... ...

Treatment of Andha-putani-graha : Sprinkling piaster Fumi-

Religious propitiation Mantras.

155

156

CHAPTER XXXIV.
Treatment of an attack by
gation

fJita-putansC

: Sprinkling Fumi...

Anointment Religious

propitiation

Mantras.

157

CHAPTER XXXV.
Treatment of an attack by Mukha-mandika' : SprinklingAnointment

Fumigation Religious propitiation Mantras

...

158

CHAPTER XXXVI.
Treatment of an attack by Naigamesha : Sprinkling Anointment

UtsadanaFumigation Religious propitiation Mantras. 159 160


I6J

CHAPTER XXXVII. Origin of nine GrahaS The nine presiding


:

deities.

...

1C1

CHAPTER

XXXVIII.

SymptomB and Therapeutics of the diseases of the female organ of generation '.Causes. Enumeration ClassificationNames Symptoms of Vitaja Pittaja Kaphaja and Tri-doshaja types

Medical treatment.

Internal and

External treatment.

...

164

168

Here ends the Kaum&a-bhritya-Tantra.

viii

CONTENTS.

CHAPTER XXXIX.
Symptoms and Treatment of Fever :Description
Definition

of

Jwara

and

classification

Pathology Premonitory

symptoms
fever

Symp-

of Vataja Pittaja Kaphaja and Tri-doshaja Abbinyasa Hatatijas SannyasaDwandaja feverVata-pitta-fever VilaS'leshma-fever Pitta-S'leshma fever Pralepaka Tritiyaka and Chaturthaka (quartan) fever Vishama-fever Seat and duration of Vishama. jwara Satataka Anyedyushka Tritiyaka Chaturthaka Action the ence of Vayu on Vishama fever Agantuka fever due of poison Hay-feverGambhira fever and prognosis General treatment Fasting Prohibition of fasting Effect of fasting Satisfactory and excessive fasting Tepid water Cold water Peya Yavagu Symptoms of Pakva administering febrifuge Preliminary treatment and Ama-jwara Time Application of Vasti and S'iro-virechanaAdministration of Ghrita Diet Laja-tarpana Milk as a Meat-diet Prohibitions fever VatajaPittaja and Kaphaja fever TreatSams'amana decoctions ment of Kapha-Viita Pitta-S'leshma Vata-pitta fever and Tri-doshaja Treatment of Vishama-jwaraGhrita in cases of Vishama fever Guduchyadi-ghrita Kalasyadi-ghrita Maha-kalyana-ghrita Panchagavya ghrita Triphala-ghiita Pancha-saraMedicated Tailas Fumigaand Anjanas Treatment of shivering and burning sensation General treatment of the complications Application of Vastis Sympand

toms

fever

(tertian)

Influ-

to

effects

its

for

diet

in

for

fever

tions

specific

toms of the remission of

fever.

...

...

...

169-211

CHAPTER

XL.

Fasting Six Yogas Pittaja Atisara Astringent remedies Application of Ghrita PutapaUa-preparations PeyaTreatment of Use of milkAsthapana and Anuvasana Vastis Pichchha-Vasti Diet Causes and symptoms of PakvatisiiraTreatment and Symptoms of Pravsfllika General Treatment Application of Vastis Diet Medical treatment Yavagu General principle of treatment Indications of cure Static or dynamic causes of diseases and treatment Grah&ni Premonitory symptoms of Grahani Symptoms Specific symptoms of Vataja Pittaja Kaphaja and Tri-doshaja Grahani Treatdifferent Recipes for

Symptoms and treatment of Diarrhoea, etc :Causes PathoPremonitory symptoms Symptoms of Vataja Pittaja Kaphaja logy and Tri-doshaja types Symptoms of S'okaja and Amaja Atisara Symptoms of Ama and Pakva Atisara Prognosis General treatment Twenty

Amatisara

for

thirst

ment and

diet.

,..

...

...

...

...

212236

CONTENTS.

ix

CHAPTER
symptoms

XLI.

Symptoms and Treatment of Phthisis : Nomenclature SWia

Kshaya Raja-yakshma Etiology and general symptoms Specific of Vataja Pittaja and Kaphaja types Prognosis Other causes of S'osha and their symptoms Premonitory symptoms Prognosis Treatment Diet Meat, etc Utsadana Medicated Ghritas Eladi-mantha milk, Rules of conduct. Use of goat's 237 245
flesh,

etc.

...

CHAPTER XLI
Symptoms and Treatment

I.

Uttara-Vasti Anuvasana Chitrakaghrita Hingvadi-ghrita Dadhika-ghrita Kasona-ghrita. Ghritas in Pittaja Uaktaja and Kaphaja Gulina Internal use of Kshara Vris'chiBlood -letting Diet andSvcda. Peya Khada-yusha Fomenta Medicated plugs Supervening symptoms Prohibited Causes and Symptoms of Sula Symptoms of Vataja Pittaja Kaphaja General treatment Treatment of Vataja and Sannipatika Kaphaja and Tri-doshaja Symptoms and treatment of P&SVa-S'ula. Symptoms, and treatment of Kukshi-S'ula. Symptoms
doshaja

of Ghllma : Definition and NumberLocalisation and Nomenclature Premonitory Symptoms Specific Symptoms of Vataja Pittaja Kaphaja and Tri-doshaja types Symptoms of Raktaja Gulma General Treatment of Vataja Pittaja Kaphaja Tri-

and

Uaktaja

types

rarishta
tion

articles

S'ula.

Pittaja

S'ula.

and treatment of Hrlch-chhula. Symplon's of Vasti-S'ula

Vit-S'ula and Annaja

^'ula.

Theii

Mtltra-S'ula
...

treatment.

246

264

CHAPTER
Nomenclature .md
Kriiuij.i

XLII1.
and
o(

Symptoms and Treatment of Heart-disease : Kiiuloyy

Numbir Specific Symptoms


types Supervening

Vataja

PittajaKaphaja
ticatuieiit
...

Symptoms

Medical
...

ol

Vataja

Pittaja Kaphaja and Krimija types.

265

268

CHAPTER
Symptoms and Treatment
Nomenclature
Pittaja

XLIV.

of Jaundice, etc- : Etiology and

Premonitory

Symptoms
and

Kaphaja

and Tri-doshaja

Kunibua-Kamrila

Ugbanrita

Specific Symptoms of Va'taja Symptoms of Kamala llalimaka. Supervening Symptoms


types

it

CONTENTS.

General treatment Treatment


ralca.Articles of
nosis.
...

of KamalaKumbha-kamalaLaghaof Supervening
... ...

DietTreatment
...

Symptoms
...

Prog-

269276

CHAPTER XLV.

PrognosisPremonitory SymptomsSupervening Symptoms Symptoms of incurable types General principles of treatment, Emetic Purgative Fasting Articles of fareDiet Lambatives The best Yogas Asthapana and AnuvrfsanaTreatment of down-coursing type
logy
six

Symptoms and Treatment

of Haemorrhage : Cause and Patho-

Uttara-vasti.

...

...

...

...

...

277284

CHAPTER
fication

XLVI.

Symptoms and Treatment of Fainting fits :Definition Clari-

Premonitory
...

symptoms

Specific

treatment. Symptoms
...

Specific symptoms General treatment of SannyttsaTreatment Incurable


...

type Diet.

...

...

285288

CHAPTER
Symptoms and Treatment
action of wine

XLVII.
Alcoholism : Properties and

of

Three stages of Alcoholic intoxicaprohibited. Specific symptoms of Pa'na'tyaya tion Cases where wine symptoms of Vataja Pittaja Kaphaja and Tri-doshaja types Symptoms of Para-mada Pan^jirna and Pana-vibhrama Prognosis Treatment of Vitaja Pittaja Kaphaja Tri-doshaja and Dvi-doshaja types PanakaTreatment of Para-mada Pandjirna Pana-vibhrama and Daha. Symptoms and Panatyaya Treatment of Thirst Remedies treatment of Raklaja -D.lha. Daha due to Accumulation of blood Due to Kbhaya Due to hurt of Marma. Their Treatment Mode of drinking wine. 289 301 Evil
effects of
is

drinking

for

thirst

...

...

...

...

CHAPTER
Premonitory
types.

XLVIII.

Symptoms and Treatment of thirst :EtiologyClassification

Symptoms of

symptoms Symptoms of Vataja Pittaja and Kaphaja KshatajaKshayaja Amaja and Annaja thirst.
Kshataja
thirst. General treatment.
...

Prognosis

General treatmentSpecific treatment-Treatment of

Kshayaja and Amaja

302308

CONTENTS.

3d

CHAPTER
Symptoms 'and Treatment
clatureBremonitory

XLIX.
:

of Vomiting

Causes and Nomen-

Specific symptoms of Viltaja Pittaja Kaphaja and Tri-doshaja typesTraumatic cases PrognosisGeneral treatment Treatment of VAtaj aKaphaja and Pittaja types. Vomiting due to pregnancy. Treatment of traumatic and Krimija types. General
symptoms
treatment Diet.
...

...

...

...

309313

CHAPTER

L.

ClassificationPremonitory symptoms Symptoms of AnnajdYamala KshudrikaGambhira and Mahd-hikkd. PrognosisTheir treatment Four liquid compoundsMeat as diet. 314 318
...

Symptoms and Treatment of Hiccough :CausesDerivation

...

CHAPTER
Symptoms and Treatment
of

LI.

Asthma : EtiologyClassification

Specific symptoms of KshudraTaniaka Pra-tamaka Chhinna Maha and Urdhva-S'vasa. Prognosis General treatment. Ilinsractt-ghrita S'ringvadi-ghrita Suvahadi-ghrilaTaliLambatives Utkankd Articles The s'adi-ghrita Meat as recommtnded Application of Sneha and Dhuma Purging and Vomiting. 319 315
Premonitory
symptoms
diet.

five

...

...

...

...

...

CHAPTER
Symptoms and Treatment
Classification

LII.

General Treatment Inhalation of Dhuma Treatment of Vataja Pittaja Kaphaja Kshayaja and Kshataja Kasa. Kalyana-guda Agastya-Icha. 326 337
Pittaja

Kshataja

of Cough : Causes and EtiologyPremonitory sympioms Specific symptoms of Vdtaja


and Kshayaja
types.

...

...

CHAPTER
Symptoms and Treatment
of Vataja

LIII.

Pittaja
...

of Hoarseness: Eticfogy Symptoms Kaphaja and Tri-doshaja types. Symptoms of

Prognosis General TreatmentTreatment of Vatoja - Pittaja Kaphaja Tri-doshaja Kshayaja and Medoja
Kshayaja and Medoja types
types.
...

...

...

...

335337

xii

CONTENTS.

CHAPTER

L1V.

Symptoms and Treatment of Worms : Causes Classification Names and symptoms of Purishaja Kaphaja Raktaja worms? Specific

Prognosis Their Treatment. causes General symptoms ... Romacla and Dantdda worms Diet. ...

Treatment of 338 343


...

CHAPTER
tion

LV.

Symptoms of V.itaja Purishaja Mtitraja UdavartruRepression of Tears Sneezing Eructation Vomiting Seminal discharge Hunger Thirst Breath and Sleep. l'mgnosis Their General Treatment Their Specific treatment. Treatment of Adhmana. UdaVartta due to errors of diet Its treatment. ._ 344 351
V'awning
... ...

Symptoms and Treatment of Uda'vartta : Causes Classifica-

CHAPTER
Symptoms and Treatment of

LVI.

SymptomsAlasakaVilambika Prognosis General Treatment Kshiragada Kalyana-lavanaDiet. Causes and Symptoms of Ana'ha Treatment. 352 356
...

Visuchikai : Causes Defini- ion

...

...

...

CHAPTER
Symptoms and Treatment
tion Their

LVII.

of Arochaka '.Etiology ClassificaSymptoms of Vataja Pittaja Kaphaja and Tri-doshaja types.


Treatment
decoction
...

Four

specific

Lambatives
Asava.
...

Use

of

Arishta
...

and

Treatment
...

Regimen

of diet of

Manasa
357

A'ochaka.

jgg

CHAPTER
tion Symptoms
of

LVIII.
of Urine : Classifica-

Symptoms and Treatment of suppression

Mutra-jathara Mutra-sanga Mulra-kshaya Mutra-granthi MulrasarkariUshna-v&a and two kinds of Mutrauka-sada, General treatment Application of Uttara-Vasti. . ... iqx ,,, ,53

V.ita-kundalika VataMhil.t Vata-vasti Mtitritita

CONTENTS.

xiii

CHAPTER
Symptoms and Treatment of the
fications-Symptoms of Vilaja

LIX.
defects of Urine : Classiand Sannipa'tika types
Gravel

PittajaKaphaja

UlceA r injury in the Urethra Mutri gMla due to Stone or General TreatmentTreatmet of Viitaja Pittaja Kaphaja doshaja types. Treatment of Abhighdtaja and Purishaja types,
-

and Tri369

372

Here ends the Kaiyachikitsi.

CHAPTER
Superhuman
Graha
dharva-graha

LX.
by
a

Symptoms and Treatment of the diseases brought on through


influences
'

Yaksha-graha Pitri-graha Bhujanga-graha Rakshasa Progonosis Times of their Possession Explanation of Bhuta-vidyi General and religious treatment Their specific religious treatment Medical treatment Special treatment. 373 3S0
graha and Pis'acha-graha.
...

Indications of attack by GrahasDeva-graha Asura-graha Gan-

Action of Graha Causes of influence

CHAPTER
Symptoms and Treatment
ficance

LXI.
Apasmara : Derivative
signi-

of

CausesNomenclature Premonitory Symptoms Symptoms of V.ltaja Pittaja Kaphaja and Sannipataja types. Discussion on treatment Siddharlha-ghrita causes. General treatment Specific Pancha-gavya-ghrita General treatment Preparation of special wine
its

Venesection,

...

...

...

...

...

381386

CHAPTER
Symptoms and Treatment
fications of

LXII.
: Derivation Classi-

of Insanity

Pittaja Kaphaja ami Tri-doshaja types Symptoms of S'okaja and Vishaja types General treatment Treats realmenl by frightening acts Diet Maha-Kalyana-ghrila Kalyana-ghrila Phala-ghrila Phala-ghrilaVartis Venesection. 387 391
Vdtaja
rila
...

...

...

...

Here ends the Bhuta-Vidyri-Tantra-

xiv

CONTENTS.

CHAPTER

One
at

LXIII.

Different Combinations of six different Rasas -.Taken two at a time Three at a time Four at a time Five at a time Six at 9, time-

a time.

...

...

...

...

...

399395

CHAPTER LXIV. RnleS Of Health : Indications of Health


of diet and conduct in the
rainy

Its

season Rules

Tor

importance Regimen autumn Hemanta

WinterSpring Summer and When and how to be taken.


Medicines Their namts
food.
... ?..

for

Pravrit. Different kinds

of

food
of

Ten proper
...

times for administration

Definitions and

Effects

Propel time
...

for

taking

...

396405

CHAPTER LXV.
The Technical terms need In the
Technical terms

treatise

: Names

of the

NecessityTheir definitions and examples.

406413

CHAPTER
The
Number
different

LXVI.
of the
different

Modifications

of different diseases.

Number of drugs. Different


... ...

Doshas :
combinations

of the three Doshas

Their number.

...

414

416

End

of the Contents of the TTttara-Tantra.

THE

SUSHRUTA SAM HIT A.


UTTARA-TANTAKAM.
(SUPPLEMENTARY PART OF THE TREATISE).

CHAPTER
Now we
shall discourse
viz.,

I.

on the chapter which deals


etc.

with the diseases,

of the eye,
i.

(Aupadraviof

kam adhyayam)
Here

commences that Samhita which is known

portion
as

the

Sus'ruta

the Uttara Tantra (the

supplementary part) to which references have been often

made
as the

in
fit

the preceding one hundred and twenty chapters,


place wherein to revert in detail
to the

topics

cursorily

mentioned

therein.

This

part

comprises

within

it

the specific descriptions of a large and' a varied


viz.,

number of diseases,
ear,

those which form the subject

matter of the ^ala'kya-Tantra (Diseases of the eye,

nose and throat)


;

as narrated

by

the king of
etc.

Videha
diseases

the aetiology and


peculiar to
infants
etc.,

symptomatology,

of

bhritya), the pathology,


in

the six books of

the

and women '(Kaumaraof those diseases mentioned Practice of Medicine par

excellence (Kaya-chikitstf) compiled


pld

by the holy sages of


{e.g.

and diseases known as Upasarga

Bhutopasarga

THE SUSHRUTA SAMHITA.

QP-

I-

Demonology) as well as
are also included in
this

diseases of traumatic

origin

supplementary text*.

Herein

are also mentioned the sixty-three combinations of the


six different

Rasas

(tasccs) as well as the

laws of health

and hygiene with their rationale (rules, interpretation and reasonings) and the classifications of different Doshas and organic principles of the body and various
accessories

and

remedial

agents
2.

required

for

their

successful treatment
I

and

cure.

shall

now begin with

the description

of the

num-

bers, the pathology and the curability or incurability of those specific aiiments of the body which are peculiar

to the region

of the

head out of a myriad of other

distempers reserved for treatment in this portion of the

work

(Uttara-tantra)

which
in

may

be compared to the
of
its

unfathomable deep

respect
3.

of the vastness

depth and magnitude.

Diseases of the eye and Its appendages The eye-ball (Nayana-Budbuda) is two

fingers (about

an inch)

in transverse in

diameter, about the

breadth of one's

own thumb
and a half
cow.

depth (Sagittal diameter),


round
in (in

and two

fingers
is

all

circumference).

The

eye-ball

almost round
It
is

shape and resembles


of
all

the teat

of a

made up
is

the

(five)

elements of which the universe


of the
of
is

built up.

The element

'solid'

earth (Bhu) contributes to the formation

its

muscles, the

element of

'heat'
its

(Agni cr Tejas)
arteries),

in the

blood (that courses in

veins and

'the

gaseous element' (V&yu) contributes to'the formation


(Iris, etc.) in

of the black part

which the pupil


in

is

situated,

the

fluid

element (Jala)

preponderates

the *lucid

(1)
it

The

text

has A'gantuka (traumatic ^diseases).


etc.

GayadSsa explains
).

to

mean Apasmara, Unmida,

(Hysteria, insanity, etc.

Chap.

I. ]

UTTARA-TANTARAM.
part (Vitreous body) and
is

(white)

the

void

(ethereal)

Space (Akas'a)
are discharged.
I

there to form lachrymal

or the other

ducts or sacs (As'rumarga) through which the secretions

4.

shall

now

proceed

tral part of Retina

'Macula

to.

describe the Drishti (the cenLutea')

as

set

forth

by

expert ophthalmic physicians.

The black

portion of the

of

eye (Krishna-mandaia Choroid) forms one third part its whole extent while the Drishti, according to them,
occupies only one-seventh part of the Krishna-mandaia.

The Mandalas
the

or sub-divisions or circles of the

eye-ball,

Sandhis or Joints (parts where these sub-divisions


I'atalas (layers or coats)
five,

meet with one another) and the


of

the eye
5-6.

are

respectively

six

and

six

in

number.

Mandala and Sand hi :The


the eye are the following,
viz.,

(1)

Mandalas of the Pakshma-mandala


Vartma-mandala
(the

(the circle of the cye-lashcs), (2) the


eye-lid) (3) the

Sveta-mandala (the Sclerotic and Cornea),

the Krishna-mandaia (the choroid) and (4) the Drishti-

mandala

(the pupil).

These
as

circles arc

so arranged that

the one preceding

lies

within the next in the list*


lines of

The
first

Sandhis (which serve


circles)

demarcation of the

already pointed out are six in number, the

binding the eye-lashes (Paksha-mandala) with the eyelids

(Vartma-mandala), the second the eye-lids and the


the third binding the

Sclerotic coat (Sveta-mandala),


latter

with the

Krishna-mandaia (choroid), the fourth


latter

situated

between the

and the Drishti-mandala,

the

fifth

lying in the interior corner (Kanin^kas) and the

last (sixth) in

the exterior (posterior) corner (Apangas)

of the eye.

7-8.
lines

Evidently some line or


give a complete sense

are missing here as the line cannot

by

itself.

Ed.

THE StfSHRUTA SAMHITA.

Chap.

I.

ThC PatalaS :Of


eye-lid

the Patalas, two are in


in

the

(Vartma-mandala) and four


occurs

the eye proper,

wherein

the

dreadful

disease

known
first

.as

the

Timira
rior

(loss of vision).

Of

these four the

or ante-

coat
(

(Patala)

supports

the

humour

Jala

and
is

light

Tejas), *

the second coat or Patala (choroid)


;

supported by muscles

the third coat or Patala (Sceroim

and Cornea) consists of Medas (lit. fat) and there is the fourth which is a fifth part of the whole and is known
as the Drishti.

There

are,

however, divisions and

sub-

divisions of these coats.

9.

The
by
is

different parts of the eye-ball are blood-vessels,


choroid.-f
(in

held together

the

the

muscles, the

Vitreous body
eye-ball

and the
held

Beyond the

choroid, the

the orbit) by a mass of Sleshma (viscid

substance
of vessels.

capsule of

Tenon) supported by a number


pass

The deranged Doshas which

upward

to

the region of the eyes through the channels of the


coursing veins and nerves give rise to dreadful
diseases in that region.
10.

up-

good many
of
vision,

Purva-rupa,

CtC. :Cloudiness

slight inflammation, lachrymation,

heaviness, burning sensation,

mucous accumulation, sucking pain (D. Reaching


are indistinctly

pain) and redness in


(in the

the eyas

manifest
inif

incubatory stage) in such cases. In cases of an


(eye-lids) the

flammation of the Vartmas


studded with the bristles of

eye seems as

worms (Suka) and attended


sensible

with pain

(as

if

pricked into with thorns) and a

impairment of the faculty of the


*

eyes in detecting
in

By

"Jala"

is

meant here the serum (Rasa)

the

skin,

and by

"Tejas" the blood


A'lochaka.

in the veins

(Sui) carrying the (Tejas) known as the

t D. R.

vessels,

muscles and

aqueous

humour

(Medas) are most

important for the

maintenance of Krishna-mandala.

Chap.

I- 3

Uf TARA-TANTARAM.
in closing

colours

and

and opening the

eye-lids

freely.

An

intelligent physician will conclude

from these symp-

toms that the eyes have been affected by the (deranged) Doshas, with a due consideration whereof the remedies
should be (carefully) administered, otherwise the eyediseases might

become too

serious.

The simple maxim


of a disease

or principle to be followed in the treatment


is

simply to forego the primary pathological causes of

that disease.

The

special remedial measures that

would

pacify the different Doshas, cribed in detail.


12-13.

Vayu,

etc.

have been deslocal

Causes of

Eye-disease : The

Doshas deranged and aggravated by such causes as


diving in water immediately after an

exposure to the
at
dis-

heat and the glare of the sun, (constant) gazing


tant objects,
late

sleep

in

the day time and keeping

up

hours in the night, fixed and steady gaze, excessive


in grief,

weeping or over-indulgence

worry and

fatigue,

a blow or a hurt, sexual excesses, the partaking (in inordinate quantities) of Sukta, Aranala (fermented rice-water),
acid gruel,

repression of
to

Masha pulse, and Kulattha pulse, voluntary any call of nature, exposure (of the eyes) smoke or dust, trickling down of the drops of sweat
the
eyes),

(into

excessive or impeded

vomiting,
of the

re-

pression of tears,

constant

contraction

eyes to

adjust the sight to extremely

small
14.

objects,

etc.,

beget

disorders of the organs of vision.

Seventy-six different kinds of


come across Kapha.
in practice
;

Classification of the Eye-diseases


eye-diseases

have been

the deranged Vrfyu,

by by Pitta and thirteen by Sixteen are produced by vitiated blood, and


of these ten are of iginated ten

twenty-five

Doshas (Tri-Doahaja), and

by the concerted action of the deranged lastly, two are produced by

6
external
origin.

The sushruta samhitX.


causes
15.
i.

[C^p-

e.,

they

are

traumatic

in

their
" ,

Prognosis of the Vataja Type :Of the


diseases of the eyes which are due to the

action

of the

deranged Vayu, those


sha,

known

as Hatadhimantha,

Nimi-

Gambhirika

affecting

the vision,
is

vartma (Vayu-afflicted Sclerotic coat)


able.

and Vata-hatasaid to be incur-

temporary cure (Yapya)

is all

that can be effected

in a case of

Kacha

(cataract)
;

due to the action of the

deranged bodily

Vayu

while the affection of the eyes

known

as the Anyato-Vata,

Adhi-mantha (ophthalmia),
Maruta-Paryaya

Sushkakshi-paka,
are curable.
16.

Abhishyanda and

Prognosis of the Pittaja Type :Of


the diseases due to the deranged action of the
Pitta

known

as Hrasva-jadya and Jala-srava should be


;

deemed
only

incurable

and

palliative

measures

are the

remedies in cases of Kacha, Parimlayi and Nila, while

Abhishynda,

Adhi-mantha

Amladhyushita,

Suktika,
cur-

Pitta-Vidagdha-Drishti,
able.
17.

Pothaki and Lagana are

Prognosis of Kaphaja Type: Of


diseases due to the aggravation of

the

Kapha, the one known


(Kaphaja) Kacha

as the Srava-roga
(cataract)

is

incurable and

admits of only palliative treatment, while a


be be effected
in

cure

may

the following cases,

viz,,

Abhishyanda
Grathita,

(conjunctivitis),

Adhi-mantha,

Balasa-

Sleshma-Vidagdha-Drishti, Pothaki, Lagana,

Krimi-granthi,

Pariklinna-Vartma, Suklarma, Pishtaka,


18.

Sleshmo-panaha.

Prognosis of the Raktaja Type:Of


the diseases of the eyes due to the vitiated
condition

of the blood, those

known

as Raktasrava, Ajakajata,

Avalambita (pendent),

Sonitars'as

and Sukra-roga should

Chap.

I-

UTTARA-TANTARAM.

be regarded as incurable, and the type of jKacha (cataract) due to the same cause admits of ohly palliative
measuses, while the diseases

known

as

Adhi-mantha,

Abhishyanda, Klishta-vartma, Sira-harsha and Sirotpata,


Anjana,
Sira-jala, Parvani,

Avrana

(non-ulcerated), Sukra-

roga, Sonitarma and

Arjuna
19.

may

be included within

the group of curables.

Prognosis of the Tridoshaja Type,


etc.
srava,
!

Of the eye-diseases due to the concerted action


known
as

of the three aggravated Doshas, those

Puya-

Nakulandhya,

AkshipAkatyaya and Alaji are


are only possible in
;

incurable and palliative measures


cases of

Kacha
as

known
yarma,
lasa,

Pakshma-kopa while those Vartmavabandha, Siraja-pidaka, Prastar(cataract) or

Arvuda, Syava-vartma,

Adhi-mansarma, Snayvarma, Utsangini, PuyaKardama-vartma, Ars'oSarkara-vartma, the

vartma, Sukrars'as,
of

two

forms

inflammation with or without local swelling known


Sas'opha-paka and
As'opha-paka,
yeild
to

as)

Bahala-vartma,
the
curative

Kumbhika and Visa-vartma


of eye-disease due
to

efficacy of appropriate remedial agents.

Both the forms

the

external causes* should be

considered as incurable.

20

21.

Their Localities ;Thus we

have

finished

enumerating the seventy-six types of eye-diseases, of which nine are confined to the Sandhis (binding
unions),

twenty-one to

the

Vartma

(eye-lids),

eleven

to

the gjukla-bha'ga (the Vitreous body),


(the region

four to the

Krishna bhaga

of the Choroid), seventeen

to the entire region (eye-ball)

and twelve td the region


1

of the Drishti (pupil or the "crystalline lens,


*The one due
to

etc.).

The

any external blow or hurt (Sa-nimitta) and the other

originating from the sudden sight of

any

celestial

being of extreme

brilli-

ancy (A-nhnitta).

THE SUSHRUTA SAMHITX.


to

[O^P- L

two cases due

the

extraneous cause (are chiefly


affecting

located in the Driflhti though

the whole

of

the eye-ball and) arc very painful and incurable.


characteristic

The

symptoms
22

of
23.

all

these will

be hereafter

described in detail.

Thus ends

the

first

chapter of the Uttra-tantra in the

Sus'ruta Samhita

which deals with the

diseases, viz. of the eye, etc.

CHAPTER

II.

Now we shall discourse on the chapter which deals with the pathology of diseases which are peculiar to the joints or binding membranes of the eye (SandhI*

gata-Roga-VIJnanlya). The names of those diseases :Diseases


peculiar to the joining (Sandhi) of the

eye are nine

in

number and are named Puyalasa, Upanaha,


kinds
of)

(the four

Srava

(viz.

Puya-srava, >leshma-srava, Rakta2.

srava, Pitta-srava),

Parvani, Alaji and Krimi-granthi.

Symptoms
na*ha
pus
is

of

Puyalasa and Upaof

suppurated swelling occurring at any


a
sort of fetid

these joining and exuding


called Puyalasa.

and dense *

painless

cyst (Granthi) of

considerable size occurring at the union of the pupil (with

the Krishna-mandala) and attended with an itching sensation

and a

little

suppuration

is

called

Upangha.
(

3.

A.
)

Symptoms
Doshas

Of SraVa : The
of

deranged

of the locality passing through the lachrymal

ducts into the binding tissues

the four different

up a painless \ secretion (Srava) from the localities characterised by the specific symptoms of the different Doshas involved. These are known as SraVas, which according to some, are also called
Sandhis (joinings)
set

* According to
(^ffifc:)*

There

is

Madhava's reading, the swelling should be painful no mention whether the pus should be dense ('HP5) ot

otherwise.

+ The term "Dosha" here means S'leshma, Pitta, Rakta (blood) and the concerted action of the above three Doshas. It should be noted that Vftyu is excluded from the list as it does not produce any secretion,

% Mldhava does not mention

this (painlessness) to

be a symptom.

IO

THE SUSHRUTA SAMHITX.

Chap.

II.

Netra-nadi and are classified into four different groups,


the different
presently.

symptoms

of

which

will

be described

suppuration (D. R. swelling) in

any of the

Unions (Sandhi) of the eye

marked by a discharge of pus is called Puytf-srava. This is due to the concerted action of the Doshas (Kapha, Pitta and blood). The secretion of slimy, white and thick muco-purulent discharges marked

by the absence
flow of thin,

of pain *

is

called SJleshmd-sraVa.

The

warmf and blood-streaked copious

discharge

due to a contaminated state of the local blood is called Raktrf-srava. A warm, water-like and yellowish blue
(D. R. reddish yellow) discharge from

the

middle part

of the union (owing to the deranged condition of the


Pitta)
is

called Pittrf-sriva.

3.

Symptoms

of Parvanl, etc. : A

small,
join-

round and copper-coloured swelling occurring at the

ing of the Krishna-mandala and Sukla-mandala, due to

the vitiated state of the local blood and attended with a

burning sensation and aching pain,

is

called

Parvani.

swelling

possessed

of

the

preceding
is

features

and

occurring at the very


titis) J.

same joining

called Alaji (Kera-

cyst or swelling (Granthi) characterised

by an

itching sensation appearing

on the joining of the

eye-lids

and

eye-lashes
in

owing to the germination of parasites


localities,
is

(Krimi)

those

called Krimi-granthi.

Parasites of different forms in such a case


Infest

are found to

the regions where the inner lining of the VartmaMadhava's reading, the absence of pain
not a

According to

is

necessary concomitant in this case.

According to Madhava's reading thinness and warmness are not

essential.

t
larger.

The

difference

between a case
is

of

Parvanl and
and that

that of
in the

AlaJl
Alaii

is is

that the swelling in a case of Parvani

smaller,

Ciiap.

it

UTTARA-TANTARAM.
(eye-lid) is

IT

mandala

connected with the S>ukla-mandala

(Sclerotic coat) of the eye

and
4

to invade
5.

and

vitiate the

substaace of the eye-ball.


Thus ends
the

second chapter of the

Uttara-Tantra in the Sus'ruta


of the diseases peculiar to the

Samhital which deals with the pathology

Sandhi (unions) of the eye.

CHAPTER
Now we
eye-lids
shall

III.

discourse on the chapter which deals

with the pathology of diseases peculiar to the region of the

(Vartmagata- Roga-Vijna'nlyai Causes and Names : The Doshas of

i.

the

body jointly or severally expanding through the nerves and veins, (Sira) of the eye-lids (Vartma) bringing about an augmentation of the quantity of the blood and the growth of the flesh in the localities (determination of blood toward formation of fleshy growth in
the affected parts) give
rise to

a host of local diseases

which are known as Utsangini,


Vartma-Sarkara.
Ars'o-vartma,

Kumbhika, Pothaki,
Ssushkars'as,

Anjana,

Bahala-vartma, Vartmavabandha, Klishta-vartma, Kar-

dama-vartma,

Syava-vartma,

Praklinna-vartma,

Pari-

klinna-vartma, Vatahata-vartma, Arvuda, Nimisha, iaonitarsas,

Lagana,

Visha-vartma

and

Pakshma-kopa.
the eye-lids

These twenty-one diseases are


(Vartma).
2.

restricted to

The
specific

Specific

symptoms
;

of the disnames
of these

eases of the eye-IidS : The


have been enumerated

now hear me
(rolled

describe their
boil

symptoms.

up and indented)

or eruption (Pidaka) appearing along the lower eye-lid

on

mouth or head directed A number of boils or pustules (Pidaka) to the size of a Kumbhika seed appearing on the joint of the eye-lids and the eye-lashes and becoming inflamed after being burst is called
its

exterior side
is

with

its

inward

called

Utsangini-

Kumbhiki
three Doshas.

*.

34.
(Kumbhika')
is

* This disease

due

to the

concerted

action of the

Chap. Ill,

UTTARA-TANTARAM.
of red

number

and heavy (hard)

boils

or pustules

(Pidaka) resembling red


pain, itching

mustard seeds attended

with

A rough and and large pustule (Pidaka) surrounded by other very small and thick erythematous pustules (covering the
exudation is called Pothakientire length of the eye-lid)
is

called

Vartma-fl'arkara'.

5-6Vegetations of small (D. R.


soft)

and rough

papilae

(Pidakas) on the eye-lid resembling Ervdruha seeds and

attended with very

little

pain are called Ars'o-vartma.

Long, rough, hard, and numbed papils (Amkura) on the


eye-lid (2) are called ia shkaVrfas.

is

8.

small,

soft,

copper-coloured

pustule

(Pidaka)

appearing on the eye-lid and attended with burning,


pricking sensation and a slight pain
called

an Anjana.

Vegetations of pustules (Pidaka) of equal size (D. R.


attended with hardness) occurring
all

along the eye-lid


colour are called

and resembling

it

(or each
9-10.

other) in

Bahala-vartma.

Such swelling of the


being evenly opened

eye-lid attended with

an itching

sensation and a slight pain as impedes or interferes with


its
is

called

Vartma-bandha.

mild and copper-coloured inflammatory swelling of both


the eye-lids simultaneously attended with a slight pain

and changing suddenly into redness (D. R.


discharging

suddenly
Klishtathe
Pitta dirty
called

blood

therefrom)

is

called

vartma.

n-12.
of

case

Klishta-vartma

in

which

has deranged and affected the blood ancf matter (mucus)


is

much
is

discharged as a consequence

a case of Vartma-kardatna.

dark brown colour of

the eye-lids both internally and externally marked


(t)

by a

According

to

Midhava, the

papilae

in

such cases occur in the

inner side of the eye-lid.

14
swelling (D.

THE SUSHRUTA SAMHITA.

Chap.

ifc.

R.pain)

and attended with a discharge of


is
.

pus and with burning and itching sensations


dyrfva-vartma.
13-14.

called

An
little

external swelling of the eye-lid with a deposit


in
its

of

mucous matter
sensation,
is

inner surface accompanied with a

pain as well as a discharge, itching and pricking


called a

Praklinna-Vartma.
the

sticking to-

gether of the eye-lids even in the absence of any suppuration

and

in spite of
is

eyes being constantly washed

(with water)*

called

Pariklinna-vartma.
(lit.

15

The drooping down


whether
obstruct the
lids

16.

inactivity)

of the eye-lids,
(so

attended with any pain or not,

as

to

opening of the eye-lashes) where the eyejoint


is

seem to be out of

called Va'trfhata-vartma.

and knotty swelling (Granthi) of an uneven size or shape, growing hastily on the interior side of the
red
eye-lid

and attended with a


17

little

pain

is

called

an Arvuda
the

or tumour.

18.

Constant wrinklings of the eye-lids owing to


incarceration of the (deranged)

Vayu

within

the nerves

or veins (Sira) controlling their wrinkings (closing and

opening) are
after being

known

as

Nimesha.
knife,

Soft and

fleshy

growths (Amkura) on the eye-lid which reappear even

removed with a

and are attended with

pain, itching and burning sensation are called Sonitarsas and should be ascribed to the vitiated condition of the

blood.

19-20.

thick, slimy, hard

and

painless

nodular swelling
size

(Granthi) on the eye-lid resembling a

and marked by an itching


puration
*
is

Kola fruit in sensation and absence of

sup-

called

Lagana

+.

An inflammatory

swelling

A different reading reads


editions read

'whether washed or not.'

This,

however,

not a good reading,

t Certain

NagMUt.

Chap. HI.

UTTARA-TANTARAM.

of the eye-lid dotted with minute punctures like the pores


in the

stem of a water-soaked lotus plant


21-22.

is

called

Visa-vartma.

An

accumulation of the deranged Doshas about the

eye-lashes

makes them rough and


eye and give
as
is

sharp-pointed, which

give pain to the

The
of

disease

known

relief when drawn off. Pakshma-kopa in which the

eye cannot bear the least wind or heat or the glare


fire.

23.

Thus ends the

third

chapter of the Uttara-Tantra in the Sus'ruta


eye-lids.

Samhita which deals with the pathology of the diseases of the

CHAPTER
Now we
with
shall discourse

IV.

on the chapter whi ch deals


r.

the pathology of diseases of the Sclerotic coat

(white coat) of the eye (Buklagata-Roga-VijiHtoiiya).

Names The eleven different forms


:

of diseases

which are peculiar


rma),

to

the Sclerotic coat (white) of the

eye, are Prastaryarma,

Suklarma, Kshatajarma (Rakta-

Adhimansarma,

Sndyvarma,
thin and

Suktika,

Arjuna,
2.

Pishtaka, Sira-jala, Sira-pidaka, and Balasa-grathita.

Symptoms
A

: A

extended glandular
blue and

swelling (Granthi) coloured

reddish
is

apearing

on the Sclerotic coat (Sukla)

called

Prastaryarma.
is

crop of soft and whitish growths slowly extending


called

over the entire length of the Sclerotic coat

Suklarma.
Lohittfrma.

The

fleshy

growth on the white coat of the


is

eye resembling a (red) lotus flower in colour

called

The

soft,

extended,

thick
flesh

and

dark-

brown and
coat
is

liver-coloured

growth of

on the white
coat,
3-7.

called

Adhi-mdnstfrma.
in size, is called

The

rough, yellowish

(D. R. white) growth of flesh

on the white
Sna'yvarma.

and

gaining (slowly)

The appearance
flesh
in

of dark

brown specks resembling


colour of an
is

colour or of those having the

oyster-shell

on the white coat (Sukla) of the eye

called

Suktika^

The appearance
is

of

a single dot or

speck on the Sclerotic coat (bukla), coloured like a


(drop of the) hare's blood,
called

Arjuna.

raised

and circular dot or speck appearing on the white coat and coloured white like pasted rice and (as transparent
as)

water

is

called

Pishtaka.

Red and
called

extensive

patches of hardened veins spreading over the white coat

and looking

like

net-work

is

Sirrf-jala.

The

Chap. IV.

UTTARA-TANTARAM.

crop of white pustular growths (Pidaka) on the Sclerotic


coat (Jsukla), near the limit of the

black coat

(Iris)

and

covered over with shreds of veins are called the Siri-

PidafcC

The

disease in which a speck coloured like the

Indian bell-metal (Kamsya) and covered

over with a
is

vein (Sira) appears on the region of the Scleratic coat


called the

BaMsa*.

8-13.

Thus ends
hita

the fourth chapter of the Uttara-T antra in the Sus'ruta

Sam-

which

treats of the

pathology of the diseases of the Sceloretic region

of the eye.

The

reading

in

Madhava's Nidana
It is

is

quite different

here,

and

Dallana seems to support that.

defined as the disease in which a hard

speck appears like a drop of water


bell-metal in colour.

on the white coat

and looks

like

CHAPTER
Now we
the
shall discourse

V.

on the chapter which* deals


the
Iris

with the pathology of the diseases of the black part of


eye

Choroid
Choroid

including
r.

(Krifllma-gata-

Boga-Vijna'niya).

The
of the

diseases

which are found to invade the region


including the
Iris

(Krishna-mandala)
in

have been briefly said to be four

number.

Their

names are Sa-vrana-Sukra, and Ajaka, 2,


i

A-vrana-Sukra, Pakdtyaya

Symptoms A puncture-like dip in the region


of the (Krishna-mandala)
the part has been pricked

with a sensation there as

if

with a needle and attended


is

with an excruciating pain and a hot exudation

called

Sa-vrana-^ukra.
(Retina) be

If the

seat of this disease consider-

ably remote from the pupil

entire part of the Drishti


if

marked by the absence of pain and discharge


there be

and be not deep-seated and


spots,
it

not double
3-4.

offers

very

little

chance of remedy.

Symptoms and Prognosis of


na-3llkra : A
whitish
film

A-vraon
the

appearing

region of the Choroid

including the Iris

(Krishna) like

a speck of transparent cloud in the sky, and attended

with lachrymation and slight pain due to the eye-disease

known
called

as

Abhishyanda (Ophthalmia
This
is

lit secretion)

is

the A-vrana-dnkra.

easily curable.
film)

A
is

case of

Avrana-Sukra

(non-ulcerated

which

thickened, deep-seated

and long-standing, may be cured


difficulty,

only with the greatest


case of this disease, of
flesh,

while an long-standing

if it is

mobile, covered with shreds

vein-ridden,

stretching

down

to the

second
vision,

layer of skin (in the eye) and

obstructing the

Chap. V.]

UTTARA-TANTARAM.
marked with a reddish

severed in the middle and


in

tint

the

extremities,

should be

deemed

as

incurable.

Several authorities aver that the appearance of Mudgalike specks or films

on the region of the

Iris,

attended

with growths of pustules and hot lachrymations, should

be like-wise regarded as incurable. The fact of its (speck) assuming the colour of the feather of a Tittira bird
is

an additional indication of the incurable nature of


5.

this disease.

The appearance
mass and attended
Akshi-Pdktttyaya.

of a whitish milky film


it

over the
its

black part of the eye slowly shrouding

entirly with

with acute pain

is

known
is

as the

This
of
all

is

invariably found to result

from an attack

Akshi-kopa* and
the Doshas.

due

to

the

concerted action of

painful reddish

growth, like the head of a goat, found to shoot forth

from beneath the surface of the black part and attended


with reddish slimy secretion
Thus ends the
hita
eye.
is

called

an Ajaki

6-7,

fifth

chapter of the Uttara-Tantra in the Sus'ruta

Sarrl.

which

treats of the pathology of the diseases of the

black part of the

* According to Madhava's reading in his Nidana, this disease

need

not necessarily result from an attack of Akshi-kopa, and

there

need not

be an acute pain, and

it

would be incurable.

CHAPTER
Now we
shall discourse

VI.

on the chapter which deals

with the (symptoms and) pathology of the diseases


affecting the eye as a

whole

(Sarva-gata- ROga-

Vljnsfnfya).

Names and causes

:The

four types of

Abhishyandha (Ophthalmatis), the four types of Adhimantha, the two forms of Akshi-paka (suppuration of
the eye) attended with or without swelling, these ten,
as well
as

Hatadhimantha, Anila-Parjaya, SuskakshiAmladhyushita,


Drishti,
Sirot-

paka,

Anyato-vata,

pata and Sird-Harsha are the names of the (seventeen


kinds of) diseases which affect the

eye as a whole.

Nearly
tlie

all

these forms of eye-diseases

may

result

from

shall try speedily

Abhishyanda (Ophthalmitis). Hence a wise physician to remedy a case of Abhishyanda


it is

(Ophthalmitis ) as soon as

found

out.

2.

Specific

nda

The symptoms

symptoms

of

Abhishya-

which mark a case of Abhideranged Vrfyu are

shyanda due

to the action of the

pricking pain (in the eyes), numbness, horripilation and


irritation in the eyes,

roughness and parchedness of the

organ, cold

lachrymations and headache.


exhibits

case

of

Pittaja-Abhishyanda
viz.,

the following features,

burning and inflammatory suppuration of the eyes,


(in

longing for coldness

the eyes), excessive hot lachryIn

mations, cloudy vision and a yellowness of the eye.


the

Kaphaja type

of the

disease,

the affected organ

longs for the contact of

warm

articles

and

is

attended

with a heaviness, itching sensation, swelling, excessive


whiteness and a constant deposit and discharge of slimy

mucus.

The

special

type

of this disease which has

Chap. VI.

UTTARA-TANTARAM.
the vitiated condition of the blood, L
is
<?.,

21

its

origin in

the

Eaktaja type

marked by redness

of the

eyes,

flow of

copper-coloured tears, as well


Pittaja type of the disease
stripes all along.

as the

symptoms of the

and the presence of deep red


the (four)

3-6.

Causes of Adhimantha : All


forms of chronic Abhishyanda,
to
if

not properly attended

and remedied at the


of

outset,

may
is

run into as

many
if

cases

Adhimantha which

attended (invariably)

with an excruciating pain in the eye, which seems as

being torn out, the pain extending upward to and crushing, as


it

were, the half the region of the head.

The
each

characteristic

symptoms

of the

Doshas involved
7.

in

case are also seen to supervene.

Symptoms of Vataja Adhimantha i


In the Va'taja type of

Adhimantha the eye becomes


stick)

cloudy and seems as


with an

if

being torn out and churned as


attended

Arani (fire-producing wooden


irritating,

with an

and cutting pain, as well as with a swelling of the local flesh, and a half of the
piercing
is

head (on the side of the affected eye)


swelling, shivering

afflicted

with

a twisting and cracking sensation as well as with local

and

pain.

8.

Symptomsof Pittaja Adhimantha :


The symptoms which mark the Pittaja type of Adhimantha are the blood-streaked eye attended with secretion and a sensation therein of being burnt with fire, as well as swelling, perspiration and suppuration in the
affected

organs,

yellowish
in

vision,

fainting

fits

and a
case

burning sensation

the head.

The
as
if

eyes in

this

become with an

liver-coloured
alkali.
9.

and seem

ulcerated or rubbed

Symptomsof Kaphaja Adhimantha


In
the

Kaphaja type

of

Adhimantha the eye

is

22
swollen

THE SVSHRVTA SAMHITA.

f Cfaa P*

V1,

with a slight congestion (inflammation).

Dis-

charges with a sensation of itching, coldness and heaviness in the localities


set in,

and there

is

horripilation.

The eye becomes slimy with deposit of mucous matter. The sight becomes cloudy, the nostrils are dilated, the
head aches and
all

objects

seem

to

be

full

of dust.

10.
:

Symptoms of Raktaja Adhimantha

A pricking pain in and a blood-streaked secretion from the affected organ which looks (bright red) like a
Bandhujiva flower, are the symptoms which mark the
type of Raktaja Adhimantha (due to the vitiated blood).

The eye becomes


least
if

painful

and incapable of bearing the

touch or contact, and the objects of vision seem as


in

enveloped

flames.

The

extremities

of the eye

become red and the whole


in blood.
II.
:

origin

of the cornea (black


fruit

coat of the eye) looks like an

Arishta

submerged

The prognosis

A course of injudicious
may
in five

diet,

conduct or medical treatment


of vision in seven days from

usher in the blindness

an attack of the Kaphaja


days from
six days

type of Adhimantha (Ophthalmia) and


the Vataja

that of the blood-origined (Raktaja) type, in


in a case of

Adhimantha and instantaneously


in- the

within three days of the attack)


(i. e.,

Pittaja

type of

Adhimantha.

12.

Symptoms of Sa-sopha and A- sop ha


Akshi-psCka : A
exhibits the following

case of

Sa-s'opha-Netra-pj&a

deposit of

symptoms, v is., itching sensation, mucous matter (in the eye), lachrymation and
is

a redness of the eye like the colour of a ripe Udumbara


fruit.

There

a burning sensation in the eye-ball which

becomes copper-coloured, heavy, and attended with a pricking pain and horripilation. The eye becomes
swollen and constantly secretes either cold or hot slimy

Chaf. VI.

UTTARA-TANTARAM.
and ultimately suppurates.
disease,

23
All these symp-

discharges,

toms except swelling mark the (non-swollen) A-s'jpha-

Netra-p4ka type of the


'

13.

The 'deranged Vayu

getting incarcerated in the optic


sight,

nerve (Sira) impairs the faculty of

and gives

rise to

an incurable disease which


(blinding Ophthalmia).

is

called

Hata'dhimantha
pain

shifting

experienced
or of the

sometimes

in the

region

of the eye-lashes*

eye-brows and sometimes in the region of

the eye,

owing to the coursing of the deranged and incarcerated

Vayu in The

those localities,
disease
in

is

called Va'ta-Paryaya.
eye-lids

14-1

5.

which the
always
it

hard and remain

closed,

become dry and the vision becomes


to

cloudy and hazy, and


the eye-lids,
is

becomes very painful


the

open

called

^ishkaTtshi-pa'ka.t

The
due to
in

excessive pain in the eyes or in the eye-brows

the action of the deranged


region of the head, the
of the neck
cars,

Vayu

incarcerated

the

the cheek-bones, the back


(a

(Avatu), the

Manya
in

particular nerve
(adjacent)

on either side of the neck), or


place,
is

any other
16-17.

called the Aoyato-va'ta.

The

swelling of the eye attended with a bluish

red

tint all about,

owing to the partakings of meals composed of an unduly large proportion of acid articles, or
of such food as
action,
is is

followed

by a digestionary acid
all

re-

called

the

AmMdhyuBhita-Diishti.

The

disease

in

which the veins

over the eye become

copper-coloured and are frequently discoloured, whether

attended with pain or not,

is

called the Sirotpa'ta. 18-19.

Midhava in Midhava in

the the
is

Nidana does not mention

the eye-lashes.
that a highly
l

Nidana reads ^s^g^ which means

burning sensation

produced in the affected eye, in place of "fqtjf

^H

"

a word which seems redundant.

24

THE SUSHRUTA

SAMIIITX.

Chajv,VI.

A
in

case of Sirotpata,

if

not attended to and remedied


rise to

time through ignorance, gives


in

transparent and

copper-coloured discharges

copious quantities from

the eyes and produce a complete blindness of vision.

This

is

known

as the Sirrf-harsha.
sixth

20,

Thus ends the


Samhiti which

chapter of the Uttata-Tantra in the Sus'ruta

treats of the diseases affecting the eye as a whole.

CHAPTER
Now.we
the Drishti
shall discourse

VII.

on the chapter which deals

with the pathology of the diseases which are peculiar to


(pupil)

of

the eye
i.

(Drishti-gata-

Roga-Vijnaniya).
Experts well-versed

in the

anatomy of the eye aver


eye
is

that the Drishti (pupil) of the

the quintessence of

the five material elements with that of the eternal light

predominating therein

this

principle
this case.

of light neither
It
is

increasing nor decreasing in

naturally

accustomed to cold from the very nature of

its

tempera-

ment and

is

covered by the outer coating (Patala) of the


It

organ proper.

looks like a

hole and
or

is

equal in

dimension to that

of a Masiira seed
its

pulse*.

The

pupil of the eye resembles in

action

the phosphoresparticle

cent flash of a
of
it).

glow-worm or that of a minute

fire (in

not burning the things coming in contact with


shall describe the

Now we

pathology of the twelve

kinds of disease peculiar to the region of the Drishti


(pupil), as

well as of the

one which

is

known

as Timira

(loss of vision)

affecting the

Patala (coating over the

pupil).

2.

All
sight

external

objects

appear dim and hazy to the


of the locality passing

when the deranged Doshas

through the veins (Sira) of the eye, get into and are
incarcerated within the first Patala (innermost coat) of

the pupil (Drishti).

3.

Symptomswhen
attacked
*

second
flies,

False images of gnats,

f hairs, nets or

Patala

cob-webs, rings (circular patches), flags, ear-rings appear


According to Nimi, quoted in Madhava's commentary by S'rtkantha,

the dimension of the


pulse.

Drishti

is

equal to only a half of that of a Masur*-

26

THE SUSHRUTA SAMHITX.


seem
to

cha P- VIL

to the sight, and the external objects


in mist or

be enveloped

haze or as

if

laid

under a sheet of water or as


differ-

viewed

in rain

and on cloudy days, and meteors of

ent colours
in the

seem

to be falling constantly in all directions

event of the deranged Doshas being similarly con-

fined in the

second Patala (coat) of the Drishti.

In

such cases the near appearance of an actually remote


object

and the contrary {Miopia and Biopid) also should


in

be ascribed to some deficiency


(error

the range of vision

of refraction

in

the

crystalline lens)

which

in-

capacitates the

patient from

looking through
4.

the eye

and hence from threading a needle.

Symptomswhen
attacked
those placed
:

third

Patala

Objects situate high above are seen and


unobserved when the deinfiltrated into the

below remain

ranged Dosha are


of the Drishti.

Third Patala

(coat)

The Doshas

affecting the Drishti (crystal-

line lens), if highly enraged,

impart their specific colours

to the objects of vision.

covered with a piece of cloth.


persons with ears and eyes,
i.e.,

Even large objects seem to be The images of objects and


etc.,

bereft

situated at

seem to be otherwise those organs. The deranged Doshas and obstructing the lower, upper and lateral
of
Drishti
(crystalline lens)

parts of the

respectively shut

out the view of near, distant and laterally-situate objects.

A dim
and

and confused view of the external world

is all

that can be had


affect the

when

the deranged Doshas spread over


(crystalline lens).

whole of the Drishti


if

thing appears to the sight as

cutjinto

two (bifurcated)

when the deranged Doshas


lens,

affect

the middle part of the

and as

triply divided

are scattered in

and severed when the Doshas two parts while a multifarious image
;

of the

same

object

is

the result of the manifold

distribu5.

tions of movability of the

Doshas over the

Drishti.

Chap. VII.

UTTARA-TANTAUAM.

2?

Symptomswhen
attacked
fact of the

fourth
results

Patala
from the

Loss of vision (Timira)

deranged bodily Doshas being confined within

the fourfh Patala (choroid) of the organ.


is

When the vision


it is

completely obstructed by the aforesaid cause,

called a case of Linga-na's'a (blindness).

Only a

faint per-

ception of the images of the sun, the


the heaven, a flash of lightning or
brilliant objects
is

moon and

the stars,

any other such highly


(blindness)

possible in

a case of superficial (not


Linga-nas'a
6.
is

deep-seated) Linga-nas'a.
also called N/lika

The

and Kacha.

Specific traits of Timira : All


objects are

external
red-

viewed as cloudy, moving, crooked and


in

coloured in the Va'taja type (of Timira), while

the

Pittaja type they appear to be invested with the different


colours of the spectrum or of the rain-bow, of the

glow-

worm, of the

flash of lightning,

or of the feathers of the

pea-cock, or with a dark blue tint bordering

on black

while in a case of
like that

Kaphaja Timira,
in

a thick white coat

of a

pack of white clouds or a deep white


everything which

chowri (Chamara) seems to intervene

look white and oily and dull and appear hazy and cloudy
in a fine

day, or as

if

laid

under a sheet of water. In a case

Baktaja type of Timira, all objects appear red or envoloped in gloom, and they assume a greyish, blackish
of the
or variegated colour.

In a case of Sa'nnipa'tika Timira,

the outer world

looks

vareigatcd and confused, appears


to

as doubled or trebled
stars

the vision (of the patient), and

and

planets, either defective or supplied with addi-

tional limbs,
.

seem

to float

about

in

the vision.'

7-1

1.

Pariml&'yi :The

quarters of the
if

heaven look

yellow and appear to

the sight as

resplendent with
if

the light of the rising sun,

and

trees
in

seem as
case

sparkling

with the tangles of

fire-flies

of Parimlayi,


THE SUSHRUTA SAMHITX.
Cha P- VIL

28

which should be ascribed to the action of the deranged


Pitta
in concert

with the vitiated Wood.

12.

The different.colours
the colours of the pupil
Linga-nas'a.
in

of the pupil in
shalfdescribc
different

Cases Of Linga-nasa : Now we


in

the six

types of

The

pupil assumes a reddish (Aruna) colour


;

the Vataja type of the disease

looks blue or bluish

yellow in the Pittaja, white in the

Kaphaja and
it

blood-

red in the blood-origined one, while

assumes a varie-

gated hue in the Sa'nnipa'tika type of Linga-nasa.


cular patch (Mandala) tinged

cir-

with a shade of bluish or


like
fire

bluish yellow colour

and looking

or a piece of

thick grass,

formed on the pupil owing to the diseased and aggravated condition of the blood (with pitta) in a
is

case of Parimlayi.

In this case the patient

is

sometimes

permitted to catch faint glimpses of the external objects

owing to the spontaneous and occasional filtering away of the deranged Doshas obstructing the vision. 13 1 5.

Specific Traits of Linga-nasa :The


circular patch (over the pupil) in a case of Vrftaja Linganas'a is red-coloured,

and

is

moving and rough


is

to the

touch, while that in a case of Pittaja Linga-nas'a


or yellow or coloured like bell-metal.
in a case of

bluish

The

circular patch

Kaphaja

Linga-nAs'a

is

thick, oily

and as

white as a conch-shell, a

Kunda
and
fro

flower or the

moon
is

resembling a white drop of water on the moving lotus


leaf

and moving away


circular

to

when the eye


case?

rubbed.

The

patch over the pupil in a


is

of

Raktaja

(blood-origined) Linga-nasa

red-coloured like a coral

or a (red)
disease
(pupil)
is

lotus-petal.

Sanuiprftika

type of the

marked by a variegated colour of the Drishti and by the specific symptoms of the different
16.

Doshas.

The

total

number of diseases peculiar

to

the Drishti

Chap. VII.

UTTARA-TANTARAM.
The
six

29

is

twelve.

types of Linga-nas'a (Drishti) have

been described above.


disease,

The

six

other

forms
are

of the

peculiar to the

Drishti (pupil)

named

as

Pifra-vidagdha-Drishti,

Sleshma-vidagdha-Drishti,

Dhuma-dars'in, Hrasva-Jatya, Nakulandhyata and


bhirika.
17.

Gam-

The

disease in which the region of the Drishti (pupil)

assumes a yellowish colour,

and

all

external objects

appear yellow to the sight owing to the presence of the


vitaited

(and augmented) Pitta in the region


is

of the

Drishti

called Pitta-Vidagdha-Drishti.

It is

due to

an
the

accumulation
third Patala

of the
(coat)

deranged Dosha
of the
eye,

(Pitta) in

and the patient


in

cannot see anything in the day, but can see only


night.
18.

the

when by the accumulation of the deranged Kapha. The deranged Dosha (Kapha), in this case, is simultaexternal objects appear white to the sight
it is

The

affected

neously divided over


eye.

all

the three Patalas (coats) of the


is

In

consequence of this the patient

attacked
in

with nocturnal blindness,

being able to see only

the daytime owing to the (melting

and) decrease of the

deranged Kapha through the heat of the sun.

This

is

known as Sleshma-vidagdha-Drishti. 19. The external objects appear dusky or smoke-coloured when the sight is affected through grief, (high and protracted) fever, over-straining or excessive
cise,

physical

exer-

or injury to the head, etc.

The

affection of vision

thus
sight).

engendered
20.

is

called

Dhuma-Drishti

(smoky

The disease in which small things can be viewed only with the greatest difficulty (even) in the daytime,
but can be viewed (easily and clearly) in the night owing
to

the subsidence of the deranged pitta through the

30

THE SUSHRUTA SAMHITX.

C^P- vlt

coldness of the atmosphere (and a general cooling of the


Earth's surface)*
is

called Hrasva-jjftyaf.
in

21.

The form
bles (and
is

of occular affection

which the colour


like) that

of Drishti (pupil) of a

man

affected

by the DoshaS resem-

found to emit (luminous) flashes


in

of a

mungoose
appear

consequence of which the external


multi-coloured
in the

objects

day

time,

is

called

Nakulandhya.

The form

of occular affection

due to the action of the deranged Vftyu, and in which the Drishti (pupil) is contracted and deformed and sinks
into the socket, attended with affected parts,
is

an extreme pain
22-23.

in

the

called Gambhirika'.

Besides the above, there are two more

forms of

Linga-iiasa of traumatic origin,

via.,

Sa-nimitta (of ascer-

tainable origin) and A-nimitta (without


ascertainable
cause).

any manifest or
group

Under

the

first

may
etc.),

be

arranged those %vhich are produced by such causes as

an over-heated

condition of the head (brain,


specific

and
in

marked by the
Abhishyanda,

symptoms
is

of (blood-origined)

while the

second comprises

those

which the

loss of one's vision

due to causes, such as


or effulgence

the witnessing of divine

halo

emanating

from the ethereal person of a god, or a Gandharva (demigod), a holy saint, a celestial serpent, or such other
* The latter part of the Madhava does not read the last text
line

here
in

seems
his

to

be

incongruous.

Nidana, nor does Dallana


that

include

it

in his

commentary.

Dallana, on the othei hand, says

some
is

read this line,

but holds,

on the authorityof Videha, that the reading


"Hrasva-jatya"
is

incongruous, in as

much

as

said to cause

one of the

four types of night-blindness.

+ Some read Hrasva-jadya

in place of Hrasva-jatya.

% This shows

that

man
to be

affected with this

form of disease cannot

see anything in the night. S

The head

is liable

over-heated

by the smelling of poison or


etc.

poisonous objects or any other strong-scented flower,

Chap, VII

UTTARA-TANTARAM.
In this case

highly bright object.

the eye

is

not out-

wardly affected and the pupil (Drishti) looks as bright

and

clear as

a Vaidurya gem, while in the former case


origin)

(of ascertainable

the eye

is

characterised

by a
24.

sunken or pierced or impaired aspect of the pupil.

We
which

have thus

finished

describing

separately the

diagnostic traits
affect the

of the seventy-six

forms of disease
shall

organ of

vision.

We

hereafter

separately deal with the nature of the medical treatment


to

be pursued

in

each

case.

25.

Thus ends the seventh chapter of the Ultara-Tantra


Samhita which
pupil of the eye.
treats

in

the

Sus'ruta
to the

of the

pathology of the diseases peculiar

CHAPTER
Now we
shall discourse

VIII.

on the chapter which deals


according to

with the classification of occular affection


the different

(Netra-RogaChikitsa-Vibh^ga-Vijnaniya). Classification :We have already described


modes of treatment
i.

the names and

symptoms of the
shall

seventy-six kinds of

eye disease.

We

now

briefly

and severally deal


in

with the nature of treatment to be pursued

them.

Of

these seventy-six

kinds eleven

should

be treated
scarifica-

with incision operations (Chhedya), nine with


tion (Lekhya), five with excision (Bhedya),

fifteen

with

venesection (Vyrfdhya)

twelve cases

should

not be

operated upon and

seven

admit only of
should

palliative

measures (Yipya), while

fifteen

be given up by
in-

an experienced physician (Ophthalmic surgeon) as


curable.

The two kinds

of eye-disease of traumatic

origin should be likewise held as incurable or admitting

only of palliative measures at the best.

2.

Names of the Chhedya and Lekhya


eye-diseases
Pidaka,
Sira-jala,
:

Diseases which should be


five

treated

with incision are Ars'o-vartma, Sushkars'as, Arvuda, Sirathe

types of
in

Arman*,

and

Parvanika (thus numbering eleven

all).

Diseases in

which

fioarification should
all)

be resorted to (numbering
Bahala-vartma,

seven in

are Utsangini,

Kardama-

vartma, Syava-vartma, Vaddha-vartma, Klishta-vartma,


Pothaki, Kumbhikini, and Sarkara-vartma.
3-4.

Names of Bhedya and Vya'dhya eyediseases


*

Optical diseases
2,

in

which the affected

See Chapter IV, para

UUara-Tanlara.

Chap. VIII.

UTTARA-TANTARAM.

33

localities

should be treated with excisions, are Sleshmo-

panaha,

Lagana,

Visa-vartma,
all.

Krimi-granthi

and
of

Anjana

thus numbering five in

The two kinds

eye-disease beginning with Sira

viz.,

Sirotpita and Sira-

harsha, the two kinds of Akshi-pika attended or un-

attended with

swelling,

viz.,

Sas'othakshi-paka

and

As'othakshi-paka,

and

Anyatovata,

Puyalasa, Vata-

viparyaya and the four types of Abhishyanda and the


four types of

Adhimantha should
5-6.

be

treated

with

Venesection (Sira-vyadhana).

Eye-diseases not to be operated :


Operations should not be resorted to in cases of Sushkakshi-paka,
Drishti,

Kapha-Vidagdha-Drishti,

Pitta-VidagdhaArjuna,

Amladhyushita-Drishti,

>ukra-roga,

Pishtaka, Aklinna-vartma, Dhuma-dars'in, ^uktika, Prak-

linna-vartma and Valasa


In the traumatic

thus

making twelve
eye-disease
7.

in

all.

forms also of

surgical

operations are not advised by experts.

Names of curable and incurable eyedisease


!

Palliative
in
if

or

temporary
in

relief

is

all

that can be offered

any of the six types of


the affection

described before, as well as

Kacha known as

Pakshma-kopa,
sight.

the patient retains the faculty of

Four of the Vayu-origined, two of the Pittaja, one of the Kaphaja, four of the blood-origined and four of the types caused by the concerted action of the three Doshas, as well as the two traumatic forms of optical affections should be regarded as beyond all cure. 8-9.
Thus ends the eighth chapter of
Samhiti which deals with the
the different
the

Uttara-Tantra in the Sus'ruta


of eye-diseases

classification

according to

modes of treatment.

CHAPTER
Now we
shall discourse

IX.

on the remedial measures of

Abhishyanda (Ophthalmia) due to the action of the


deranged vayu

(Va'ta'bhishyanda-Pratlshand matured a case of (Vataja) Abhishyanda


then duly*
to.

edha)*
The

i.

patient should be treated with old

clarified butter,

both

in

(Ophthalmia) and (Vataja) Adhimantha (Conjunctivites).

The
and

diseased
local

organ should be

fomented
having
Sneha-vasti

venesection resorted

Then
of a

after

effected full

purging with the help

(oleaginous enema), such measures as Tarpana, Puta-

fumigation, sprinklings (As'chyotana) f, snuffing (Nasya), oily washings, Siro-vasti (errhincs) or washing

paka,

the organ with Kanjika (Amla) or with any

decoction

prepared with the drugs of the Vayu-subduing group


or with that of the flesh of or of one frequenting the

any aquatic (Jalaja) animal, marshy places (Anupa), should

be

resorted

to.

butter, curd, fat

compound consisting of clarified and marrow should be applied lukeaffected

warm

to the

organ,
of the

which should also be


forehead adjoining the eye

* It should be noted that the part

and not the eye

itself

should

be

fomented, since fomentation should not

be applied directly over the eye.


t As'chyotana with the two
stance.
Its

(Eye-drop)

Consists
for

in

dropping into

the eye

fingers,

honey, A'sava, drug-decoction or any oleaginous subeight drops scarifying

doses are

purposes,

ten drops for

lubricating the part with


for the

any oleaginous substance (Snehana), twelve drops

healing of any local ulcer (Ropana).

They should be dropped


eyes.

luke-

warm
Pitta

in winter

and cold in summer into the a


bitter taste
;

In diseases of Vataja

origin they should be of


;

oleaginous in diseases
in

due to the
to

and bitter, warm and

parching
in the

diseases due

Kapha.
Cf.

Vaidyaka Nighantu as quoted


also Chapter

Vaidyaka-S'abda-Sindhu.

XVIII, Uttara-Tantra.

Chap. IX.]

UTTARA-TANTARAM.

J5

covered with a compress or linen soaked with the preceding


lardacious compound.

Milk, Ves'avara, Salvana


etc.,

Poultice, Porridges (Payasa),

should be used by a

physician in poulticing the affected organ.


clarified butter

portion of
TripJiald,

cooked with the decoction of

or simply old and matured clarified butter, or milk duly

cooked with the drugs of the Vayu-subduing group, or of the first group (viz., Viddri-Gandhddi Gand) should
be taken after the meal.
2.

A.
lardacious substance

The
than
oil

application of any

other

cooked with the admixture of the Vayu-subwill

duing drugs

prove beneficial for

Tarpana purposes

in such cases.

The

use of medicated Sneha in the shape

of Fatapa'ka,
likewise

Dhuma

(fumigation) and

Nasya

(snuffs) is

recommended.

Oil (duly) cooked with Sthird,

milk and the drugs of the Madhura group should be

employed as a snuff (in such cases). The milk of a she-goat duly cooked with the admixture of the leaves,
roots or barks of

Eranda

plants,

or with the roots of

Kantakdri, should be employed lukewarm

(Sechana) the affected organ.


taining half milk

liquid

washing compound conin

and half water, and boiled together with Saindtiava, Vdld, Yashti-madhu and Pippali, should
washing the eye as well as an Aschyotana (eye-drop). A liquid compound consisting of the milk
be used
in

of a she-goat diluted with the addition of water, boiled

with the admixture of Hriveta, Chakra (Tagara),


jishthd,

Man-

and Udumdara-burks
B.
plaster

is

considered to be the
(S>ula) in

best

eye-drop in cases of there being any pain


2.

the eye.

thin

compound

of

Yastki-madhu, Rajani,

Pathyd and Devaddru, pasted together with the milk of a she-goat should be used as an Anjana (collyrium) in
a case of acute Ophthalmia (Abhishyanda), and
it

proves

36
very

THE StfSHRUTA SAMHITX


effective.

tChap.il
Ktisknd,

GairikcK&rth,

Saindhava,

(Pippali)

and S'unthithe quantity of each subsequent


it' in

one being double of that of the one preceding

the

order of enumeration, should be pasted together with


water,

made

into Gutika (a

large

pill)

and be likewise
application

applied (to the eye) in the


of an Anjana.

manner

of the

The

use of Snaihika (lardacious) Anjana

(Collyrium)

is

beneficial in

such cases.
2.

These

will

be

duly dealt with later on.

Physicians should likewise


treating
cases

adopt

this

method

in

of Anyato-va'ta
clarified

and Vdta-paryaya.
butter and

Draughts of (medicated)

of milk
butter

before the meal, are highly efficacious.

Clarified

duly cooked with (two parts

of) Vrikshddani, of) the

Kapittlia

and major Pancha-mula, (one part


juice (or decoction) of

expressed
of)

Karkata and (one part


such cases*. with (the decoction

milk

should be taken

in

In the alternative,
of)

Ghrita duly cooked

Pattura,

Agnika (Ajamoda)
clarified butter

and Artagala

and with milk, or

duly cooked with milk and (the decocof

tion of)

Mesha-s'ringi, or
3.

Viratara should be simi-

larly taken.

Treatment of dushka'kshl-pa'ka :
Saindhava, Devaddru and
juice

S'untki and the expressed


breast-milk

of Mdtulunga,

water,

and
(in the

clarified

butter

mixed together and duly prepared

manner
clarified

of Rasa-kriya) should

be prescribed as an Anjana in

cases of ^ushkt&shi-pika.

The

taking

of

* According

to

Dallana and

Gayadasa,

this

Ghrita should be pie-

pared without any Kalka.

S'rikartta

holds that the drugs Vriishaddni,

Kapittha and the Pancha-mula should be taken as Kalka and the Ghrita
prepared with three parts of milk.
view.
S'ivadasa also

seems

to

support this

Chap. IX.l

UTTARA-TANTARAM.

37

butter cooked

with the drugs of the Jivaniya group and

the

filling

of the cavity of the

eye with the same, as


cold milk with the

well as snuffing with the


in

Anu-taila* are also efficacious

such cases.

Washes composed of

admixture of Saindhava salt or of milk cooked with Rajani and Deva-ddru and mixed with (a little quantity
of)

Saindhava are
also

efficacious.

MahausliadJia (Sunthi)
butter

rubbed over a stone-slab with


milk
is

clarified

and

breast-

recommended

as

an Anjana

(eye-salve)f.

The Vasa
little

(essence of the flesh) of aquatic animals or of

those which frequent

swampy

grounds, mixed with a

quantity of powdered S'unthi and Sanidliava salt


stone-slab)

(and rubbed on
eyes as an

should

be applied to the
Sushkakshi-

Anjana (collyrium)

in a case of

p&ka (Non-secreting type of


intelligent

conjunctivites).

Let the

physician treat the sight-destroying Vataja


in

affections of the eye of what-soever kind

accordance

with the principle herein inculcated.

4-5.

Thus ends the ninth Chapter

of the

Uttara-Tantra in the Sus'ruta

Samhita which deals with the medical treatment of Vataja Abhishyanda.

* According

to

Dallana, this Anu-taila


;

is

not the one described in

Chapter
Tantra.

of the Chikitsita Sthana

but the one described in the S'alakya-

t This couplet may also be translated as follows : Anjana (blackantimony) rubbed over a stone-slab with clarified butter and breast-milk
is

also

recommended

as a best

remedy

in such cases.

CHAPTER
Now we
Pitta
shall discourse

X.

on the curative treatment of

Abhishyanda (Ophthalmia) due to the action of deranged

(PittsC-bhlshyanda-Pratlshedha). i. General Treatment : Blood-letting and


eye-washes

purgatives,

and

plasters

round the

eyes,

medicinal snuffs and Anjana (collyrium), as well as the

remedial
should

measures

for

Pittaja-Visarpa

(Erysipelas)

be employed in a case of Pittaja

Abhishyanda
2.

(Ophthalmia) and Pittaja Adhimantha (Conjunctivites).


Clarified

butter or goat's

milk duly cooked with


S'aila-bheda,

Gundrd, S'dli (paddy),


haridrd, Eld, Utpala,
taka), Padma-\ea.ves,

S'aivdla,

DdruVetasa,

two parts of Lodhra, Abhra (Mussugar, Durvd, Iks/iu, Tdla,

Padmaka,

Drdkshd,

honey, (red)

Chandana, Yashti-

&M%,breast-milk, Haridrd and Ananta-mula, should be

employed as a Tarpana measure* or as a wash or


snuff
in the

present

case.

preceding drugs or as

many
3.

of

able should be daily used in


four forms of Nasyaf.

As an alternative, all the them as would be availthe manner of any of the


Pitta-subduing

Anjanas
may
cinal

All
as

the

measures,

be employed in such cases.


snuffs (as well
(clarified

Application of medi-

eye-drops, etc.) with Kshira-

Sarpih

butter

churned

from

milk) at the

interval of three days, as well as that of

Anjana

(colly-

rium) with the expressed juice of Palds'a or of S'allaki,

mixed with honey and

sugar, should be likewise resorted

See Chaptet XVIII,

ibid.

The

four forms of

Nasya

are (1) rralimarsha.

(2)

Avapida

(3)

Nasya

(snuff)

and

(4) S'iro-virechana.

Chap. X.

UTTARA-TANTARAM.
thick liquid extract (Rasa-Kriya)*

39
of Pdlindi

to.

The

or Yashti-madhu

be Iikewfce employed.

mixed with honey and sugar, should As an alternative, a com-

Samudra-phena, Utpala, pound consisting of Musta, Vidanga, Eld, Dhdtri and Vijaka and prepared in the

manner of
Anjana).
4.

Rasa-kriya

should be

employed

(as

an

Acompound

of Tdlisa (D. R.

Karfis'a),

Eld, Gairika,

UJira and Samkha

(conch-shell)

pasted with breastin

milk should be applied to the affected organ

the

manner
(D. R.

of an

Anjana

(eye-salve).

As an

alternative,

the powder or the Rasa-kriya of Dhdtaki and Syandana

Chandana)
compound

mixed with breast-milk should be


Gold-leaf

used as

an Anjana.

rubbed

with

breast-

milk, or the flowers of Kims'uka

rubbed with honey,


Utpala,

or of a

of Rodhra, Drdkshd, sugar,

Vacha and

Yashti-madhu

rubbed

with

breast-milk

should be used as an Anjana. Barks of Varnakaf pasted


in cow's milk, or (red)

Chandana wood, Udumbara and

Toya (Vila) pasted


rubbed either
in

in the same, or Samudra-phena honey or breast-milk should be like-

wise applied to the eyes in the

manner

of an Anjana.

5.

ASChyotana : Rodhra,

Yashti-madhu, Drdkshd,
breast-milk.
It

sugar and Utpala should be soaked in

should then be folded inside a piece of silk (Kshaumd)

and employed as an As'chyotana (eye-drop). A compound of Yashti-madhu and Rodhra rubbed in clarified butter
should be similarly
used.

compound

of Kds'tnari

(Gambhari) Dhdtri, Pathyd (Haritaki) and Tbya (Vila),


* For preparation of Rasa-kriya see Chapter XVIII, ibid.

t According
also

to

Dallana,

'Vantaka' Imeans
is

'

Rochanika'

It

may
or by

mean

'Karnika'ra'
It

which

not accepted either by


is

Gay

Dallana.

may

also

mean 'Chandana' which

most probably the

meaning

here.

40

THE SUSHRUTA SAMHITX.


and

tOP-X.
(Vila) should

as well as that of Katphala

Ambu

be similarly* prepared and applied. 6. All the above remedial measures with the exception
of blood-letting should be resorted to in a case of

Amla-

dhyushita-Drishti

and Sukti-paka. The medicated Ghritas known as the Traiphala Ghrita or the Tilvaka Ghritaf should be prescribed, or simply old and matured
butter should

clarified

be given

in

such cases.

7.

In a case of Sukti-pa'ka an Anjana with cooling drugs

should be speedily employed in the event of the Doshas being located in the lower part of the eye. Fine powder

Vaidurya gem, Sphatika (crystal), Vidruma (coral) and Muktd (pearl), Samkha (conch-shell), silver and gold mixed with sugar and honey and used as an anjana would prove a speedy remedy in a case of >ukti-paka. 8. Clarified butter should be administered in a case of
of

Dhuma-dars'in and the procedure and the remedial measures laid

down

in

connection with Rakta-pitta

and
Pitta-

Pitta-origined Visarpa (Erysipelas) as well as the

sub-duing remedies
in. 9.

should be likewise employed there-

Thus ends

the tenth chapter in the Uttra-Tantra of the Sus'ruta

Samhitd

which deals with of the curative treatment of Pittibhishyanda.

first two compounds, some take 'Toya' and 'Ambu" for But Dallana having explained 'Toya' as 'Valaka' in a preceding compound we adopt that meaning of the word here also.

* In the

water.

t Traiphala-Ghrita
Cbikistsita-Sthana.

is

the Kalka and decoction of Trifhala'.

piepared by duly cooking clarified butter with For Tilvaka-Ghritaisee chapter III.

J By Ktta-subduing remedies
laid

Dallana means the remedial measures clown in connection with the treatment of Pitta-Vidagdha- Drishti.

CHAPTER
Now we
shall

XI.

discourse

on the chapter which deals

with the curative treatment of Abhishyanda due to the

deranged action of 5>leshma

(dleshmbhlshya
i.

nda-Pratlshedha). General Treatment : An


maja Abhishyanda or

attack of Sksh-

Adhimantha during the stage of acute aggravation should be treated by opening a local vein* or by the employment of fomentation, AvapidaNasya, Anjana, fumigation, washes,
paka.
fourth
plasters, gargles or

non-fatty (Ruksha) eye-drops (As'chyotana)

and Putaon each

The

patient

should

be

made

to fast

day and to take a potion of Tikta-Ghrita-f in the morning, and his diet should consist of such articles as do not lead to the aggravation of the bodily Kapha. 2-3. Tender twigs or leaves of Kutannata, Ashpotd, Phanijjhaka, Vilva, Pattura^ Pi/u, Arka and Kapittha\ should be employed in (mildly) fomenting the affected eye. A thin plaster composed of Vdlaka, S'unthi, Devaddru and Kushtha, should be likewise applied to the
affected eye.
4.

Hingu, (Asafoetida),

Trip/iald,

Yashti-madhu

Sain-

dhava, Prapaundaika, Anjana (black Antimony),

Tuttha

(Sulphate of copper), and copper pasted

together with

The word

'Atha'

(W(V)

in the text

means says DaUana,

that

the
etc.

local vein should

be opened as the best resource,


a cure.

when

fomentation,

would
t

foil to effect

See Chikitsila-sthana, chapter IX.

t
ever
is

read "Surasa" and "Arj'a".

In place of "Kutannata" and "Arka" both Vrinda and Chakrapani S'rikantha the commentator of Vrinda howof opinion that

Arka should be

better reading

in place

of that of

"Atya".

42

THE SUSIIRUTA SAMHTTX.

[Chap. XI.

water and madcinto a stick (Varti) should be applied a

>

an Anjana to the affected eye. As an alternative, sticks (Varti) composed of Pathyd, Haridrd, Yashti-mbdhu and

Anjana should be similarly applied.


of the equal parts of Pippali,

Compounds made
S'unthi, Hatitaki,

Markka,

Amilaki, Vibhitaka, Haridrd and

Vidanga-seeds,

or of

Vdlaka, Kushtha, Deva-ddru, (burnt) conch-shell, Pdthd


(Akanidhi),

Anala (Chitraka

roots),

Pippali, Maricha,

S'unthi and Manah-s'ild (Realgar) and


Jdti,

the flowers of

Karanja and

S obhdnjana*

pasted together with

water should be applied to the eye.


flowers of the two kinds of
j'ana,

The seedsf

of

Prakiryd (Karanja), or of S'igru with the seeds and


Vrihati mixed with Rasdn-

Chandana, Saittdhava-s&li, Manah-s'ild, Haritaki,


in

and

garlic taken

equal

parts

and pasted together


(Varti)

with water should be


as an

made

into sticks

and used

Anjana in all forms of Kaphaja eye-diseases. 5. The following medicinal compounds should be prescribed by experts as an Anjana (eye-salve) in a case of
after the

VaWsa-Grathita

system of the patient had

been properly cleansed by

means of blood-letting.

quantity of blue barley with the horns should be soaked


(for

a week or two) in milk and dried (after the manner


It

of Bhavana saturation).
ashes.

should then be burnt into

These ashes should then


part
of burnt

be mixed with an
Arjaka,

equal

ashes of

Ashphotaka,
a'ka-

Kapittha, Vilva, Nirgundi and Jdti flowers and an

Dallana quotes the reading of "Panjika'k*'ra" (another commen-

tator of Sus'ruta) according to

whom Murva!

and the flowers of Ja'ti only

should be taken instead of the flowers of Jati, Karanja and Sobha'njana.

This reading seems

to

be the correct one inasmuch as


list

this

makes the

number of the drugs


t

in the

twelve in

all,

as given by Dallana himself.

According

to

some commentatois both the seeds and flowers of

fraiir/d and of &igru should be taken.

Chap.

XL

UTTAKA-TANTKAM.

43

line solution should

be duly prepared therewith. Sain-

dhava, Tuttha (Sulphate of copper) and Rochand should

now be added to the above alkaline solution and duly The compound thus prepared should e applied This is presas an Anjana with an iron pipe (Nadi).
boiled.
1

cribed in a case of Va'asa-Grathita.


tions
of)

Alkaline prepara-

be similarly prepared with (the flowers, etc. Phanijjhaka etc., and may be employed in a similar
6.

may

manner.

(thin) plaster

Saindhava

and

white

composed of S'unthi, Pi/fa/i, Musta, Maricha* pasted with the

expressed juice of Mdtulnn%a and applied to the eye as

an Anjana, would bring about a speedy cure of the eyedisease

known

as Pishtaka.

7.

Vrihati fruits shou'd


paste

be gathered when ripe and a


equal parts
of)

compound
nights.

of (the

Pippali and
fruits for

Srotdnjana should be kept inside those seedless


seven

The
in

(preserved) paste should


to

then be
It

taken out and


proves beneficial

applied
a

the eye

as an Anjana.

case of Pishtaka.

Taste

may

similarly be preserved inside a

Vdrtdku

(brinjal), S'igru,

Iiidra-Vdruni, Patola, Kirdta-tikta


for the same.
8.

and Amalaki and used

Kas'is'a (Sulphate of iron), Samudra\, Rasdujamt and buds of /^/-flowers pasted together and rubbed in

honey,
case of

is

advised to

be

prescribed
9.

as

an Aujaua

in a

Praklinna-Vartma.
of excellent

A
*

single application as

composed

an Anjana of the compound Nddeya (Saindhava) \ salt,

Dallana explains white Maricha as S'igru seeds.

Samudra may
salt.

either

mean Samudra-phena

or

Samudra

salt,

i.

e,

KaraJtacha

The commentators are silent on this point. Dallana explains Nideya as meaning Saindhava, but

it

generally

eans Srolanjana (black antimony).

44

THE SUSHKUTA SAMHITX.

Chap. XI.

white pippet* and Nepdla-jdta (Realgar-lit., that which


is

produced in Nepala) taken


the
itching

in

equal parts and pasted

together with the


alleviate

expressed juice of Mdtulanga, would


sensation (Kandu) in

the eyes.

Similarly a

compound

of S'ringa-vera, Deva-ddru, Musta,

Saindltavd salt and buds of Jdti flowers pasted together

with wine and used as an Anjana would prove


cious in a case of swelling
tion of the eyes.

effica-

(Sopha) and itching sensaeye-diseases should

The above
in

be

judiciously treated
laid

accordance

with the principles

down

in the

treatment of the cases of Abhi-shyanda


10.

and Adhi-mantha.
Thus ends
Hamhita which
the eleventh

chapter of the Uttara-Tantra in

the

Sus'ruta

treats of the curative treatment of

S'leshmabhishyanda.

Dallana explains "S'veta-Maricha" as "S'igni-sccds", but there


of Maricha which
is

is

particular kind

white in colour and this

is

also

supported by some commentator.

CHAPTER
Now we
of the type
its

XII.

shall discourse

of

on the curative treatment Abhishyanda (Ophthalmia) which has


vitiated

origin

in

the

condition

of

the

blood
i.

(Raktabhishyanda-Pratishedha). General Treatment : A wise physician


shall

pursue the same course of medical treatment in

those four diseases


S'irotpata

known

as

Adhimantha, Abhishyanda,
to the
vitiated

and

S'ira-harsha

due
be

condition

of the blood.

Persons suffering from any of the aforefirst

said four complaints should

anointed and lubributter technically

cated with old and matured clarified

known
to.

as

Kaumbha

Ghrita*, or with a copious quantity

of clarified butter.

Venesection should then be resorted

The

patient, having been

made

thus to bleed as

much

as required, should be treated with clarified butter duly

ccoked with Siro-virechana drugs and mixed with sugar,


as an errhine for

cleansing the head.

Plasters, washes,

(Dhuma) of medicated smokes, eye-drops (As'chyotana), Abhyanjanaf, Tarpana (soothing measures), Sncha-karma (emulsive measures) and
snuffs (Nasya), inhalations

nature
case.

Puta-paka should then be prescribed according to the of the deranged Dosha involved in each
2
5.

composed of Nilotpala, Us'tra, KAHya, Yashti-madhu, MusUx, Lodhra and Padma-KAshtha (taken in equal parts and) mixed with
plaster (Pralepa)

DAiv-Jiaridrd,

Ghrita

duly washed, should be applied refund the region


XLV,
Sutra-Slhina.
as,

* See Chapter

t Dallana explains

"Abhyanjana"
it

collyriuiu,

but he also says that


clarified

aome commentators take


butter

in its usual sense of in water, or

anointment with

washed hundred times

such other Sneha.

46

THE SUSHRUTA SAMHITX.


eye.

Cha P- *"

of the affected

Mild

fomentations (Sveda),

or

leeches should be applied to the region


in the event of there

around the eye

being intolerable pain (due to any

defect in bleeding) in the affected organ. Large draughts of clarified butter tend to alleviate the
pain.

Remedial
with
6-7.

measures and agents

mentioned

in

connection

J'ittabhishyanda, should be as well employed.

Rain-water with powdered Kas'etu and Yashti-malhu

added thereto

may

be squeezed with benefit through a

piece of linen into the affected organ* as an

Aschyotana.

Flowers of Pdtald, Arjuna, S'rfpami, Dhdtaki, D/idtri,


Vilva, the

two kinds of
in

Vrihati,

and of Vimbi-lota and

Manjishthd taken

equal

parts

and pasted together


said

with honey or expressed juice of sugar-cane and applied


to the affected organ
to

as

an Anjana (Collyrium)
consisting

is

be a curative

in cases of Raktdbhishyanda.

89.

A
iron

similar

compound

of

Ch'indana,

Kumuda, Patra, S'ild-jatu, Kumkuma, powders of dead and dead copper, Tuttha (Sulphate of copper), lead, bell-metal, Rasdnjana and the resinous exudation of a

Nimba

tree taken in equal parts should be

pasted

with

honey and made into large Vartis (sticks). always recommended to be applied to the as an Anjana. 10.
consisting of

These arc
affected

eye

Treatment of ^irotpa'ta : A
honey and
clarified butter

compound
in cases

and applied as

an Anjana should be regarded as a patent cure


of Sirotpa'ta
eye-disease.

Saindhava

(salt),

Kds'is'a

together with breast-milk


*

compound composed of (Sulphate of iron) and pasted should be similarly used. The

Both Dallana and S'ivadasa say that pure transparent water may be
if

used in preparing the compound

rain-wnter
also

is

not available.

Dallana
the
liquid

says further that the afftcted eye should

be washed with

compound thus prepared.

S'ivadasa, however, supports this latter view.

Chap. XII

UTTARA-TANTRAM.
an Anjana
<

47
(ccnch-shell),

application 4s

of

S'amkha

Manah-s'ild, Tuttha, JJdru-haridrd, and Saindhava pasted

with hrfney, or of (white) Marietta pasted with the juice


of S'iiislia flowers, honey and wine, or of Svarna-Garika

pasted with honey would be attended with beneficial


results in cases of Sirotprfta.
1 1.

^Il*{-harSha

'

Phdnita{ treacle boiled an Anjana


of

compound consisting of down to a sticky consistency)

and honey should be applied to the affected organ as


in

a case of Sira-haraha- Similar applications

compounds composed of Rasdnjana (Antimony) pasted with honey, or of Saindhava and Kds'is'a (Sulphate of
iron) pasted with honey, or of

Vetr&mla* and Saiud/taza

pasted with Phdnita and

breast-milk
1

would likewise
the measures

prove highly

efficacious.

2.

Treatment
and remedies
in cases of

of

Arjuna: Ai
breast-milk,

for

Pittabhishyanda should be employed


cye-discasc.

Arjuna
honey,

The expressed
in

juice of

sugar-cane,

sugar,

Ddru-haridra,

Yashti-madhu and Saindliava should be used


nation as a

combi-

wash

(Seka),

or

as

an Anjana.
viz.,

Amla
sugar,

(Kanjika, &c.) should also be used as an Aschyotana (eye-

drop) in such cases.

The

following drugs,

Yashti-madhu, Katvanga, Mastu, Amla, honey, Saindhava,


Vija-puraka, Kola and

Dddimba
or
in

of acid taste

and other

acid fruits

cither singly

combination of two or

three should

be judiciously used (as an Aschyotana

with a due consideration of the vitiated Dosha in each


case).

1314.
viz.,

These two following compounds

of Spliatika

Dallana explains "VetrAmla" us


it

"Am/a

vetasa".

Some, however,
thereby

divide

into

two words
1

viz.,

"Vetra" and

"Amla" meaning

sprouts of Vttra (cane) an

Amla-vetasa respectively.


48
(crystal),

the susiiruta
Vidruma
(coral),

samiiitX.

Ch& r-

m
and

S'amkha

(conch-shell),

Yashti-madhu, pasted with honey, as well as of S'am/cha,


sugar,

and Samudra-phena pasted with honey,

if*

used as

an Anjana would prove curative in a case of Arjuna eyedisease. Saindhava and Kataka pasted with honey, or

Rasdnjana pasted with honey, or Kds'tsa (Sulphate of


iron) pasted with honey, should

constantly be applied
15.

as

an Anjana to the affected organ.

Scarifying- Anjana : All


ed (dead) metals (Gold, Silver,
metallic substances (Manah-s
il&,

kinds of powder-

Iron, Copper, etc.)

and
five

Gairika,

etc.),

(the

officinal kinds of) salt, all kinds of


etc.),

gems ( Vaidurya,

coral

the teeth (of cows, horses,

etc.),

the horns (of cows,

etc.),

the drugs of the sedative (Avasadana) *

group,

pulverised shells of hen's eggs, Las'una (garlic), Trikatu,

Karanja seeds and Eld (cardamom) mixed together and


used as an Anjana, should be regarded as Scarifying (Lekhya) in their action. 16.

Treatment Of SSllkra : In
ulcerated

case of non-

(A-vrana) Siakra (milky film or white fleshy


the
eye)
a
skilful

growth
adopt

in
all

physician

shall

(first)

the preceding

measures

prescribed

in

the

treatment of (Blood-origined) Abhishyanda,f beginning

with Rakta-visravana

(Venesection) and ending with


failing,

Puta-paka

(and

these

the

Lekhyanjana

collyrium for scarifying) should be adopted.


ulcerated (Sa-vrana)

case of

Sukra whether

superficial
in

or deepthe

seated

or
1

rough should

be treated

same

manner.
*

7-1 8.

The group beginning wilh Kas'is'a See Chapter XXXVI,


I,

Sutra-

Sthana, page 334, Vol.

See paras 3 and 4 of (his Chapter.


"Superficial" (TJtt&na)
is

%
first

here used in the sense of "seated in the

layer" and "deep seated" (Avagridha) 'seated in the second layer'.

Chap. XII.

UTTARA-TANTRAM.

49
should be

In

a case of S'lkra the affected part


(scarified)

rubbed
seeds,

with a compound consisting of S'irisha-

or

Markka, Pippali and Saindhava pounded together, with Saindhava a'onc. A compound composed of
copper, Manah-s'ild, Marietta and Saindhava

powdered
the

in a quantity double one immediately succeeding it in the order of enumeration*, should be pounded together and made into a Applied as an Anjana to the seat of the thin paste.

each preceding drug being taken

disease,

it

will

cure a case of Snkra.

As

alternatives,

compounds composed of S'amkha, stones of Mdkshika (honey), or of teeth (of cows, etc.), Samadra-phena and S'irisha flower ani honey should be applied to the affected locality inthe manner of applying an Anjana. The Kshothe two
Kolas, Kataka, Dr&kshd, Yashti-madhu,

riujana (alkaline collyrium) mentioned


with the medical
as well be profitably
in

in

connection

treatment of Valdsa-grathita,-f

may

employed

as an

Anjana

(eye-salve)

the present disorder.

Eyc-salvcs

made

of fried husk-

less

Minima pulse, (burnt) S'omkha and sugar mixed with honey, or of the pith of Madhuka pasted with honey,
or of the inner pulps of the stones

of Vibhitaka pasted
in

with honey should be constantly used as an Anjana,


cases of the eye-disease

known

as Snkra.

compound
Yashti-

consisting of conch-shell, oyster-shell,

Drdkshd,

madhu, Kataka and honey

may
in

be used and soothing


to the

application (Tarpana) antidotal

deranged bodily
if

Viyu, should be resorted to


(Ssula).

cases of Sukra,
is

the

second layer (Patala) of the eye


19-21.
Saindhwa, two

attended with pain

One

part of

parts of Maricha,

four of Manahs'ild,
.pre-

eight of

Somkho and

sixteen parts of copper

should be taken in the

paration of the compound.

f See Chapter XI, para

6,

$0

THE SUSHRUTA

SAMIItrX.

Chap. XII.

Young bamboo-iprouts, Arushksm, Tdla (palm) and


Ndrikela
(cocoanut)*

should be burnt

to

ashes and

alkaline water should be duly

prepared therewrth.

The
in the

burnt ashes of elephant's bones should be soaked several


(seven) times with the

above alkaline preparation

manner of Bhavana
preparation in

saturation.

The

application of this

the manner of an Anjana tends to remove the discolouring nature (whiteness) of a case
of Sukra +.
22.

Treatment
of the cornea

of

Ajaka

The

thin

watery

matter accumulated in the eye in

a case of Ajaki

should be drained by making a puncture on either side


( )

with a needle after which the incidental

ulcer should be filled


clarified

with powdered beef mixed with


should

butter.

Scarification

be

many

times
23.

made

in the event of the ulcer becoming raised.

Treatment of Akshi-paka : Applications of

Sneha and of Sveda (fomentation) to the

affected

locality should be

made

in cases of the

two kinds of eyeAkshi-pika

disease

known

as

Sa-s'opha and A-s'opha

(inflammation of the eye-lid whether attended with any


local swelling or otherwise).

Venesection should then be

resorted to.

Eye-washes, eye-drops (As'chyotana), errhi-

nes (Nasya) and

Puta-paka measures should also be

employed.

24.

After having cleansed the system of the patient both


internally

and

externally

the

following

compounds

should be used as an Anjana (in cases of the two kinds

*
fruit

The spathe

(Jati) of the

palm

tree

and the

shell

of the

cocoanut

should be taken in preparing the compound

S'ivadisa.
be mixed with
tip

The

prepartd

powder

of

elephant's bine should

honey and rubbed over the affected part (S'ukra) with the
or with a S'alaki (rod).
fusion of Trifhald

of the finger

The

eye should then be washed with the in.

Pallana.

Chap. XII

UTTARA-f ANTRAlVt.
Saindhava and
should
the
clarified butter

of Akshi-pa'ka).

pasted

together in a copper vessel with flesh or Maireya or curd


or

with

curd-cream
alternative,

be used as an Anjana.
pasted with

As an

rust of bell-metal

clarified butter,

or

Saindhava pasted with breast-milk,

or equal parts of the pith of

Madhuka

tree

and Gairika

pasted with honey,

or

Saindliava and copper pasted

with breast-milk and clarified butter should be used as

Dddimba, Ataveta, As'manta, Kola, and Saindhava pasted with any acid juice*
Aojanas.
of

The compounds

should be applied to the affected


of a

organ

in the

manner

Rasa-kayi measure
25-26.

for the cure

of (the two kinds

of) Akshi-piika.

Animal
butter and

flesh

and Saindhava

salt

soaked

in

clarified

mixed with S'uuthi and breast-milk should be applied to the affected organ in the manner of an As'chyotana or as an Anjana. A compound consisting of Jdti flower, Saindliava, S'uuthi, Pippali and huskless
Vidanga pasted together with honey,
used
as

may
in

as

well

be

an

Anjana with
27-28.

advantage

case of

Akshi-pa'ka.

Treatment

of

Puyalasa :Blood-letting
Sneha and Sveda) and
affected
locality arc

(after the app'ication of

poultic-

ing (Upanaha) of the


in the affecticn of the

efficacious

eye,

known

as

Puyalasa.

The
dis-

measures and
of Akshi-paka
cretion
in

remedies which prove curative

in cases

should as well be employed with


case

this

by

physician.

An Anjana
ajpd Kds'isa

(eye-salve)

composed of Ardraka, Saindhava

(Sulphate of iron), or Kds'isa Saindhava, Ardraka,

iron

and copper dust pasted together with honey, should be


applied to the affected eye in the
(in a case
*

manner of an Anjana

of Puyalasa).
in the list.

29-30.

Some add honey

$2

THE SUSHRUTA SAMHITA.

Chap. Xtt.

Treatment of Praklinna-vartma :
The deranged Doshas
soothed
of the

system should be duly*

removed (corrected) and the patient should be duly in a case of Praklinna-vartma, after which
to according

washes, eye-salves, eye-drops (As'chyotana), snuffs (Nasya)

and fumigation (Dhuma) should be resorted


to

A compound the Dosha involved in each case. composed of Musta, Haridrd, Yashti-madhu, Priyangu,
Siddhdrtha,
Rod/ira, Utpala-sdrivd

pasted together

should be employed in the manner of an

As'chyotana
consist-

measure.
ing

As an
3 l ~3 2

alternative,

the

compound

of Rdsdnjana and
-

honey

should be used as an

Anjana.

The
should

decoction of the leaves and fruits of

Amalaka

be duly prepared (in the manner of Rasa-kriya)

and used as an Anjana. Rasa-kriyi preparations prepared with (the expressed juice
or VarttS prepared with the
of) the roots of

bamboo,
it

same by (condensing

by)

cooking

it

(again) in a copper vessel,

should be used for

the above purpose.

Rasa-kriya preparations prepared


of Paldsii, or

with Triphald,

flowers

Khara-manjari,

should be similarly applied to the affected organ.


salves

Eyefibre
-i

made

of powdered

KdmJya-mala

and cotton

(Tantu) burnt together and

pasted with the milk

of a

she-goat and mixed with (white)

Markka and powdered


33 -34.

copper should be used as a Pratyanjana to the eye


(already weakened by the use of Anjana.)
* Dallana says that the

deranged Doshas of the system should be


Venesection, purgative,
errhincs

cleansed with the application of Sneha,

and A'sthapana.
+ In place of 'ttataSreTRITlfir.'
in this case 'Syama-lata'

som -

rca;1 '^ttfrfacTCITfonfa:',

meaning,

by the term

'Asita-sariva'.

Others again

mean

'Rasanjana' by the term 'Asita'.

Dallana.

J Dallana recommends

'rain water' as the liquid for the preparation.

Chap. Xll.

UTTARA-TANTRAM.

5j

An

eye-salve or an

Anjana made of Samudra-phena,

Saindhava, conch-shell,

Mudga and white Markka mixed


it

together (in the shape of a powder) should be prescribed


in

a case of Akltnna-vxrtma as the local itching.

would

promptly
a case

alleviate

The

foregoing measures
in

and remedies should be likewise employed


of Praklinna-vartma

according to the nature of the

deranged Doshas involved therein.


pared with

An Anjana

pre-

the admixture of Kajjala and

Tuthhaka

(Sulphate of copper) rubbed in clarified butter on the


surface

of a copper vessel, would

be similarly used

(in

such

cases).

35-36.

Thus ends
Samhits which

the

twelfth chaptet

of

the Uttara-Tantra in the

Sub'ruta

treats of tha curative

treatment of Raktabhishyanda.

CHAPTER
Now we
shall discourse

XIII.

on the curative treatment of

eye-diseases in

which Scarification should be resorted to


r.
,

(Lekhya-Roga-Pratishedha).
The

general course of treatment to be adopted in the

nine kinds of eye diseases which arc amenable to Scarifying (Lekhana) operations
is

as follows

The patient
to

should be laid

in

chamber not exposed


after

the sun

and the gales of wind,


proper
emulsive

having been treated with

measures (Sneha-karma)*

and sub-

jected to a course of emetics


lid

and purgatives. The eyeshould be over-tumed with the thumb and the index
and should be very carefully fomented with a

finger

piece of linen soaked in

lukewarm water and squeezed.


and
at the

The

eye-lid should be covered with a piece of linen

over-turned with the

time to
(part

thumb and the index finger guard against its movement and enclosing.
eye-lid

The

of the)

to

be scraped, should be wiped

with a linen and marked with a surgical instrument and


the scraping should be effected
knife or
therein with a

scraping

any

(rough) icaf according to the exigencies of


of the. bleeding,

the case.

After the subsidence

the

part should be fomented

and then gently rubbed

(Prati-

sirana) with a medicinal


s'ild

compound
salt

consisting of

MauahAt/jam
finely

(Realgar), K&s'isa (Sulphate of iron), Trikatu,

(black antimony),

Saindhava

and Mdkshika

pounded together.
with
butter.

After this the part should be washed

lukewarm water

and

lubricated

with clarified
be

The subsequent treatment


that

thereof should

*
after

It

should be noted

the patient should also be fomented (Svcda)

being treated with the emulsive measures.

Chap. XIII.

UTTARA-TANTRAM.

55

like that
etc.,
I

of an ulcer (Vrana).*

Fomentations, Avapida,

should also be employed after three days.


to

Thus
to

have described

you the general measures

be
2,

observed in scraping an affected locality in the eye,

Satisfactory and
fication
swelling
:

deficient scariof the


level aspect

Stoppage of bleeding, subsidence


smooth
nail are the
features,
scarification.

and

itching, a

of the

part

like the surface of a finger

which
Redblood
(blind-

mark a proper and satisfactory


ness
of the
eyes,

swelling

and discharge

of

from the operated


ness or darkness

locality, occurrence

of Timira

of vision),

non-ameliorations of the

disease

under treatment, brownncss, heaviness, numb-

ness, itching, horripilation

and coating

(as

if

with foreign

matter) of the eye-lids and a


tion of the eye
if

consequent high inflamma-

not attended to in time, are the symp-

toms which attend an incomplete and unsatisfactory scarification, and this should be remedied by anointing^
and scarifying the affected part again.
charge
3-4.
dis-

Excessive Scarification : Excessive


and
pain
in

the

locality

together with an

upturning of the eye-lids and spontaneous uprooting of


the eye-lashes should be ascribed to excessive scraping.

Fomentation, application of Sneha and employment of Vayu-subduing measures should be resorted to in such
cases.
5.

In the following diseases

of the

eye,

vis.,

Vartma-

vabandha, Klishta-vartma, Bahala-vartma and Pothaki,


the affected part should
* first

be gently scraped and then


treatment should be
like

For the

first

seven days the

that

of an

incidental ulcer (Sadyo-vrana) after

which period, the case should be


(fomenting)

treated, if necessary, as a case of S'arira -Vrana.

t Dallana says that some read '^fi(t^'

in

place

of

'^f^l'

anointing).

$6
scarified.

THE SUSIIRUTA SAMHITA


In Syava-vartrha

[Chap. XIII.

and Kardama-vartma, the


gently
scarify

intelligent

physician will

the affected
cases

part neither deeply nor superficially.


sangini, Sarkara

In

of Ut-

should be
scarified.

first

An

and Kumbhikini, the seat of the disease (with a knife) and then carefully incision should be followed by a scarificacut

tion in the case of small,

coloured,

very hard, supperated, copperPidakas (pustules) occurring on (the inner


of)

Small and slightly swelling Pidakas (pustules) occurring on the exterior surface of the eye-lid should be remedied with fomentations,
the eye-lid.
plasters

membrane

and the general corrective remedies.


thirteenth chapter of the

6.

Thus ends the


Samhita which
to scarification.

Ultara-Tantra in the Sus'ruta

treats of the curative treatment of (eye-} diseases

amenable

CHAPTER
Now we
eye-diseases
shall discourse

XIV.

on the curative treatment of

which require surgical incisions


t.

(Bhedya->
a case

Roga-Pratishedha). Treatment of Visa-granthi : in


of suppurating Visa-grauthi,
it

should be

first

fomented,

and
(so

its

puncture-like holes should be

completely incised
It

as to

remove any swelling

in the affected part).

should then be dusted with Saindhava, Kds'is'a, Mdgadhi,

Pushpdnjana, Manah-s'ild and Eld pounded together*.

Honey and
(for

clarified butter
it

should then be applied (over

the dusted part), and

should be duly (loosely) bandaged


2.

the complete union of the parts).

Lagan a
the affected
following

An
in
viz.,

incision

should

be

made

into

part

a case of

Lagana, and any

of the

drugs,

Rochand,

Yava-kshdra, Tuttha,
incised

Pippali and
part
;

honey should be applied to the


cases

while in serious (lit. big)


fire will

cauterization
3.

with alkali or with

be the remedy.

Anjana
open,
it

: In

a case of Anjana, the affected part


if it

should be duly fomented and

spontaneously bursts

should be well pressed and

rubbed (Fratisarana)
Tagara-

with a plaster-compound of Manah-s'ild, Eld,

pddukd and Saindhava,


If,

pasted

together with honey.

however, the surgeon wants to

open

it,

it

should be

rubbed with honey and Rasdnjana mixed together and

* Both Vrinda and Chakradatta read


text and hold that the incision should

only the

first

two

lines of the

ba dusted

with Saindhava only,

Their commentators, however,

accept

the reading there to be Sus'ruta's.

They supply the next


alteration in the sense.

two

lines

of Sns'ruta, and notice the consequent

58

THE SUSIIRUTA SAMHITX.


a

[Chap. XIV.

then coated with

warm

collyrium

made with
4.

the

lamp-black collected from a burning lamp flame.

Krlmi-granthl : In a case
been incised and
it

of Krimi-granthi,
it

the affected part should be duly fomented after

has

should

then be treated with the


(the

Rasa-kriya solution

prepared with
of)

decoction

of)

Triphald (with the addition

Tuttha**, Kd-sisa
(in

and
part

Saindhava.

In a case of

Upanata

the

eye) due to
affected

the action of the deranged

Kapha, the
It

should be opened and rubbed with powdered Pippali and

Saindhava mixed with honey.


with a Mandalagra instrument.

should then be scraped

The surrounding
all

parts

should also be gently scratched


In the foregoing five
until the

around.

5.

cases

of incisable eye-disease,

setting
first

in of

suppuration therein, the affected

eye should
light

be treated with Sneha and then with


of)

fomentation with (the help


In
all

tender leaves (as

a cover over the eye).


in the

the remedies to be adopted

treatment of these (incisable eye) diseases, the


of a

application
cases,

Sneha should be

first

adopted.
set

In
in,

however, where suppuration

had already
ulcer,

the remedies for the healing up of the


carefully adopted.
6.

should

be

Thus ends

the fourteenth chapter of the

Uttara-Tantra of the Sus'ruta

Saruhitd which deals with the curative treatment of (eye-) diseases requiring
incisions.

*
'

Both Vrinda and Chalcrapani read 'Mulra' (cow's urine)

in place

of
in

Tuttha'.

Both of them also recommend the addition of Rasdnjana

the compound.

CHAPTER XV.
Now we
cyc-diseases,
shall discourse

on the curative treatment of


be
cured with
excisions
i.

which should

(Chhedya-Roga-Pratishedha).
be
first

Treatment of Armas : The patient should


treated

with

Sneha-predominating

food

before being surgically operated upon in a case of

Arman
(on the
care-

marked by the manifest vegetation or polypus


affected
eye).

The
ease

patient

should then be

made

fully to sit at

and the affected eye should then


Saind/iava-s&h into

be irritated by casting powdered


its

cavity

after

which the

eye-ball, without

any

loss of

time, should be duly fomented

and rubbed with the hand.


the
patient
to

The

intelligent physician

will then ask

look at his

Apanga
th;

(the interior corner of his

own

affect-

ed eye) and

cyst

or the polypus (thus turned up),

should be carefully secured


held with
needle.
It

with a hook (Vadis'a) and


or with

a
is

Muchundi instrument

a thread-

dangerous to suddenly

uplift the eye-lid

under the circumstances.


firmly

The two

eye-lids should be

drawn asunder so as
the

to guard against their being

anywise hurt during


thus
three

operation.

The

polypus,

made

flabby

and pendent with the means of the


be fully got
rid of

aforesaid
it

accessories, should

by scraping

with a sharp Mandalagra

instrument.

The root of the polypus should be pushed asunder from the Krishna-mandala (Sclerotic region) and the Sukla-mandala (region of the cornea), to the extremity
of the

Kaninaka

(pupil)

and then

repioved.

The

Kaninaka
to

(pupil) should

be duly guarded so as not

be

hurt.

A
left

quarter layer of the flesh (of the polypus)

should be
in

back and then the operation would not


or
injure the
eye.

any way hurt

An

operation at

60

THE SUSHRUTA SAMHITA.


the
aforesaid limit of the

Chap.

XV.

a point beyond

Kaninaka

(might hurt the pupil and) would set

up a haemorrhage
in

and beget a sinus

(as

well
is

as

pain)

the locality.
to

The
its
"

vegetation or polypus
if it is

sure to

grow up again
2.

former size

cut off insufficiently.

A shreddy

or netted

Arman

in the

form of a membe

branous growth (Jala)


dent by rubbing
it

in the

eye should

made

pen-

(with Saind/iava-szh) and then cut

with a bent Vadisa instrument at the junction of the

Sukla-mandala (cornea) and the Vartma-mandala (conjunctiva or eye-lid).

The

affected part should then be

rubbed with a compound


Trikatu and
Saind/iava-salt

consisting of

Yava-kshdra,

(pounded

together)

and

then (duly) fomented and bandaged up by the skilful


physician.

Lardaceous

or

oily

(Sneha)

application

should thereafter be nature


of the

prescribed with due regard to the


season,

place*, the

the time

(day or

night) and the strength of the patient,

and the incidental wound should be treated as an ulcer. The bandage


should be removed after three days and the affected part should be (mildly) fomented

with the
treated

application of

heated palms of the hands and


or purifying remedies.
3.

with corrective

Milk duly cooked with Karanja


Yashti-madhu

seed,

Amalaka and
(when
cold),

and

mixed
the

with

honey

should be dropped twice a day (morning and evening)


into the affected eye in

event

of there being

any

pain in

it.

cold

plaster

composed of Yashti-madhu,
clarified

polens of lotus (Utpald) and Durvd-gra.ss pasted together

with milk and mixed with

butter

is

recom4.

mended
'

in

such cases to be applied to the scalp.

In place of <^jj'_-the particular part and nature of the country,


read '^^'

som

th.>

particular Dj'iha involved in each case.

Chap. XV.

UTTARA-TANTKAM.
residue of the

Ol

Any
should
(scraping)

Arman,

left after

the excision,

be removed with the application of Lekhya*

Anjana or

eye-salve.

An Arman
as white

(Cyst-like

papilla or protruberance)

which
of

is

as

curdled

milk (Dadhi), or which looks blood-red or blue or grey,


should be treated like a case the cornea or a flimy and fleshy

Sukrarman (Opacity of growth in the eye). An


and nerves
as

Arqpan which
well

is

very thick and looks like a piece of skin


fibres

and covered over with


as one occurring
iris)

of flesh

f,

of the

should be excisioned.

on the Krishna-mandala (region The eye assimes its

former and natural colour and function, and becomes


free

from pain and other complications by the proper

excision of an

Arman.

5-8.

Treatment
pidaka
:

of Sira-Jala

and Sira(Vadis'a)

In a case of Sir^-Jfida, the hardened veins

(Sira) should be

hung down with a hook

and

scraped with a Mandalagra (round-topped) instrument. Cysts or pimples (Pidakas) appearing on the diseased
veins in a case of the aforesaid Sira-Jala

and not prov-

ing

amenable

to
in

the

application of medicines, should

be excisioned as
instrument.

a case of

Arma

with a Mandalagra

Pratisarana (rubbing) as in a case of

Arma

and Lekhana (scraping) with due regard to the nature of the deranged Doshas involved in each case, are also

recommendad

in

both the

diseases
9.

(Sira-Jala

and

Sjra-Pidaka) under discussion.

Treatment of Parvanika' : In
Parvaniki the
place of junction
\

a case of

(of

the lachrymal

For Lekhya Anjana see Chapter XII, f ara 16 of lhis Uttara Tantra. Some here read 'f%n' (veins) in place of 'qjf' t The 'junction' is the junction of the Krishna-mandala and the
*
|

S'ukla-inandala of the eye.

Dallana.

62
sac and

THE SUSLIRUTA SAMIUTA.


the cornea)

Cha P'

XV

should

be

duly

fomented.

quarter part only of the protuberance or growth should

be kept apart, while the remaining upper three quarters


should be secured with a

hook and cut with a

knife.

away
of

Half of the aforesaid quarter part should then be cut (very carefully), as lachrymal sinus (and consein.

quent lachrymation) would otherwise set


operation

The

seat

should

be

subsequently rubbed
of

(Prati-

sarana) with a

compound

honey and Saindhava-saXi.


should
then

Scarifying (Lckhana) powders


to

be applied

the affected

part for the


still

complete recovery of the


10.

disease (any complaint

remaining).

Chuma-Anjana : Powders
ruby,
iron,

of

S'amkha

(conch-shell), Sa>nudra-phena, marine oyster-shell, crystal,


coral,

As'mantaka, Vaidurya (Lapis

lazuli), pearl,

copper and Srotonjana (antimony) taken in equal

parts

and mixed together, should be


let

stuffed in

a ram's

horn* and then

the intelligent one apply this Churnalocality,

anjana (powder) to the affected


efficacious in all

morning and
Sira-jala,

evening everyday, as such applications are extremely


types of Armans,
etc.,

Pidakas,

Arsas, Sushkars'as and Arvuda,

in the eye.

n.
affec-

Treatment of inner part


lids
below.
:

of the eyeany
is

The
The

mode

of treatment in a case of of the

tion in the inner lining

Vartma

(eye-lid)

given

affected part should be

first

fomented and

then the eye-lid should

be over-turned (held at an angle),

and the diseased growth or swelling should be carefully


lifted

up with a needle, when an experienced physician


it

should cut

at

its

root or base with the help of a sharp

Mandalagra instrument.
should be rubbed with a

After that the affected part


pulverised

compound
tree.

consist-

Dallana explains 'Aftikis'riuga' as a kind of InguJi

Chap.

XV,

UTTARA-TANTRAM.

63

ing of Saindhava, Kdsisa (Sulphate of iron) and Pippali.

The

affected eye-lid should then be

carefully cauterised

with a (red-hot) rod after a (complete) cessation of the


bleeding.

The

residue of

its

root or base,

if

any, should

be

scarified

with a scarifying alkaline (caustic) prepara-

tion.

Decoctions of strong emetic and purgative drugs*


elimination

should be (internally) administered for the


of the Doshas (from the

Vrana
in

ulcer).

The measures
with

and remedies mentioned

connection

Abhi-

shyanda (Ophthalmia) should also be prescribed with regard to the nature of the bodily Uoshas involved in
the case.
diet
tion.

The

patient shall
for a

observe
after

strict

regimen

ot

and conduct
12.

month

the

surgical

opera-

Thus ends

the fifteenth chapter


treats of the

in

the Ultara-Tantra

of the

Sus'ruta

Samhita which

remedies of eye-diseases requiring excisions or

surgical operation.

Some commentators

say that emetics and purgatives should

be inter-

nally administered, but Dallana and the Panjikakara oppose this view.

CHAPTER
Now we
shall discourse

XVI.
for

on the curative measures

the remedy of diseases occurring on the cye-lashes and

hence on the eye-lid

(Pakshma-kopa Pratla case

shedha). i. Surgical

Treatment : in
is

of

Pakshma-kopa which

an affection of the eye-lid and

which has been described before as admitting only of palliative treatment, the patient should be first treated
with a Sneha and
position).

made
the

to take

his

seat

(in

proper

cut in the shape


in

and

size of

a barley corn

should be
(the

made

eye-lid

horizontally parallel to

part

of the eye-ball lying between) the

Kaninaka

(pupil)

and the Apanga (exterior corner of the eye)

leaving

two parts below the eye-brow and one part


incisions

above the cye-lashcs. The surgeon should then diligently


suture up the two edges of the
hair.

with (horse's)

After the application of honey and clarified butter


it

to the operated part,

should be treated in the

manner

of an (incidental) ulcer.

piece of linen should be tied

round the forehead and the horse's hair sewing up the operated part should be attached thereto. The stitching
'hair should

be carefully removed

after

the

complete
2.

adhesion* of the two edges of the incidental

ulcer.

Cauterisation : In
mined and
with
fire

case of the failure of the

preceding measure, the eye-lid should be carefully exalifted

up

in

an inverted posture and the


alternative,

diseased cyst (Bali) should be very carefully cauterised


or
alkali.

As an

the

Pakshma-

*
fifth

According
day.

to

Vagbhata, the stitching hair should be removed on the

'

Chap. XVI.

UTTARA-TANTRAM,
removed and the

65
affected

maid

(eye-lashes} -should be all

eye-lid

(Vadis'a) should

having been carefully secured with three hooks" be rubbed with pasted Haritaki and

Tuvaraka (Lodhra).
well as purgatives,
snuffs,

The

four

aforesaid

measures* as
Collyrium,
held
as

eye-drops (As'chyotana), medicinal


(fumigations),
Plasters,

inhalations

Sneha and

Rasa-kriya,

should

be

likewise
3-5.

beneficial -!" i n cases of

Pakshma-kopa.

Thus ends

the sixteenth chapter of the


treats of the

Uttata-Tantra in the Sub'ruta

Samhitd which

remedies of Pakshma-kopa.

*
(c)

The
It

four

measures are

(fl)

operation, (t) cauterisation with application of medicinal drugs.

fire,

cauterisation with alkali, and

(rf)

should be noted that this disease cannot be radically cured,


(?|H?r).

but

is

amenable only to palliative treatments

CHAPTER
Now we
shall

XVII.

discourse

on the curative treatment

of the diseases

of the

pupil

and the Crystalline lens


i.

(Drishtl-gata-Roga-Pratishedha).
Of "the
diseases

included

within the present group,

three are curable, three arc incurable, while the

remaincura-

ing six admit only of palliative


tive

treatment.

The

remedies of the disease


vision)

(smoky or dusky
(in

known as Dhuma-d&rs'i has been already described

connection with the medical treatment of Pittaja


*.

Ophthalmia)
of deranged

All

the

remedies applicable in cases

Nasya

and Kapha as well as application of Seka (sprinkling), Anjana (Collyrium), A'lepa (plaster), Puta-paka and Tarpana (soothing)
Pitta
(snuff),

remedies with the exception of surgical operation should

be respectively administered
vision.

in

cases

of Pitta-affected

(Pitta-vidagdha) and Kapha-affected (Slcshma-vidagdha)

Traiphala-Ghrita should be prescribed in a case

of Fitta-vidagdha-Drishti

and Traivrita-Ghrita

in

case of Sleshma-vidagdha-Drishti.

Potions of old and

matured
are

clarified

butter as well as of Tailvaka-Ghrita

equally efficacious in

both

cases

-f\

Collyriums

(Anjanas) should be prepared with Gairika, Saindhava,


Pippali,

and the charred remains (Masi) of cow's


Kapitth.%
fruit

teeth,

or with beef, Maricha, S'irts/ia-sceds and or with the stalk of a

Mana/i-s'i/d,

together with
;

honey, or with Atmaguptd pasted with honey

these four

* See

Chapter X,

9,

Uttara-Tantra.
Traivrita-Ghrita

t Traiphala-Ghrita,
of Tilvaka respectively.

and

Tailvaka-Ghriti should

be prepared with both the decoction and Kalka of TriphaU, Trivritu and

Chap. XVII.

UTTARA-f ANTRAM.
be used with advantage
2-3.

67
in

Anj anas may

both the types

under discussion.
Kubjaka,

PUBhpa'nJana Z Powders
As oka, S dla, Amra,
Utpala, as well as powdered

of

the flowers of

Priyangu, Nalini and of

Renukd, Pippali, Haritaki


clarified

and Amlaki mixed with honey and


should be kept inside a hollow
to

butter,

bamboo and

applied
in

the

eye in the manner of a collyrium (Anjana)


of

cases

Pitta-vidagdha
4.

and Sleshma-vidagdha eye-

diseases.

Dravanjana and GudikaViJana : As


an alternative, Renukd pasted with the expressed
of the flowers of
juice

Amra (mangoc) and Jambu


clarified

(black-berry)

and mixed with honey and

butter, should

be

used in both the above cases as an Anjana.

Pollens of

Nalini (red lotus) and of Utpala (blue lotus) as well as


Gairika * pasted together with the
tions) of

Rasa (watery
pills

secre-

cow-dung f and made into large


of day-blindness
is

(Gudika)

may
in

be profitably applied to the eye as an Anjana alike

cases

and

night-blindness.
5.

This

Anjana
jana,

called the Gudikanjana.

Treatment of Day-blindness
Rasa
(Juice)
J,

:Rasdn-

honey,

Talis' a-patra

and Svarna-

gairika should be pasted together with the Rasa of

cow-dung and applied


cases of
Pitta-affected

(in

the

manner of an Anjana)
i)e.

in-

vision

day-blindness.

S'ita

Chakradatta does not read 'Gairika' in the


place
of "ifjuji^"
or

list.
'.<r.,

tin

some read "jj^jj"

the

liver
etc.

ofa' 1 ^"
juice

which may mean a cow

any animal, such as goat, sheep,


:

J According to Dallana, Rasa (lit A'mahka. According to others, however,


of Jiti flower.

Juice)
means

means the

of

it

the juice of the leave's


in

Chakradatta, however, reads "gj|" (clarified butter)

place

of "tq".

68
(Rasanjana,

THE SUSHRUTA SAMHITX.


or

Chap.

XVIt

according

to
in

Sauvira should be
then pasted together.
in the bile

soaked
It

some Camphor), and Rasa (meat-juice) * and


Rohita
fish

should then be soaked ag&in

of a tortoise or of a
to powder.

and dried
is

and reduced

The

present

compound

called

the Churna-anjatta (powdered Collyrium) and

may

be
of

used beneficially for the pacification of Pitta


Pitta-vidagdha-Drishti).

(in cases

Kds'mari

flowers,

Yas/itt-tnadliu,

Ddrvi, Rodhra
together and

and

Rasdnjana,

should

be

pounded
it is

mixed with honey. Used

as an

Anjana
6-8.

always efficacious

in the affections of the eye.

Treatment of nocturnal blindness

The

application of a medicinal Varti (stick) composed

of Sauvirdnjana, Saindhava, Pippali and Renukd pasted


together

with

the

urine

of a

she-goat would

prove

highly beneficial

in cases of

nocturnal blindness. Simi-

larly the application of a

medicinal Varti (stick) comkinds of Haridrd, and Musta,


of

posed of Kdldnu-Sdrivd, Pippali, S'untki, Yashti-madhu,


Tdlis'a-patra,

the two the

pasted

with

Rasa

cow-dung f
in

and

dried

in the shade, proves


s'ild,

beneficial

such cases.

Manah-

Haritaki, Trikatu, Bald, Kalanu-sdriva and (S'atnu-

dra-) Pfiena pasted together

with the milk of a she-goat


the shape of a Varti
is

and similarly prepared

in

also

recommended.

9-1

1.

Rasa-Kriya'njana :The

urine,

bile

and
the

dung of a cow \ together with wine, should be (in the manner of Rasa-kriyanjana preparation)
*

boiled
in

Rasa may

also,

from the context,

mean

the

watery secretions of

cow-dung.
t
Dallana's reading
is

evidently

'^719^:9'

which he explains

as

meaning the juice or serum of the

liveT of a goat, &c.

The

text

has

"%*fTm"
for

The term

"aft"

which

literally

means

a cow, here stands

any female quadruped, such as a she-goat,

etc.

Chap. XVII.

UTTAUA-TANTRAM.

69

expressed juice of Dhdtri, or in the Rasa (serum) of the


liver of

an animal

(e.g.

a goat), or in the decoction of


the Kshudrinjana, and
in

Triphald.

It is called

should
of an

be applied to the affected organ

the

manner

Anjana

(collyrium).

An Anjana

consisting

of cow's

urine, clarified butter, Samudra-p/iena, Pippali, Katphala,

Saindhava and honey mixed together should be


kept inside a hollow
(in

first

night-blindness)

bamboo and subsequently applied as a collyrium. The Medas (fat)


with a quantity of
clarified

and

liver of a goat, together

butter

skimmed out

of the

milk of a she-goat, mixed

with Pippali and Saind/iava should be boiled and cooked with the (expressed)
juice

of

Amalaka
It

(in

the

manner of Rasa-kriya preparations). mixed with honey and kept in a


of

should then be
vessel

closed

made

Khadira (Catechu)

wood.

The

use of this (comas an

pound),

known

as

the Kshudranjana,

Anjana

(collyrium) would

good results. Harenu, Ptppali-sceds (without pericarps), Eld and the


be
attended

with

liver (of a goat, etc.)

should be pasted with the Rasa of


it

cow-dung. Used as an Anjana,


in

would prove

efficacious

a case of Kapha-affccted vision (Slcshma-Vidagdha12-14.

Drishti).

The
in
fire

liver of a

Godha(a kind of wild

lizard) should

be

partially

opened and stuffed with Pippali and roasted

(having been coated with clay ). The use of the compound * for only once -f" as an Anjana (with honey)

According

to

Dallana the Pippali so toasted should be used with

honey as an Anjana.
t Both Vrinda

and Chakradatta read

'ngia' in place of '^jgra'

and the

commentators of both of them say that the sentence means


should

the livet
as an
is to

be

taken internally

and the Pippali

should be used

Anjana.

The commentator
them together

of Vrinda further says that the practice

use both of

as an Anjana.

;o

THE SUSHRUTA SAMHITX.

Chap. XVII.

would be found to be
night-blindness.

highly beneficial in cases of


single

Similarly a
goat's

application

of

an

Anjana made of a
and roasted
in

liver
in

stuffed

with Pippali *

fire

as

the preceding case would

speedily and certainly cure an attack of night-blindness.

As an
oil

alternative, both the spleen

and

the liver (of a

goat or of a lizard) would be cut into pieces, mixed with

and

clarified

butter,

and roasted on a

spit.

Used
oil,
it

internally or used

as

an Anjana with mustard

would speedily cure an attack of night-blindness. 15-17. An Anjana or a pill composed of Nadija (Saindhava),
S'imbi (D. R.

Samkha

conch-shell),

Kataka, Anjana

(Rasanjana), Manah-s'ild, the two kinds of Nis'd, pasted

together with the juice of the liver

(of a

cow) and
in

mixed with red-sandal paste


case of day-blindness.
18.

is

recommended

Treatment
to in the six
palliative

of

palliative types :

Bleeding by opening the (local) veins should be resorted


kinds of ocular affections in which the
is

treatment

all

that

is

open

to

us.

The
with

patient should be as well kept constantly purged

draughts of matured clarified butter duly cooked with


the admixture of suitable purgative drugs.
In a Vataja

Both Vagbhata and Dallana plainly say thai the roasted

Pippali

only should be used with honey as an Anjana in cases of night-blindness.

t
of

There

is

confusion pasted

in

the reading

of this couplet.
liver

In place
or
liver

"H3f5%'

i-e-

with

the juice

of the
i.e.

(of a

cow

any
of

other animal), Chakradatta reads "l[q\ Vffl('

to

say

the

cow (and of no

other

animal) should be

taken.

Vrinda, however,

reads and his commentator accepts the reading "^jf^f *!|m''

(*e

5>

of an animal other than a cow)

but this reading


"Jtff5%''
i.

is

objectionable on the
in

ground of a

faulty

construction.
is

e.

pasted

the watery the

secretions of cow-dung,

yet another

variant

noticed by both

commentators of Vrinda and of Chakradatta.

Chap.

XVII

UTTARA-TANTRAM.

7
lie

type (of any of these six affections) purging should

induced with castor


milk.

oil

taken through the vehicle of


of

Administration
for

Traiphala-Ghrita
purposes,
types.

is

also
in

re:ommended
the Pittaja
fied

purgative

especially

blood-origined

Purging with

(clari-

butter duly

cooked with) Trivrit should be induced


in

in types

having their origin


duly cooked with

the deranged

Kapha,

while

oil

Trivrit should

be adminis-

tered (for the purpose) in cases of affections having their


origin in the concerted action of all the

three deranged

Doshas.

The

use

in

any shape of old and matured


in

clarified butter,
in cases of

kept

an iron

vessel,

proves beneficial

with (the
s'ritigi

Timira of any type. Clarified butter cooked Kalka and decoction) of Triphald or Meshain

always proves efficacious


be

Timira of any type.


a

The

patient should

made

to

lick

compound

of

powdered Triphald with a copious quantity of


butter in cases of Pittaja blindness, with
type,
oil in

clarified

the Vataja
in the

and

with

copious quantity of
disease (Timira

honey

Kaphaja

type, of this
19-21.

loss

or darkness

of vision).

The

use as

Navana

(errhine)

of a

medicated

oil

cooked and prepared with the decoction of cow-dung

would be attended with


of Timira.
Clarified
;

beneficial

results
is

in

all

types
in

butter * alone
clarified

beneficial

the Pittaja type

similarly
of a

butter

prepared

by churning the milk


(Kakolyadi)
Pittaja type

ewe or a she-goat
prove
beneficial
in

and
the

cooked with the admixture of the drugs of the Madkura

group

would

of Timira.

Oil cooked

with the drugs

of

the

Sthirddi

(Vidari-gandhadi) or the

Madhura

Some

say that this clarified butter

is

to

be prepared

from the milk

of a ewe or she-goat

72

'

THE SUSHRUTA SAMHITX.


well

Chap. XVII.

group * as
advantage

as

the

Anu-taila

(see

Chapter V,

Chikitsita Sthana),
in

might be prescribed with the greatest

the types of the disease due respectively to

the action of the deranged


system.

Vayu and

vitiated blood of the

medicated

oil

duly cooked with an admixture

of Sahd, As'va-gandhd, Ati-vald, S'atdvari, Trivrit

and

the three fatty

substances,
(in

Ghrita, lard

and marrow,
Sthana)
in

mentioned before

connection with the treatment of

Maha-Vata-Vyadhi,
cases

Chapter

VI,

Chikitsita

might be advantageously employed as an errhine


of Vataja

Timira.

Butter
flesh

churned out
of

of the

milk duly cooked with the


marsh-frequenting
as

an errhine

it

any aquatic or fowl or beast should be employed would prove curative in cases of
22-23.

Vataja Timira

(loss of vision).

The
species,

flesh

of a

vulture and of a
salt,

deer of the

Ena

Saindkava

honey and

clarified butter

should

be prepared and applied (to the affected eye) in the

manner

of Puta-ptfka (see next

Chapter).

The

lard of

vultures, snakes

and cocks and Yashti-madhu should be


(eye-salve)-f.

pasted together (with honey) and applied (to the affected

organ)

in

the

manner of an Anjana
I

Antidotes
soaked
*
last

Srotonjana
\

24.

should be successively
clarified butter
'Similarly'
in

in
part

meat-juice,
of the text

milk and

in
the

Ths

within the two *s from


is

page

to 'group' in this

page

not

to

be found in either Vrinda or


moreover, does clearly

Chakradatta.

The commentator
is

of Chakradatta,

say that this part

an interpolation and cannot be found in some of the

Mss. of Sus'ruta Samhita.


t According
to

Dallana

the

lards

of vultures,
either one,

snakes

and cocks
the
three
Yashti-

may be
madhu,

jointly or separately used

taken

two or

all

at a time.
It

But in

all

cases they should be

mixed with honey and

should be noted that the lard of a Krishna-Sarpa (venomous

serpent) should be used.

J Flesh of those animals which give strength


used in lhe preparation of meat-juice.

to the

si^ht

should be

Chap. XVII.

UTTARA-TANTRAM.

73

the manner of Bhavana saturation and used as a Pratyanjana * (in cases of Vataja Timira unattended with redness). In cases of Vataja Timira attended with red-

ness of the eye, however, the Srotonjana should be placed


inside the blades

of Kus'a grass and

preserved for a

month
it

inside the

mouth

should be taken out and

and the burnt ashes of


then be applied as

cobra. Then mixed with Saindhava salt Malati (Jati) flowers. It should

of a (dead) black

an Anjana to the affected organ. be soaked


in

As an
disease
is

alternative, Srotonjana should

milk

for three successive


in

days and applied to the seat of the a case of (Vataja) Ksfoha (cataract) which
this

said

by experts to be remediable by

Anjana.

25.

Treatment
fied

of Pittaja-Ka'cha :Clari-

skimmed from milk (and not from curd) and duly cooked with the drugs of the Madhura (Kakobutter
lyadi)

or as a

group f should be employed as a snuff ,(Nasya), Tarpana in the Fittaja type of this disease.
Jangala animals (deer,
etc.)

The

flesh of

and the drugs

of the Kdkolyddi group should be

used in the manner

of Pata-prfka in the Pittaja type of Kacha.

A KshudranThe
use

jana composed of Rasdnjana, sugar, honey Manah-s'ild,

and Yashti-madhu
of an

may

likewise be

applied.

Anjana
in

taken

composed of Rasdnjana and Tutthaka equal parts and finely pounded, is also recom\

mended by experts
soaked
in

in

such cases.

Powdered Tutthaka
the drugs of

the

decoction of Bhillota and

Pratyanjana (secondary eye-salve)

is

an antidote

for

the over-use

of an Anjana.

t According

to

some

commentators

the

milk

should

be

first

cooked with the drugs of the Madhura group, and butter should then be

churned out of that milk.

benumbed condition

of

the
as

eye through the

abuse

of

eye-

salves calls for the use of this

Anjana

an antidote.

IO

74

THE SUSHRUTA SAMHITX.

Chap. XVII.

the Elddi-gana would

be used as a Pratyanjana, and


in

would be found beneficial

such cases.

The

use (as an

Anjana) of MesJia-s' ringi and Stotonjana taken in equal parts and two parts of conch-shell pounded together is
efficacious in the

Pittaja

type of this disease (Kacha).

The

juice of Palds'a,

Rohita and

Madhuka

(flower)

mixed with honey and the


in equal parts)

surface layer of wine


(in

(taken

should be prepared

the

manner of Rasa26-27.

kriya and applied as an eye-salve in this type).

Treatment of Kaphaja Type :The


drugs

known
cooked
for

as Ui'ira, Rodhra, Triphald

and Priyangu
should

duly

together (with

Tila
of

oil)

be
in

employed

the purposes

snuffing (Nasya)

the Kaphaja

Type.
prove

Fumigation (Dhumana) with the


Kinihi
in

vapours of

Vidanga, Pdthd,
beneficial

would

also

the

and Ingudt-bark Kaphaja type


should

of cataract (Timira).
likewise lubricated

The

affected

part

be

with

the

medicated
of

Ghrita duly

cooked with exuding


holy
fig)

the decoction
e. g.,

Vanaspati (the milkspecies

trees,

those

of the

of

Indian
Kalka).
animals,

with pasted
of the

The

essence

Haridrd and meat of Jangala

Us'ira (as
(forest)

mixed

with

Pippali

and profusely
should
be

saturated

with
the

Saindltava and

honey,

prepared

in

manner

of Puta-pdka (and applied

to the affected

part).

Manah-s'ila,,

Trikatu,

Saindhava, Mdkshika

(honey),

S'amkha, Kdsisa and Rasdnjana should be combinedly


used for the purposes of Rasa-kriyd
discussion).
(in

the type under

Kdsisa, Rasdnjana,

Guda

(old

and maturused with

ed treacle) and
benefit.
28.

Ndgara,

may

be likewise

Treatment of Trl-doshaja Ka'cha :


Anjana (Antimony) many times heated and (subsequently)
soaked
in the

decoction of Triphald prepared with

(the

Chap. XVII.]

UTTARA-TANTRAM.

fo

9i*ght

kinds of) urine, should a

be put inside the hollow


bird (such

(marrowless) bone of
vulture,
etc.)

nocturnal

as

the

and kept

unruffled (currcntlcss) water.

immersed for a month in The Anjana thus prepared


combination
flowers

may

be used with

advantage, in
the

with

Madhuka (Yashti-madhu) and


s'ringi in the

of Mesha-

Tri-doshaja types of Xtfcha.

As an

alter-

native, all

the measures
etc.)

and remedies
in
all

(e. g.,

Tarpana,

Puta-paka,

applicable

the three

Doshas

should be employed in such cases.

29.

Treatment of blood origlned ParimlsCyi


ployed
in
I

Measures and
the

remedies mentioned in conbe emIn the


for

nection with the Pittaja type of Timira should

a case of blood-origincd

Parimlrfyi.

alternative,

remedial

agents prescribed

the

treatment of the different kinds of Ophthalmia (Abhi-

shyanda) should be as well prescribed according to the


nature of the deranged Doshas involved in the case.
In case the deranged

Dos-has

arc not

thereby subdued,

Nasyas of the proper drug, as well as the many other Anjanas (collyrium) mentioned in the (next) Chapter on
Kriya-kalpa should be employed.
30.

Diet
matured
from

A person

carefully partaking

of old

and

clarified

butter,

Triphald,

S'atdvari, Patola,

Mudga, Amalaka, Yava


all

(barley) as diet enjoys

immunity

attacks of the

dreadful

Timira.

Simply the
'

Pdyasa f prepared with S'atdvari, or with Amalaka or a meal of barley corns cooked with the decoction
*
in

According .to

some,

the measures

and remedies

to

be applied
of

such cases are the measures of Rasa-kriya' applicable in cases

Vateja, Pittaja and Kaphaja Timira.

The PatyaBa

of S'ata'vari

and A'malaki should be prepared

by

duly cooking S'ata'vari or A'malaki, as the case


sugar.

may

be,

with milk and

According to others, however,

it

means the gruel (Yavagu) prepared

with the expressed juice of S'ata'vari or A'malaki.

;6
of Triphald

THE SUSHRUTA SAMHITX.


and a copious quantity of
of)

Chap.

XVIL

clarified butter

would remove (an attack


Chilli,
etc.)

Timira.

The

use of such

edibles as Jivanti, Sunishannaka, Tanduliyaka,

Vdstuka,

Mulaka

as well as

meat of

birds (such as Lava,

and Jangala animals


to

(e g. deer, etc.)

should be conuse of

sidered as invigorating

eye-sight.

The

the

leaves or fruit (as the case

may

be) of Patola, Karkotaka,


(tender

Kdravella,

Vdrtdku,

Tarkdri, Karita

bamboo

plants), S'igru or

Artagala, cooked with clarified butter,

proves beneficial (invigoratiog) to the sight. 31.


Blood-letting (venesection)
to in

should never be resorted

a case of Timira,

affected

eye in as

marked by the redness of the much as it might bring about an


in blindness

aggravation of the deranged Doshas ending


of the patient. 32.

Prognosis : A
first
is

case of

Timira marked by the


the seat of the disease,

absence of any redness of the eye and in which the


Patala (coat) of the organ
is

curable (Sidhya).

The case

in

which the eye assumes


coat
or Patala of the

a bright red hue and the second

organ

is

the seat of the

disease,

may

be regarded as a

curable one though

only with the greaterst difficulty

(Krichchhra-Sa'dhya).
or Patala of the organ
terised

The
is

case in which the third coat

the seat of the disease (characits

by the redness

of

outer

coat)

should

be

re-

garded as (an incurable affection) admitting only of


palliative treatment (Yipya).

Proper palliative measures


in

and remedies mentioned before should be employed


cases of

organ),

Timira marked by a redness (of the affected and leeches may also be applied to the region
it

of the affection (to relieve

of

its

exuberance of the

Dosha

in cases of

emergency).

33.

Surgical
Linga-na's'a

treatment

of

Kaphaja
the (surgi-

Now

we

shall describe

Chap. XVII.]

UTTARA-TANTRAM.

7?

cal)

measures to be employed for curing a case of Linga(obstruction

nrfs'a

or

choking up at the pupil with a


In
i.e.,

cataract)

due to the action of the deranged Kapha.


the deranged

cases

where

Dosha

in

the

organ,

the

affected

part of the organ does not appear semiin

circular or

thin

the middle, nor, fixed, (hard) nor

irregular (in shape),

nor marked by a large number of

lines or a variety of tints, or

where

it

docs not resemble


if it

a pearl

or

drop of water

in shape, or

does not

become
be
first

painful

and red coloured, the patient should treated with Sneha and Sveda at a season
is

of the year which


for the

neither too

cold
etc.,

nor

too

hot

purpose.

Then the hands,

of the patient

should be secured with proper fastenings and he should

be

made

to

sit,

looking simultaneously (with his two


of)

eyes) at (the

tip

his

nose.

Then

the

intelligent

surgeon leaving
the eye-ball from

off

two portions of the white part of


fully

the end

the eye) and

having
his

of the Apanga (the end of and carefully drawn apart


the

the eye-lids with

thumb and
insert the

index and the

middle

fingers,

should

Yava-vaktra (needle)
angles
of the

instrument* through the sides of the natural apperturelike

point

near

the

external

eye,

neither above nor below, care being taken not to pierce

the veins.
right hand,

The

left

eye should be pierced with the


left.

and the right with the


operation
characteristic

The

satisfactory

nature of the

(perforation) should

be pre-

sumed from the

report or sound

and the
region,

emission of a drop of water

f from

the affected
>,

following upon the perforation.


*

3^-35.

Both S'rikantha Dalta

and

S'ivadasa, the commentators respect'sjHffqfjrr JfTOJrsfr'

ively of

Vrinda and Chakradatla, read

meaning

that the

S'alaka (rod) should be

made of copper. Blood would come out if the perforation be not

satisfactorily done.

78

THE

,IRUTA SAMHITA.
perforation

flhap.

XVll.

Instantly with the

the affected organ

should be sprinkled over with breast-milk.


should be retained in
its

The Salaka
growth

place and the diseased

or appearance (cataract), whether fixed or mobile, should

be duly fomented from the outside with the help of the


tender leaves of Vayu-subduing efficacy, and the region
of the Drishti-mandala should be

subsequently scraped

with the (pointed) end of

Salaka.

The mucus
it

or

phlegm (Kapha) accumulated

in the affected

eye should
off

be removad by asking the patient to snuff

by

closing the nostril on the other side oi the operated eyeball.

The
it

part should be regarded

as properly

scraped

when

would assume the glossiness of a resplendent

cloudless sun

and would he

free

from pain.

Then the
it

Salaka (rod) should be gently withdrawn as soon as

would be able to perceive

vision,

and then the


During
in

(affected)

eye should be sprinkled over with clarified butter and

bandaged with a piece of

linen.

this

period *

the patient should be laid on his back

a comfortable

chamber

(free

from dust and smoke), and be warned


all

against indulging in
eructation,

those bodily functions such as


etc.

coughing, yawning, spitting, sneezing,

The regimen of diet and conduct thereafter should be


the same as observed by one internally treated with a Sneha (See Chapter XXXI, Chikitsita-s'tha'na). 36-A. The bandage should be removed on every fourth day, and the organ should be washed with the decoction of
the drugs of Vayu-subduing properties and

bandaged

again with a fresh one.

The eye

should be (mildly)

fomented on every fourth day as before, so that the bodily

Vayu might
+

not be aggravated.
during

This rule should be


rules

The

period

which

these

should be followed
to

is

'seven days' according to Vigbhata.

But according

Dallana

it is

only

the period during which the operation laiU.

Chap. XVII,]

UTTARA-TANTRAM.
it

79
fresh

followed for ten days, as


to the sight.

would impart a
(such
as

vigour

After-measures

snuffs,

errhines,

Tarpanas,

etc.)

should then be employed and the Diet

should consist of light articles of food and be given

only in moderate quantities.

36.
(viz.,

Persons declared unfit for venesection


old

infants,

men,

etc.)

in the

chapter on venesection * should

not be subjected to any surgical operation, in cases of


Niliktt except at the

place

mentioned before

(viz.

the

natural aperture

Daiva-krita Chhidra). 37. Symptoms and treatment


:

disorders resulting from an ous Operation If the incidental


(from a puncture in a wrong
the eye, in
place)
fill

of the injudicihaemorrhage
cavity of

in the

that case the


clarified

eye should be beneficially


butter duly

sprinkled over with

cooked with
(puncture)

Yashti-madhu and breast-milk.


close to the exterior corner

An

incision

(Apanga) of the eye would

usher in swelling, pain, lachrymation and redness of the


eye,

which should be remedied by poulticing (Upanaha)


arches of
the

the part between the

eye-brows,

and

sprinkling (Sechana) the


butter.

eye over with tepid


of the

clarified

In

the

event

organ bring punctured


iris)

near the Krishna-mandala (region of the

and the
pur-

Krishna-mandala being affected thereby, the affected


part should be sprinkled over with clarified
butter,

gative

should be administered and


leeches)

blood-letting (by
to.

means of
part

should be resorted

distressing

pain ensues from the puncture being


of the

made on

the upper

eye (Krishna-mandala) and this should be


affection. Excessive

cured by sprinkling drops of lukewarm clarified butter

on the scat of
*

lachrymation

sets

in

S'arira.Sthana, Chapter VII.

80

THE SUSHRUTA SAMHITA.


in

Chap. XVII.

with pain and redness of the eye


puncture being

the

event of the

made on
manner.

the

lower part of the eye


in

(Krishna-mandala) and such cases should be treated


the preceding

Emulsive (Sneha) application

and fomentation (Svcda) of the parts as well as applications of Anuvasana enema should be considered as
remedies
ness
in cases

of redness, lachrymation, pain,


(of the eye-lashes)

numbthe

and

bristling

in the eye, as

result

of an

excessive

and improper handling of the


37-38.

instrument during the operation.


If

removed

in

its

acute stage (in a case of Linga-

nas'a) the Dosha is liable to have an upward course and produce relapse in the red-coloured specks or films (opacity) in the Sukra (white part of the eye), and it

tends to give rise to an excruciating pain in the locality

and completely obstruct

the

vision.

The remedy

in

such a case consists in sprinkling the eye with clarified


butter duly cooked with the drugs of the

and

in the application of

the
diet

same

in

the

Madhuragana, manner of
cloud

Siro-vasti (crrhine).

Meat

should be prescribed for

the patient

in

such cases.

As

full-bodied
its

coming

in contact

with the wind meets

destruction,
if

so the fully aggravated

Dosha meets
:

its
_

doom,
39-40.

operated

upon with the surgeon's Salaka


ranged Dosha
is

(rod).

Causes Of Relapse A

relapse

of the de-

caused by a blow on the head, physifits,

cal exercise, sexual excesses, vomiting, epileptic

or

by an
its

act

of piercing the Linga-nas'a (cataract) during

partially developed (D. R.

immature) stage.

41.

Symptoms produced by the defects


Of the S'alaka' : Care
should be taken not to

remove the cataract with a roughly shaped Sah&tf (rod) as it might usher in an acute and aching pain in the
affected organ.

rod with an

unsmooth body might

Chap. XVII.

UTTARA-TANTRAM.

lead to an aggravation of the deranged Doshas.

thick-

topped rod would necessarily create an extensive ulcer, whereas a sharp one begets the apprehension of hurting
the
sets lar

eye
in

in

many

ways.

An

excessive

lachrymation

from using a rod with an unequal or irregutop or mouth, whereas its unsteadiness (in the course

of the operation)

makes the operation an abortive


(rod)
in

one.

Hence a Salaka
for the

should be constructed and used

purpose

such a manner as to preclude the

possibility of the foregoing defects

and

injuries.

42.

Description
Salaka (rod) should be
length,
its

of
made

the
to

aia'ka':The
in

measure eight fingers


of the

middle part being covered with strings of

thread and resembling the upper section


in circumference

thumb

and

its

ends terminating in the form


be

of a

bud.

The

rod (Salaka) should


43.

prepared of

copper, iron or gold.

Derangements
Operation
like eye
:

Redness

due
of the

to
eye,

defective
local

swelling,

sucking pain, (appearance of) Arvuda or Vudvuda, hogto the

&c. are due improper handling of the rod or to the use of improper regimen of diet and conduct. These should be

(Sukarakshita) * and ophthalmia

remedied according to the nature of the deranged Dosha involved in each case. 44.

Their treatment :Now


discourse
in cases of

again

hear

me

on the

(specific)

medicines to be employed
in

pain or redness

the eyes.

medicinal

plaster

composed of Gairika, S'drivd, Durvd, and barley pasted with milk and clarified butter, should be
-

-f

Both

Virinda

and Chakradalta reads

"KekarikstaiU"

*. e.

squinting look.

Vrinda and Chakradatta following Vagbhata do not lead "Payas"


first

(milk) and they read the

line of this couplet in a different form.

II

82
applied

THE SUSHRUTA SAMHITX.

[Chap. XVJI.

lukewarm (about the eyes) for the subsidence of pain and redness. A plaster (Lepa) prepared of
fried

Siddhdrthaka (white mustard seeds) and slightly

sesamum

seeds pasted with the

expressed

juice

of

Mdtulunga, or one prepared of Payasyd (Kshira-kakoli),


Sdrivd, Patra, Manjishthd and
together with the

Yashti-madhu pasted
if

milk of a she-goat,
region,
plaster

applied

luke-

warm
tnaka,
is

to

the

affected

redness of the eyes.

removes the pain and composed of Ddru, Padin

and S'unthi, prepared and used

the same

way

likewise

recommended

for

the

purpose.

plaster

of Drdksftd,

Yashti-madhu,

Kushtha

and

Saindhava

should be likewise used.

Cow's milk cooked with Saindhava should also be used for the alleviation of pain

and redness of the eye.

Clarified butter duly

cooked

with the admixture of S'atdvari, Prithak-farni, Musta,

Amalaka, Padmaka and the milk of a she-goat, should


be applied
alleviation
Clarified
(cold)

to the

affected

organ (eye) for the


therein.

of

pain

and

burning sensation

butter duly

cooked with the Kalka of the


of the clarified
butter, previously

drugs of the Kdkolyddi group with a quantity of milk


four times the weight

cooked with the drugs of the Vayu-subduing (Bhadraddrvidi) group


(in

the

manner
in

of Kshira-p&ka) should be

considered as efficacious
externally, in cases

any

form (internally or

of ocular affections.

The

affected

organ should be treated with Sncha emulsive (applications)

and (Sveda), fomentation and opening of the veins


or
cauterisation

(Sira)

(by honey, clarified butter, or

treacle) as described

before,

should be resorted to

in

cases where the foregoing remedies

would

fail

to

pro-

duce any

effect.

45-46.

Eyesight-invigorating
Now
hear

Anjana :
recipes

me

describe

two

beneficial

of Anjana.

Chap. XVII.

UTTARA-TANTRAM.

8j
clear-

which would invigorate the eye-sight and impart a


ness of vision. Flowers of Mesha-S'ringi, S'irisha,

Dhava

and of Mdlati together with pearl and Vaidurya (ruby)


should be pounded and
addition of the milk
thus

made

into

paste with the

of a she-goat.
in a

The compound
of convenient

prepared should be kept

copper vessel for a

week and then made into Vartis lengths and applied to the eyes
Anjana.

(sticks)

in

the

manner

of an

Varti

(stick)

should be similarly prepared

with Srotonjam, coral, Samudra-pliena, Manah-s'ild and

Markka and
to

used similarly as an Anjana (eye-salve).

It

imparts steadiness of vision.

The many

other

Anjanas

be described

in

the next

Chapter (Kriya-kalpa)
47-48.

may

also be beneficially applied for the purpose.

Thus ends

the seventeenth chaplei in the Uttara-Tantra of the Sus'rutatreats

Samhitd which
Drishti (pupil).

of the curative

measures of the diseases of the

CHAPTER
Now we
(external
shall diseourse

XVIII.

on the Chapter which treats


adopted or employed
in

of the preparations

and uses of the medicinal measures


in

applications) to be

treating

ocular
i.

affections

general

(Krly(-

kalpa).

Here follows a general exposition of the instructions which the sainted lord of Benares, the holy Dhanvantari
of profound
intellect

imparted to

his

disciple

the

son of Vis'vamitra (Sus'ruta) regarding


medicinal measures (Kriya) such as

the

different

Tarpana

(soothing),

Seka (sprinkling), A'schyotana (eye-drops), Puta-paTias Anjanas (eye-salves), etc., mentioned before in different places to be employed in diseases of the eye. 2-3.

The Tarpana Measure : The


known
under
after

measure
an

as

Tarpana should be employed


of propitious

in respect of

affected eye either in the fore-noon or in

the after-noon

the auspices

astral combinations,

having purged the head and bowels of the patient


to the digestion of

and subsequent
taken.

The

patient

should

be

la id

any food previously on his back in a

chamber not exposed to the rays of the sun, and the gust of the wind, and where the atmosphere is not charged
with minute particles of floating dust.
eye
(i. e.

The

region of his

eye-lids) should

be thickly coated with powdered


in the

Mdslia pulse, pasted (with water)

form of a circular

wall which should be even, hard and compact.

Then a

quantity of the transparent upper layer of clarified butter


should be stirred with the admixture
of a

quantity of

lukewarm water and poured (Purana) into the cavities of the eye up to the eye-lashes and retained therein for as

Chap. XVIII.

UTTARA-TANTRAM.
five

85

long a period as one would take to count


six hundred, eight hundred,

hundred,

respectively in

cases

and ten hundred syllabless of healthy persons and persons


According to certain authorities,
(of clarified butter) should
(in

with Kapha-origined, Pitta-origin ed and Vayu-origined


diseases

of the eye.

the periods of such retention

vary with the seat of the affection


clarified butter

the eye-ball).

The

mentioned above should, according to


in

them, be retained

the cavities of the eye for as long

a period as one would take to utter three

hundred,

five

hundred, seven hundred, one thousand, or eight hundred


syllables respectively in cases

of the

diseases

confined

to the region of the Sandhi,

Vartman, Sukla, Krishna,


the Drishti of the

the eye in general (Sarva-gata) and


eye*.

The

clarified butter

should then be secreted through

the interior corner of the affected organ which should be

by applying poultices of pasted barley. The Kapha, deranged by the use of this Sneha-Purana should be then conquered by making the patient inhale some
purified

kind of Kapha-subduing

Dhuma

(smoke).
five

This rule

-f

should be observed for one, three or


sion.
4.

days

in succes-

Symptoms
ive
the
first call,

of satisfactory, excessat
secre-

and defective Tarpana : Sleep


unembarrassed waking, cessation of

tion, clearness of vision,

agreeable sensation, perceptible

amelioration of the disease,

and lightness of the organ

Accordtng

to

some, the 'Pnrana' should be retained in the eye for a

period

required to count one thousand syllables in cases of Sarva-gata and

eighteen hundred words in cases of Drishti-gata eye-diseases.

t According
or five

to

Gayadasa,

this

rule should

be observed

for one,

three,
res-

days in cases of the preponderance of Vayu, Pitta and

Kapha

pectively,

and according

to Jejjata, in cases of mild,

moderate and severe

attack respectively.

86
are the

THE SUSHRUTA SAMHITX.

Chap. XVIII.

symptoms which result from a proper and satisfactory Tarpana of the eye. Cloudiness of vision,
of heaviness
(of the
in

a sense

the affected

organ, excessive

glossiness

eye),

lachrymation, itching, sliminess

and an aggravation of the Doshas are the features which mark a case of severe and excessive Tarpana. A sense
of dryness
in

the affected

organ, cloudiness of vision,


to
light

profuse

lachrymation, sensitiveness

and .an

aggravation of the disease are the


act of defective

evils

which follow an
5-

Tarpana
:

(of the eye).

Treatment of excessive and defective Tarpana Cases of defective and excessive


Tarpana should be remedied with the application of snuffs, Anjanas, washes and inhalations of smoke and by adopting dry or emulsive measures, (as
medicinal
the cases

may

require).

6.

and dcand darkness of vision, archedness of sight, absolute want of lachrymation, parchedness of the eye, hardness of the eye-lid and a severely diseased condition of the eye arc amenable to the application of the Tarpana measure as giving tone to the eye. The Tarpana measure should not to be applied in a cloudy day, nor in a day excessively hot It should not be applied to the eye of a or cold. person engrossed by anxiety or fear, nor before the
pilation

Cases for Tarpana : Shrivelling


of the
eye-lashes,

cloudiness

subsidence of the supervening


the eye-disease.
7-8.

symptoms (Upadrava)

of

The Puta-pa'ka
is

:~-The Puta-prfka measure

should be applied in the aforesaid cases.

not applicable in cases where


internal

and the

The Puta-paka Nasya (errhines), Tarpana application of Sncha (Sneha-pina) are


subsidence of the Dosha,

forbidden.

After a complete

the Puta-paka should be applied to the (affected) eye

Chap. XVIII.

UTTARA-TANTRAM.

87

in cases

where the patient would be found capable of


it.

being treated with


divided
into

The Puta-paka measure may be


classes,

viz., Snehana (emulsive), Lekhana (scraping) and Ropana (healing) Puta-paka. The Snehana (emulsive) Puta-pdka is recommended in cases marked by the extreme parchedness of the affected organ or locality, and Lskhana (scraping) ones are

three

efficacious

in

cases
;

of

excessive applications

of the

Sneha to the eye is invigorated by the Ropana (healing) Puta-paka, which restores the Vata, * the Pitta and the blood of the affected locality to their natural conditions, and (consequently) heals the
while the eye-sight
ulcer.

9-10.

Preparation of Snehana, Lekhana, and Ropana Puta-pa'kas :The Snehaua


(emulsive) Puta-paka should be prepared with the
(of
flesh
in

animals frequenting marshy places) abounding

Sneha f and with the Vasa (lard), Majjan (marrow), and Medas (fat), and the drugs of the Madhura group and it should be retained in the eye so long as one would take to utter two hundred syllables. The scraping or

Lekhana Puta-paka should be prepared with


and the
as well
shells,

the flesh

liver

of an animal of the Jingala species and

the drugs possessing the Lekhana or scraping properties,


as

Vidruma

powders of black iron (corals), Saindhva

(steel),
salt,

copper, conch-

Samudra-phena,

Kdsisa (sulphate of iron) and Srotonjana (pasted toThe affected locality gether) with the cream of curd.
should be exposed to a

Lekhana

Puta-p^Jka

as

long as

A different
In

reading, mentioned by Dallana, does not read "Vita."

place of

"*JK^is" meaning
l'-

flesh

abounding in Sneha, a
flesh)
is

different reading "^ftbirfa"

e> clarified

butter and

quoted by

Dallana.

88

THE SUSHRUTA SAMHITX.


to utter a

Chap. XVIII.

one would take


healing or

hundred syllables

at most.

The

Ropana Puta-paka
flesh of

should be prepared by

cooking the
breast-milk,

an animal of the Jangala group with


butter

honey*, clarified

and

the

bitter

drugs, and should be retained in

the affected

eye for a

period three times as

much

as

the Lekhana-Puta-paka

should be retained

i.e.,

for a period as long as

one would
connection

require to utter three hundred syllables.

11-13.
in

The fumigating measures mentioned


cations of

with the Tarpana of an affected eye, as well as theappli

Sneha and Svcda, should be resorted


of the

to in the

cases of the application of the Puta-paka measures, except


in

cases

application of the

Puta-paka applications
or

may

be

Ropana Puta-paka. made on one day only

may

be

continued for

two or three days.f.

strict

regimen of diet and conduct should be observed

for

a period twice as long as the preparatory period

(beginning with the time of administering the Sneha to


the patient for preparing him for the application of the

Puta-paka

till

the time of actually administering the


14-15.

Putapaka

itself).

Prohibition and Remedies for infringement : After the application of Tarpana


and Puta-paka
(to the affected

eye)' the
fire,

patient

should

not catch glimpses of the light,

sky, looking-glass or

any other luminous object; nor he should expose the eye


* In place

of

'

^ftqjsij"
lit.

(honey and

clarified butter)

Dallana quotes
butter pre-

a variant "fjsznsg"

sacred clarified

butter

e.,

clarified

pared from cow's milk.

+ Dallana explains that the application


should be

of the

Puta-paka measure
if

made

for

one day only in Kaphaja eye-diseases, or


;

the

Puta-paka be a Lekhana one


in Pittaja eye-diseases, or if
it

and

it

should be continued for two days


;

be a Snehana one

and

for

three

days in

Vataja eye-diseases, or

if it

be a Ropana Puta-paka.

Chap. XVIII.]

TJTTARA-TANTRAM.

89

to the blast of the wind.


incidental to
rules to

The unfavourable symptoms and induced by an infringement of the

be observed after the application of these two

(Tarpana and Puta-paka) measures should be remedied with the applications of Anjana (collyrium), A's'chyotana and Sveda (fomentation) to the deranged bodily Doshas,
underlying each particular case.
16-17.

Satisfactory, excessive and defective application Of Pllta-pa'ka :Freshness

and clearness of the colour


of the

(of the

cornea),

capa-

bility

organ (eye) to bear heat, light and wind,

refreshing sleep

and an unembarrassed gladsome wakening and a lightness of the organ are the benefits which are derived from Satisfactory Puta-paka applications. Darkness of vision, pain and swelling of the eye and
the appearance of eruptions organ,
arc

(Pidaka)

in

the affected

the

evils

tion of the Puta-pka

which mark an excessive applicameasure while suppuration and


;

lachryrnations of the

eye and a

thrilling 'Sensation

(Harsha) in the affected organ, as well as a further


aggravation of the Dosha (involved) are the characteristic

features of a deficient Puta-paka application.

18.

Mode of preparing
I

Pllta-pa'ka : Now
Pllta-pa'ka

shall

describe the

mode

of preparing a

remedy.
pasted

Two

Vilva (Pala) measures of cleansed and


of the

pasted meat, one Pala measure together and one

medicinal drugs

Kudava

(half a seer)

measure

of liquid

ingredients should

made

into

ball),

be mixed together (and well covered with .the leaves of

Kadali, K&smari, Eranda,

Kumuda

or of

Padma
or
in

plant.

Coated with

clay,

it

should be duly scorched


of catechu

in

the

burning charcoal

(fire)

wood

that of

Kataka, AJmantaka, Eranda, Pdtald,


/T.svfoVtf-exuding trees,

Vdsaka, Vadara,

or in the

fire

of the dried cakes


13

90
of cow-dung.

THE SUSHKUTA SAMHITA.

[Chap.

XVIH.

When
fire

well

cooked the

ball

should be

taken out of the

and broken and

its

contents with-

drawn and squeezed.


collected

The
(to

fluid extract

should then be
in

and applied

the affected organ)


19.

the

manner of applying a Tarpana.

The mode of application : The


being laid on his back at the time, the
fluid

patient

extract in

both the cases

(Tarpana and Puta-paka)

should be
in

dropped cold into the Kaninika (Cornea) of the eye


cases of
;

derangement of the blood and the Pitta it should be used lukewarm when the Vayu and the Kapha

would be found to have been aggravated.


sensation in the affected eye as well as
its

burning

consequential

inflammation would

result

from the use of too hot

(warm) or strong or keen-potencied (Tikshna) extract


for the purpose.

thrilling sensation (Harsha), pain

and

numbness
affected

in

the locality and lachrymation from the

organ originate from the use of a cold and


or

mild-pofincied Puta-paka

Tarpana eye-drop.
effects

Redof an

ness and contraction of the eye attended with

a jerking

and throbbing sensation therein are the


excessive (over-dose) application of the

Puta-pika and

Tarpana, whereas a deficient (under-dose) use of them


produces an aggravation of the deranged bodily Doshas
in the locality.

Properly applied, they alley the burning

and itching sensation, swelling, pain, lachrymation and mucous secretion, as well as the (unnatural) coating and As every one is desirous redness in the affected eye.
of avoiding the aggravation of Doshas, so the Puta-paka

as would give health

and Tarpana measures should be applied in such a way and happiness (to the eye). The evils resulted by a course of injudicious application of
Puta-paka or Tarpana, are to be remedied with the
of errhines

application

Nasya ), Dhuma and Anjana

Chap. XVIII.]

UTTARA-TANTRAM.
specific
in

gi
bodily

remedial to the

deranged
20.

Dosha or

Doshas involved

each case.

The

affected eye should be

fomented before the use

of a Puta-paka

Tarpana measure with a piece of cloth soaked in hot water (and rinsed). Fumigation of the affected organ in the end should be prescribed in a
or

case

marked by an aggravation
21.

of the deranged

Kapha
pre-

of the locality.

As'ChyOtana and Seka ".Properly


would respectively subdue cases of
attacks of the eye.
slight

pared and applied, the As'chyotana and Seka measures

and violent
(Lekhana,

Like the Puta-paka measure these


classes vis.,

two also are devided into three

Snehana and Ropana).


(for the

Seven or eight drops of the

medicinal fluid should be used in

Lekhana-AVchyotana
;

purpose of scraping the affected eye)

ten drops

in

the

Snehana
in

(for

emulsive

purposes) and twelve


(

drops
setting

the

Ropana

As'chyotana

for the
in

purpose of

up a granulative process

a local sore or

wound).

The maximum
is

period for which an (affected)


is

eye should be subjected to the Seka measure


long as
enjoined in respect of a
or until the disease

twice as

Puta-paka measure*

is gradually and wholly removed.f Both the As'chyotana and the Seka applications should

be made

in

the morning or evening or at noon (in accord-

The

period for which an affected


is

eye

should be subjected to the


It

As'chyotana measure,

not given in the text, but Dallana says that

should be the same as observed in cases of Puta-patka.

Some, however,

hold that in cases of both Seka and As'chyotana the period would be twice
as that for Puta-paka.

This rule
is

for

subjecting

the affected

eye to

the

measure

till

the

disease

gradually and wholly removed


it

is for

Seka and As'chyotana only j

but according to some

is

a general rule which applies also to cases of

Fula-pa!ka and Tarpana, etc.

gi

THE SUSHKUTA SAMHITA.

[Chap. XVIlt.

ance with the aggravation of the deranged Doshas),*


or whenever there would be pain (in the affected
eye),
"f

The symptoms of proper and improper (excessive and


deficient)

applications of a

Sneha (emulsive) Seka are


22-23.
diseases
serious

identical with those of

Tarpana.

^It*0-Vastl
application
of

The

peculiar to

the head readily yeild to and


Siro-vasti,

are

conquered by the
also

which
as

produces the

very good

effects

known

the

Murdha-tailika ones

peculiar to the use of (emulsive) Siro-vasti.

The

patient

having been treated with purgatives and emetics (according


to

requirements

should be given

a proper diet

according to the nature of the disease, and


sit

erect

in

the evening,

made to when an animal bladder (the

bladder of a goat being usually used for the purpose)


filled

with the proper Sneha, should be placed on his


tied

crown and firmly


filled

up with a bandage.
retained

The Snehathe head ten

bladder should be so
long as
is

on

times as

necessary for Tarpana measure,


24-25.

according to the nature of the disease.

Anjana
Ropana
should
of the

Proper Anjana for Lekhana (scraping),


or Prasadana (invigorating) purposes
(

(healing),

be applied after the cleansing

purging,

etc.)

system

in

cases where the deranged bodily


in the region

Doshas would manifest themselves


eye only.
26.

of the

A
*

Lekhana-Anjana should be prepared with the


should

The Lekhana-seka and As'chyotana


in the aggravation of

be applied in the

morning

Kapha,

while the Snehana one should be

applied in the afternoon in the aggravation of

VttyUi the Ropana


measures
but

ones

being applied at noon in the aggravation of Blood and Pitta.


t Dillana holds, that bath the Sjka and As'chyotana

may

be applied when- ver there

is

pain in the

affected

eye,

others hold

that this rule applies only in cases of Seka.

Chap. XVI1I-]

UTTARA-TANTRAM.

93

drugs of one or more tastes (Rasa) except the sweet

one and should be used


ing to the nature of the

in five different ways accordDosha or Doshas involved in in

each

case.*

The Dosha accumulated


and the
the
eye-lids,

the regions

of the eye

in

the ball, the passages,

and

in

the capillaries of the eye, as well as in the


of

gristle

nose

mouth, the

nostrils

would be secreted through the and the corners of the eyes by

the application

of a Lekhana Anjana. A RopanaAnjana should be prepared with the drugs of bitter and astringent tastes ( Rasa ) mixed with ( a little

quantity of
purposes.

clarified

butter

and

is

good

for

healing
it

Owing
its

to the

presence of the

Sneha,

is

cooling in

effect

and consequently gives natural

colour and vigour to the eye.

Prasa'dana- Anjana, pre-

pared with the drugs of sweet taste and with (a profuse


quantity of) Sneha, imparts tone and vigour to the eyesight

and should be used with advantage

for all

sooth-

ing purposes connected with the organ.

of the different kinds of

The application Anjana should be made in the


night
-f-

morning,
* In cases

evening or in the
of

in

accordance

the

derangement of the local VjCyu, the Anjana should


of acid

be prepared

with the drugs

and saline

tastes
taste
;

(Rasa)
in

in

the

derangement of the Pitta with those of astringent


those of astiingent, bitter

Kapha

with

and pungent

tastes

In cases of the derangethat in

ment of

the

bloodt Ihe Anjana should be

like

the derangement

of Pitta, and in cases of the derangement of two or three Doshas simultaneously, the

Anjana should be prepared with drugs of two


should
be applied in

or

three of

the tastes required.

The Anjana
the Pitta.

the

morning, in the evening

and

in the night respectively in the cases of

the derangement of the

Kapha

Vayu and

According

to the others, the

S'odhana, the Ropana

and the Snehana Anjanas should be respectively used in the morning, in Others, however, are of opinion that these the evening and in the night.
different times should

be judiciously selected in the different seasons of

the year according to requirement.

94

THE SUSHRUTA SAMHITA.

[Chap. XVIII.

with the nature of the deranged bodily Dosha or Doshas


involved in each case.
27-30.

an

Of Alljana :The forms in which Anjana may be, are those of pills, liquid (Rasa-kriya)
effica-

Forms

and powder * each succeeding, one being more


cious than

the one preceding


31.

it,

in the order of enu-

meration.

Their sizes and closes : The


a Lekhana, Prasadana and Ropana Varti

size (dose) of

(Pill)

should be

equal to that of one and a half and twice as

Kaldya pulse

for ocular affections in general.

much as a As regards

the application of Rasa-kriya-Anjana in these disorders the quantity to be


that of the

used in a dose should be equal to


in

Varti

the different

cases
(to

respectively.
in

As regards the dose of the powders


diseases)
it

be used

eye-

should be respectively twice, thrice and four


as would
32.

times as

much

be contained at the end of a

Salaka

(rod).

The materials of the vessel and rod for the use of an Anjana : The vessels
containing the
different

kinds of Anjana should be

according to the different kinds of Anjana themselves,

and these
use

vessels

as

well

as the Sal&kd (rod) for the

should be
(a

made

of gold, silver,

horn,

copper,

Vaidurya

kind of precious stone), bell-metal and iron


different
tastes

respectively (in accordance with the

of

the drugs the Anjanas arc

made

of), -f

The end

of the

Dallana

says

that

Pill-Anjanas,

Liquid-Anjanas

and Powder-

Anjanas should be prescribed in cases of severe, intermediate and mild


attacks respectively.

According

to

Dallana the Anjana of sweet

taste should

be placed

in a golden vessel, that of acid taste in a silver vessel, that of saline taste In a vessel

made

of horn (of a sheep),

that of astringent taste, in a vessel

either of copper or iron, that of pungent taste in a vessel

made

of Vaidurya,

Chap. XVIII.]

UTTARA'TANTRAM.

95

rod should terminate in a bud-shaped ball with the girth


of that of a Kaldya pulse,
eight fingers only.
at
It
its

entire

length measuring

would be well polished, slender


copper,

the

middle and capable of being easily handled.


of

rod prepared
etc.,

precious stones such as


etc.,*

Vaidurya,
beneficial.

and horns or bones,

will

prove

33.

How to apply an Anjana


drawn apart with the
right
left

: The
the

lids

of

the affected eye (of the patient) should be slantingly

hand, and

Anjana

should be carefully applied by holding the rod with the

hand and by constantly moving the rod from the Kaninika to the Apanga and vice versa ( along the
inner side of the
eye-lid
).

This

process

should

be

repeated

twice or thrice

according to requirements.

The Anjana should be


would be necessary
eye-lid.

applied with the finger


use
it

when

it

to
in

on the outer side of the


in the

The Anjana

no case should be thickly paint(i.c.,

ed in the corners of the eye

Kaninika and

the

Apanga from

fear of hurting them), nor the organ

should be washed

till all

the aggravations of the derang-

ed (bodily)

Dosha

in in as

the

locality

are

completely

removed thereform,
fresh aggravation
sight.

much

as

it

might bring on a

and impair the strength of the eyeAfter the subsidence of the deranged local Dosha
bitter taste

and that of

should be

placed

in a

vessel

made of

bell-metal.

The

S'alikd (tod) for the use of the

different

kinds of Anjana should be

also accordingly prepared.

According
Datta, in

to

Nimi, however, as quoted by Dalfetna and S'rikantha

commentaries, the Ropana, Lekhana *and Prasddana Anjanas should be placed in a vessel and used with a rod prepared respecttheir ively of iron, copper

and gold.

The

other materials

may

be,

however,

used with discretion by an experienced physician.


*

The

word

'^ftf' in the text

shows

that a rod of gold

may

also be

used with benefit Pallana.

g6

THE SUSHRUTA SAMHItX.


the eye should be
first

[Chap. XVIII.

and of lachrymation,
water, and

washed with
in

Pratyanjana should then be used


specific
in

accor-

dance with the nature of the

deranged bodily
34.

Dosha or Doshas underlying


Anjanas
fever,
fits is

each case.

Forbidden Cases : The

application

of

prohibited in cases of persons suffering from

Uddvarta, and the diseases of the head and during

of anger, grief, fear, weeping


in

and intoxication, as and


urine,

well as
in as

cases

of the

retention of stool
(in

much

as

it

might produce

these cases) lachrypain,

mation,
(Timira),
ness.

^ula (aching pain), redness,


swelling
in

blindness
giddi-

the locality, as well as


of

An

application

the

Anjana

in

case

of

insomnia might be
sight*.

followed by

the loss of the eye-

The

application of an Anjana in

a windy day

may

impair

the eye-sight.
dust
or smoke,

Application to the eyes

affected with

may

bring

on redness,

Adhimantha (Ophthalmia) and


aching pain and swelling
aggravation
of
in

local secretion.
it

Applied

after the use of an errhine (Nasya)

may
It

usher in an
to

the eyes.
if

leads
in

the

the

disease,

applied
of

disease of the head.

The
it

application

any an Anjana
or in a

would be abortive, nay,


Dosha,
if

would rather aggravate the


bath,

applied before sun-rise, after a

very cold day, owing to the


bodily Dosha.

fixedness of the deranged

Similarly, the application of an

Anjana

would
of the
*

fail

to produce

any

effect in a case of

indigestion,

owing to the sluggish condition of the internal passages

body (during the continuance of the

disease).

is an additional text"ff 5fsri M SRi which supplies -complete verb and a makes the sense fafTO IPffTOTH"

In some editions there

complete.

The

line

means

the application of an
line).

Anjana in a forbidden
pain etc,

case produces loss of sleep (insomnia) in addition (to redness,

mentioned in the preceding

bap. XVIII.]

UTTARA-TANTKAM.
Anjana
in

'

97

The

application of an

an aggravated stage
Hence, the applicain

of the deranged bodily Doshas, ushers in the distressing

symptoms
tion of an

peculiar to each of them.

manner as not

Anjana should be carefully made to induce any of the aforesaid


in

such a

evils,

and

these rules should be specially observed

connection

with a Lekhana-Anjana.
should be treated with
plasters,

These distressing symptoms washes (lotions), As'chyotana,

Dhuma

(fumigation),

Nasya and Kavala (gurgle)


in

with due regard to the specific nature of the deranged


bodily

Dosha or Doshas involved

each case.

35-36.

Symptoms
ive
:

of satisfactory, excess-

and deficient use of a LekhanaAnjana Lightness, whiteness and pristine clearness of the
vision
eye,

marked

tressing

and absence symptoms, are

of secretion

by the improved power of and all other disindications which

the

point

to the fact that the eye has

been satisfactorily purged


the proper application
excessive purging of the

of the accumulated Doshas (by of a

Lekhana Anjana).

An

eye (by the excessive use of a Lekhana Anjana) begets


such local evils as the deep discolouration of the external
coat of the eye,
its

sense

of looseness

in

the socket,

lachrymation, archedness of the organ


constant dryness in
its

and a sense of
in

cavity.
in

The medical treatment

such instances consists

the employment of soothing

(Santarpana) and other Vayu-subduing remedies.


insufficient

An

or

deficient application

of

the

Lekhana^

Anjana leads

to the aggravation of the local

deranged
out
local

bodily Dosha

which should

be

fully

secreted

by employing medicinal
fumigation.
37-39.

errhines,

Anjana

and

Symptoms of satisfactory,
ive

and deficient use

of

excessPrastfdana
r

98

THE dU.SHRUTA SAMHITX.

Chap.

XViH.

(Snehana) and Ropana Anjanas ;The


action of the satisfactory application
of a Prasa'dana

(Snehana) Anjana
natural colour

is

to soothe

the eye, to impart a


to
it

healthy tone to the organ of sight,

restore

its

and

gloss,

and to make

strong and

unclouded and free from the aggravation of any Dosha.

Any

excess in the application

is

followed

identical with those of excessive application of

by results Tarpana

(soothing measures)* to the organ, and the


sists in

remedy con-

employing mild but parching remedies antidotal to the deranged bodily Dosha (Kapha) involved in the
case.

The symptoms which mark a satisfactory and excessive application of a Ropana (healing) Anjana,
to be applied in

as well as the medical treatment

cases

of excess, are identical with those mentioned in


tion

connec-

with the

satisfactory

and excessive application


Anjanas
(respectively).

of the

Pras&dana (soothing)

Deficient applications of both the Snehana (soothing)

and the Ropana (healing) Anjanas


affections) are sure

(in

respect of ocular
effects.

to

prove abortive in their


apply
it

Care should,
if it is

therefore, be taken to

properly,

hoped to get the wished-for result. 40-43. Thousands of remedial measures and remedies

may
the

be devised

and

employed

in

the'

manner
44.

of

Puta-paka and other measures

on the basis

of the

fundamental principles herein inculcated.

Now we

shall describe the


fit

recipes
for

and preparations
to

of several principal Anjanas

the use of kings and the

crowned heads
eye-sight

for the purpose of giving strength

and

for the

amelioration of ocular affections


palliative measures.

(Kacha,

etc.)

amenable only to the

Eight parts of Rasdnjana (Antimony) having the hue of

See S'loka 5 of this Chapter,

Chap. XVIII,]

UTTARA-TANTRAM.

99

a (full-blown) blue lotus flower, as well as one part each


of (dead) copper, gold and silver should be taken together

and placed inside an earthen

crucible.

It

should then

be burnt by being covered with

the burning charcoal


fire

of catechu or .As'mantaka wood, or in the

of dried

cakes of cow-dung and blown (with a blow-pipe till they would glow with a blood-red effulgence) after which the
expressed juice (Rasa) of cow-dung, cow's urine, milk-curd,
clarified butter,

honey,

oil,

urine, lard,

marrow, infusion of

the drugs of the Sarva-gandhd group, grape-juice, sugarcane-juice, the expressed juice of TripJuxld

and the comSdrivddi

pletely cooled decoctions of the

drugs of the

and the Utpalddi groups, should be separately sprinkled


over
it

in

succession

alternately
it

each time with the


explicitly, the crucible

heating thereof, (or to put


should be taken

more

down

after being

heated and then one


over
its

of these draughts should be sprinkled

contents

and then again heated and again sprinkled over with


another draught, and so
on).

After that, the preparation

should be kept suspended in the air for a week, so as to

be fully washed by the rains.


tionate parts (quarter part) of
corals
is

The compound should


pearls,
crystals,

then be dried, pounded and mixed together with propor-

powdered

and Kdlanu-sdrivA. The compound thus prepared

a very good

Anj ana and


of
ivory,

should be kept in a pure


Vaidurya,

vessel

made

crystal,

S'amkha
wood.
It

(conch-shell), stone, gold or silver or of Asatta

should then be purified

(lit.

worshipped)

in the

manner

of the purification of the


before.
It

Sahasra-Paka-Taila described

may

then be prescribed even for a king.


it

Applied along the eye-lids as a collyrium,


king to become favourite with
his

enables a

subjects

and

to

continue invincible' to the last day of his


ocular affections
45.

life free

from

100

THE SUSHRUTA SAMHITX.

Chap.

XVHt.

Bhadrodaya-Anjana :The
as Kusht/ta,

drugs

known

Chandana,

Eld,

Patra,

Yashti-madhu,

Rasdnjana, flowers of Mesha-s'ringi,

Chakra (Tagara),
lotus, Ndga-kes'ara,

the seven kinds of jewels*, the pollens of the flowers of


Utpala, Brihati,

Kantakdri and of
of hen's

Us'ira, Pippali, the shells

eggs,

Ddru-haridrd,
or

Haritaki,

Goroc/wnd,

Markka,

marrow

kernel

of

Vibhita&a-seeds and the flesh of lizards (which are found


to scale the walls of rooms), should be
in equal parts

powdered together
in

and should be preserved


in

vessel

and
This

purified

(sanctified)

the

preceding manner.

Anjana

is called the Bh adrodaya- Anjana and should always be used by a king. 46.

Equal parts of Chakra (Tagara), Markka, Jatd-mdmsi and S'aikya with Manah-s'ild equal to the combined
weight of the preceding drugs, four parts of Patra with

Rasdnjana (antimony) twice the combined weight


all

of

the

preceding

drugs and

Yashti-madhu of equalf
the fore-

weight with the last-named drug (Rasdnjana) should be

powdered together and used as an Anjana going manner. 47.

in

Manah-s'ild, Deva-ddru, the two kinds of Rajani, Triphald, Trikatu, Ldkshd, Las'una, Manjishthd, Saindhava,

Eld, Mdkshika, Sdvaraka Rodkra, dead iron and copper,

Kdlanu-sdrivd and the outer shells of hen's eggs taken


in equal

parts

should be powdered together, resolved

into

a paste with milk and


size.

made

into
as

pills

of adeitching

quate

Diseases

of the

eye such

the

sensation in the eye,

Timira,"

Suklarma and Raktaraji


48.

readily yield to the curative efficacy of this Anjana.


*

The seven kinds

of gems are (1) Padmaraga, [2) Marakata, (3) Nila,

(4) Vaidurya, (5) Mukta (pearl) (6) Pravala and (7) Hema (gold). t According to some the weight of the Yashti-madhu to be uied in
this

Anjana should be equal

to that of all the other drugs

combiaed.

Chap. XVlli.

UTTARA-TANTRAM.

lof

An Anjana
ing
it

should be prepared by collecting lamp-

black on a vessel

made

of

Indian bell-metal, and mix-

with one part each of

Yashtimadhu, Saindhava,

Tagara and roots of Eranda, as well as two parts of


Brihati.

This

compound should be pasted

together

with goat's milk and thinly plastered on a copper plate.

This process should be continued for seven times in


succession

and dried

in the

shed.

It

should then be
relieve

made

into

Vartis and (used as such) would


49.

pain in the eye.

One

part

each of

Haritaki,

Yashti-tnadhu

with
pasted
into

sixteen parts of Maricha should be pounded and

together with cold water.

It

should then be
in
all

made

Vartis and would be efficacious


affections.

sorts

of ocular

An
the

experienced physician

may

with care

and

discretion prepare Pindtfajanas with the drugs antito


specific

dotal

the case, in
preparations.

the

Dosha or Doshas involved in manner of preparing the Rasa-kriya

50-51.

Thus ends the eighteenth chapter of the Uttaia-Tantta in the


measures
to

Sus'ruta

Samhita whieh deals with the preparations and uses of the medicinal
be used in different ocular
affection!..

CHAPTER
Now we
shall

XIX.
or
injury to the
i.

discourse
cases

on the medical treatment


eye

to be adopted -in

of hurt

(Nayana'bhigha'ta-Pratishedha).

A violent and

intolerable

pain

in

the eye accom-

panied by redness and swelling therein, resulting from a blow or from any sort of hurt or injury to the organ,
should be remedied with the application of medicinal

Nasya

(errhines),

plasters,

sprinkling

and Tarpana
mentioned
in

(soothing measures),
before, as well as the Pittaja

and

other measures

measures prescribed

cases

of

and Raktaja Abhishyanda

lit.

remedial to the
Pitta

pain (Sula) caused by the deranged blood and


in the locality.

The

affected

eye (Drishti) should also

be soothed with the help of cool, sweet and fatty drugs. This kind of treatment should also be followed in cases

where the eye would be hurt or oppressed by (excessive)


fomentation,

smoke

or glare-fife, or affected on account

of fear, mental agony, pain or injury.

These measures

should also be resorted

during the
as a

first

stage (t. e., week) of the hurt or injury in the eye.


in

to

the first

After this period the affected


case
of an

eye should be treated

Abhishyanda with due regard to the specific deranged bodily Dosha or Doshas of the nature
involved in the case.

A
2-4.

slight

hurt in

the eye

may

be instantaneously relieved by the application of warm


breath-fomentation.

Prognosis

Any ulceration
may
difficulty,

restricted

to
;

Patala (coat) only of the eye

be easily cured

one an

ulcer invading two Patalas of the organ

may

be healed

only with the greatest


ing
three

while the one affect-

Patalas

should

be

regarded as incurable.

Chap. XIX.

UTTARA-TANTRAM.
in

103
cases of

Palliative measures are all that are possible


looseness,
dislocation,

sunkenness

and the

thiashed

condition (Pichchita) of the eyes as well as in a case of


Hata-drishti
(loss

of

eye-sight).

Cases of wrong or
dilation of the pupil,

erroneous vision,

marked by the
in its

absence of any considerable redness and those cases

where the eye


affected
in

(eye-ball)

is

proper place and


prove

is

not
to,

its

power of vision
5-6.

amenable

medical treatment.

sunken eye

may

be uplifted either by holding the

breath (Prana-vayu) or by inducing vomiting or sneezing, or

by

throttling or obstructing the wind-pipe.

the eyes would be found to be hanging


sockets,

Where down from the


before*

the measures and remedies prescribed


to,

should be resorted

and the patient should be made


nostrils)
7,

to take in long breaths of air (through the

and

cold water should be poured

on

his head.

Symptoms and treatment of Kukunaka


Vayu,
in (the
is

The seventy-six kinds of


Kapha and
as

eye-diseases

herein
infants,

mentioned before, occur to adults as well as to

but a peculiar disease, due to the action of deranged


Pitta,

blood, sometimes manifests itself

inner lining of) the eye-lids of an infant and this

known

Kukunaka.

Its

exciting cause

is

the
In

vitiated condition of the breast-milk of the mother.


this disease, there is excessive itching in the eyes,

and the
his

child frequently rubs his eyes, nose


fist
;

and forehead with

there

is

constant lachrymation and the child cannot

bear the least light of sun's rays.

The orgkn

should, in

such cases, be speedily bled (by applying leeches) and be


scraped (with rough leaves).

The organ should

further

be rubbed with

Tri-katu

and honey pasted together.

* Sec Chiktt-ita-sthana, Chapter II, Pata 29.

104

THE SUSHRUTA SAMHITX.

[Chap. XlJi.

The mother (or the nurse) should also be treated in the manner prescribed before (in cases of an affection of the Compounds of Saindhava salt, honey breast-milk).
and powdered Khara-manjari (Apamarga) seeds, as well as those of powdered Pippali, Saindaava-sa.lt and honey
with the vehicle of breast-milk should be given to the
child for emetic purposes, but this should be discontinued

as soon as vomiting would set

in.

8-10.

To

a child

who

takes

both breast-milk and other

solid food, the

emetic should be administered with the


(i.e.,

admixture of Vachd, and to a much older child

one

who

has given up taking breast-milk) the emetic should

be given with the admixture of

Madana

fruit.

1 1.

Decoction of the tender leaves of Jambu, Antra and Amalaki should be used for washing and sprinkling Clarified butter duly cooked with Tri-phald purposes.
or with Guduchi should be

dropped into the eye as an

As'chyotana measure.

12.

Anjanas composed of Manah-s'ld, Maricha, S'amkka


(conch-shell),

Ras&njana

and Saindhava pounded

to-

gether and pasted with honey and treacle should be


applied to the affected organ.

Compounds
also

of

Murvd,

honey and powdered copper should


Anjana.
(steel), clarified

be used as
black iron

The compound prepared by burning


butter,

milk and honey mixed together

should be similarly used as an Anjana.


tive,

As an

alterna-

the

GutiMnjana made up
Yashti-madhu,

of

Trikatu,

Paldndu

(onion),

Saindhava,

Ldkshd

(lac)

and

Gairika (earth) pasted together, should be used.

The

Anjana made of Nimba-X eaves, Yashti-madhu, Ddrvi, *


*

"Ddrvf

generally

means Ddru-haridrd
it

ofVideha, Dallana takes


Haridri and Da! ru-haridrA.

to

mean

the

; but, here, on the authority two kinds of flaridri, viz.,

Chap. XIX.

UTTARA-TANTRAM.

I05

copper (powdered) and Lodhra taken in equal parts

and

pounded together, is also efficatious. 13. An Anjana prepared with Rasdnjana (Antimony),
S'amkha,
period

curd and

Saindhava
child in

kept

together for a

of half a fortnight, *

should
cases

be applied to the
of Sukra,

affected organ of the

and the

directions given under the

head of Kaphaja-Abhishyanda should also be followed by experienced physicians in


14.
is

such cases of the eye-disease of children.

Conclusion
incomprehensible
described even
in

The
the

Science of medicine
ocean.
It

as

as

cannot be

fully
verses.

hundreds and thousands of


are
fail

Dull

people

who

incapable of catching the real


to acquire
if

import of the Science of reasoning would


a proper insight into the

Science of medicine

dealt
occult

with elaborately in

thousands of verses.

The

principles (of the Science

of medicine), as explained in

these pages, would, therefore, sprout and

grow and bear


(medical)
occult

good fruits only under the congenial heat of a (medical)


genius.

learned

and experienced
to understand the

man

would therefore try


to other Sciences.

principles

herein inculcated with


1 5.

due caution and with reference

Thus ends the nineteenth chapter of the Uttara-Tantra


Samhita which deals with the medical treatment
of hurt or injury to the eye.
to

in the Sus'ruta

be adopted in cases

The method of preparing


is
first

this

Anjana, as explained

by Dallana

on the authority of Videha,


Saindhava should be
days and a half and
to the eye as

S'amkha (conch-shell) and pasted together with curd'(Dadhi) and then a


as

follows:

quantity of Rasdnjana should be soalced

with

this preparation

for

seven

Varti

should then be prepared therewith and applied

an Anjana.

CHAPTER XX.
Now we
the ear
shall discourse

on the chapter which


hearing

treats

of the causes

and symptoms of the diseases peculiar


organ
of

to

the

(Kama-gatadifferent forms

Roga-Vijna'niya). i. Classification :Twenty-eight


of ear-diseases arc noticed
(ear-ache),
in

practice, vis.,

Karna-Sula
the
ear),

Pra-nada (ringing
(deafness),

or noise

in

Vadhirya
of pus,
car),

Kshvcda, Karna-Srava (discharge


ear),

etc.,

from the
the two

Karna-Kandu

(itching

in the
ears),

Karna-gutha, Krimi-karna
kinds

(vermin-infested

Prati-naha,

of Vidradhi (local abscess),


ear),

Karna-paka (suppuration of
the
ear),

Puti-karna (fetor in
or polypuses
in the

four kinds of Ars'as (Cysts

car),

seven kinds of Arvuda (tumour) and four kinds of


(swelling).

Sopha

Symptoms
na'da
ear and
local
:

of Karna-ula
aching pain
in

and Pra
of the

The violent
inside the

the region

tympanum

caused by the deranged


obstructed

Vayu,

aggravated and

by the other

deranged Doshas
(ear-ache).

in the locality is called the

Kama-Sala
in the ear

Ringing and various other sounds

are heard
into the

when

the deranged

Vayu

of the locality
stuffed in

gets

wrong way and remains there


3-4.

the
is

sound-carrying channels of the organ.


called the Pra-nrida.

This disease

Symptoms
da SVa'dhirya
nuance
local

of Va'dhiryaand Kshveresults

(deafness)

from

the

conti-

in the sound-carrying

channels of the deranged

Vayu in combination with the deranged local Kapha in those localites without anyway being remedied

or subdued.

An

attack of

Karna-kshveda (expresing a

Chap. XX.

UTTARA-TANTRAM.
the ear)

10?

peculiar sound in

may

be attributed to such

causes, as to the use of

cold

after

any cold thing or exposure to being treated with a head-purging remedy


continuance
of the deranged local

(errhines), or to the

Vayu
labour,

in

the sound-passage, aggravated


in

by any wasting process


5-6.

by excessive the system or by

taking articles of fare of astringent taste or of parching

(Ruksha) property.*

Symptoms
Karna-kandU
:

of

Any
owing

Karna-Srava
discharge
a blow

and
of

or secretion

pus from the ear caused by the deranged bodily


stuffing the ear-cavity,

Vayu

to

on the head or

a long immersion in water or a spontaneous suppuration

(and bursting) of an abscess in the inner ear,

is

called
in

Karna-sraVa.

The

excessive itching

sensation

the

ear due to the aggravation of the local

Kapha

is

called

Karna-kandu.

7-8.

Symptoms of Kai*na-Pl*ati-na'ha
in the ear dried

Any mucous accumulation


local
;

Karna-gutha and
when the
of

and hardened by the heat of the


in

Pitta
lation

is

called

Karna-gutha
cases

dried accumu-

of the ear

Karna-gutha becomes
called

liquefied,

(and comes out through) the cavity of the

nose

-f

and

produces head-disease
9-10.
in the

J it is

Kamathat
in the

Prati-niha.
*

Tha

difference

"Kama-n&la" and "Kshveda"


is
it is

is

former the sound in the ear


is

produced by the deranged Vayu alone and


of a special kind, vie., that
Pitta,

of various kinds, whereas, in the latter

of a wind-pipe

the exciting cause


"^rtfMrej" to

being the deranged'Jocal

and blood.
t

Videha.
explain

Kapha
the

Some

mean

the cavity of the nose and of

mouth.

t In place of "firT^rrrfHWTT:" (producer of head'disease) Maclhava


in his

Nidana

reads

'Inoats^SsStff

>'

producer of the head-

disease

known

as Ardha-vedhaka (fee chapter

XXV).

toS

tHE SUSHRUTA SAMHITX.

Chap. Xtf.

Symptoms
Karna-Vfdradhi
other local parasites in
pletely

of
:

Krimi-karna
cavities

and
comcalled

Germination of

vermins or of
ear
is

the

of the

impairs the faculty of hearing

and

Krimi-kirna from the existence of worms in the ear. Any abscess caused by any local ulcer or by a blow,
as well

as

any idiopathic abscess


as

in
It

the
is

cavity of the

marked by a choked and burning sensation, and piercing and sucking pain, and it secretes red, yellow or reddish bloody
ear
is

known

Karna-vidrathi-

discharges.

11-12.

Symptoms of Karna-paka and Putikarna, etc.


(in
:

A process of suppuration
is

setting in

any of these

boils) in the car

through the aggravated

condition of the deranged Pitta

marked by a blocked
ear.

and putrid condition of the passage of the


disease
is

The
ear).

called

Kama-pika* (suppuration
is

of the

discharge of condensed and fetid pus whether accomset

panied or not with pain

up by the

local

mucous
This

accumulation
liquefied

in

the

passage of the ear having been


Pitta.

by the heat of the aggravated


is

disease

called

Puti-karna (pus

in

the ear).

The

symptoms
described

of swelling (Sopha),

tumours (Arvuda) and


as

polypoid growths (Arsas) * in general


before should
to

have been

be

carefully understood

by an
these

experinced physicain

be

the

symptoms
13-15.

of

diseases in the region of the ear.


Thus ends
the twentieth chapter of the the

Uttara-Tantra in the

Sus'rutft

Samhita which deals with


peculiar to the ear.

causes

and symptoms of the diseases

* See

chapter VI,

XVIII and XXIII,

Chikitsita-Sthana.

CHAPTER
Now we
car
shall discourse

XXI.
treats

on the chapter which

of the medical treatment of the diseases peculiar to the

(Karna-gata Roga-Pratishedha). i. General treatment '.Potions of clarified


meal),
all

butter (after

use

of Rasayana-measures,*
of

re-

nunciation

of

sorts

physical

exercise,

baths

without immerging the head, absolute sexual abstinence

and abstinence

from

talkativeness

are

the

general

remedies and rules to be prescribed in the affections of the ear in general. 2.

Treatment of the Vataja Ear-diseases


: The course of medical treatment to be pursued in the four forms of the ear-diseases (all due to

the action of Vayu) vie, Karna-s'ula, Prana'da, Va'dhirya

and Karna-kshveda is the same and is as follows, Sneha should be first administered (both internally and externally) and the patient purged with emulsive purgatives after which the affected locality should be fomented
with Vayu-subduing drugs administered
of Na'di-sveda or Pinda-sveda.
3.

in

the

manner

case of Karna-s'ula (ear-ache), due to the concerted

action of the deranged


yield to

Vayu and Kapha

of the locality

the application of fomentation to the affected


S'igru, Ajagandhd,

part with (the fumes of) Vilva, Eranda-roois, Arka, Var-

shdbhu, Kapittha, Dhustura,

As'va-

gandhd, Jayanti, barley and bamboo, boiled in Arandla (fermented rice-gruel) and administered in the manner of Nadi-sveda (fomentation through a pipe). An attack
of Karna-s'ula (ear-ache) yieds
* In place
of

to

the

application

of

"Rasayana"

(use

of tonic)

some read "Raoas'anam"

(use of meat-soup with meal).

110
Pinda-sveda

THE SUSHRUTA
made with
4-5.

SAMHITA*.
of boiled

Chap.

XXL
fish,

pieces

flesh

of

cock or Lava (jointly or severally), or with (balls of

condensed) milk.

A
it

bowl-shaped cup should be


in
oil

made

of the leaves

of the As'vattha soaked

and Dadhi-mastu* and

should be heated by means of charcoal-fire.

The

oil,

thus heated and

made

to

drop into the affected organ,


a case of ear-ache.

gives instantaneous relief in


affected organ should be

The

fumigated with the fumes of

burning pieces of Kshautna (linen cloth) as well as


with
clarified butter,

Aguru and Guggulu mixed


well

together.

Draughts of

clarified butter as

as

the application
6-7.

of Jiiiro-vasti after meal arc also found beneficial.

rice diet

should be foregone in the night, and

draughts of

clarified butter followed


its

by potions of milk
Vala-Tailai"
as well
also be
crrhine,
It

should be taken in

stead.

The Sata-paka

should also be prescribed as Siro-vasti,


as Mastikya-Sirovasti

and sprinkling.
first

may

given internally.

Goat's milk

cooked with Kantathe


of

kdri

(in

the

manner
cock

of Kshira-paka) and then with


is

fat (Vasa) of a

extremely efficacious
8 -9.

(in

cases

ear-ache)

if

used as an ear-drop.

The

four kinds of

Sneha

(oil,

clarified-butter,

lard

and animal marrow) duly cooked together with the Kalka of Tanduliyaka, Amkota fruits, Ahimsrd, Kendrakdroots, Sarala, Deva-Ddru, Las'una (garlic), S'untki and
the scrapings of bamboo-skin and with the liquids of acidj

* "Mastu" (curd-cream)

is

mentioned neither

by

Vrinda nor by
be used

Chakrapani.

According

to Videha's recipe, clarified butter should


Pitta.

in place of oil in cases of the aggravation of the

t For "Vala-Taila" See chapter XV, Chikitsita Sthana.

t The

liquid acids here

are

Dadhi,

Takra,

Surd,

Chukra

(a

kind

of Kanjika) and the expressed juice of M&tulunga.

Chap.

XXL]

UTTARA-TANTRAM.

Ill

taste (instead of water)

should be used as an ear-drop


10.

in

order to alleviate the aching pain therein.

The expressed juice of Las'una, S'igru, Ardraka, Murangi, Mulaka and (branch of) Kadali jointly or
severally poured
acts as

lukewarm into the cavity of the organ


(in case of acute ear-ache).

an excellent ear-drop

As an alternative, the expressed juice of S'ringa-vera mixed with honey, Saindhava, and oil should be used
lukewarm as an ear-drop
Clarified

to

alleviate the

pain therein.

butter*

duly cooked with the scrapings of

bamboo-skin and the urine of a ewe and of a she-goatf*


should also be used as an ear-drop in
ache.
11-13.

cases of ear-

Dipika-Taila : Pieces
major Panctia-mula
length should

of

the

roots

of the
in

measuring

eighteen

fingures to

be covered (extending only


a piece
so
in

three-

fourths of the whole) with

of linen

and then

soaked
lighted

in

oil.

The
oil

stick

formed, should then be

and the

pouring

drops therefrom should


It

be used lukewarm (as an car-drop).

instantaneously

removes the pain, and

is

know n

as the Dipiktt-Taila.

Different kinds of Dipika-Taila

may

be likewise pre-

pared with pieces of Diva-ddru,Kushtha or Sarala wood,

and used

in

the

same manner

in cases of ear-ache. 14-15.

Tender sprouts of Arka plants pasted with Kdnjika (Amla) should be mixed with oil and salt. The paste
thus prepared should be placed inside the
in a

hollow

made

branch of Snuhi tree and wrapped up with the

Both
"Savpih"

Vtinda and
butter).

Chakrapani read
But

"Taila"

(oil)

in

place

of

(clarified

we have

the authority

of Videha (as
in favour of

quoted by S'rikantha Datta in his commentary


clarified butter.
(

on Vrinda)

Clarified butter should first

be cooked with the urine of a ewe

ant}

then with that of a she-goat.Dallana.

112
leaves of the

THE SUSHRUTA SAMHITX.

[Chap.

XXL

same plant. It should then be scorched The juice should in fire in the manner of Puta-paka. then be squeezed out of it and used lukewarm as an
ear-drop to alleviate the pain in the
ear.
16.

Different kinds of Ear-drops:The


and Ardraka mixed together and made lukewarm, or the lukewarm Chukra (a kind of Kanjika) should be used as ear-drops
in a case of ear-ache.

expressed juice of Kapittha, Mdtulunga

As an

alternative, the affected ear

should be judiciously dusted

with powdered Samudraeight kinds


as

phena

in

such a case.

of officinal urines

As an alternative, the made lukewarm and used


in

an

ear-

drop

may

prove efficacious

removing an ear-ache.
the curative
officinal

Similarly, a case
virtue of

of an ear-ache yields to

an car-drop, composed of the four

kinds of Sneha duly cooked with the different kinds of


officinal urine

and acids (wine,

sour-gruel,
17.

etc.,)

as well

as with the

Vayu-subduing drugs.
!

General and Specific treatment of


Pittaja Ear-ache

The above-mentioned mode


etc.)

of treatment (car-drops and fomentations,

with the
Pittaja-

Pitta-subduing drugs should

be

followed

in

Kama-Bula

(ear-ache).

The

use of the medicated Ghrita

duly cooked with milk weighing ten times as


Ghrita* duly
(bitter)

much and
Tikta

with the drugs of the Kdkolyddi group,- as well as the

cooked

with the

drugs

of the
in

group would be found beneficial


as

such cases.

Clarified butter duly

cooked with the tender sprouts of


trees),

Kshira-vriksha (milk-exuding

well

as

with

Yaskti-mad/iu and Chandana wood, or that cooked with


the decoction of Vinibi with (the

Kalka

of) sugar, Yasthi-

* Dallana

says

that Jejjatacharya

holds

these

two

recipes

as

unauthoritative.

Chap.

XXL]

UTTARA-TANTRAM.
the purgative drugs would
18-20.

113
also

madhu and
beneficial.

be found

Treatment
sula : In
or Ingudi oil
will

of the

Kapha J a Karnaoil
if

cases of

Kaphaja-Karna-sula mustard

be found beneficial

used as an

ear-drop.

Decoctions (Yusha) of the drugs of the bitter

group, fomentation (Sveda) with Kapha-subduing drugs,


as well as the
oil

cooked with the drugs of the Surasddi,

or the major Pancha-mula group would


ficial.

be found bene-

The expressed

juice of

Mdtulunga, Las'una and


oil

Ardraka, as well as S'ukta, or the


of

cooked with any


in

them should be used as ear-drops


likewise,

such cases.

The
is,

use of strong head-purgatives (errhines), or of gurgles

recommended

in

such cases.
in

21-24.

The
just the
s'ula.

medical

treatment
the

case

of

ear-ache

due to the vitiated condition of the blood should be

fame as that

in

case

of a

Pittaja

Karnacourse
in

25
outline of the

Thus we have given a general


of treatment

and remedial measures to be adopted


of ear-affections,
viz.,

the four kinds


ache), Pra-nada,
shall

Karna-s'ula

(ear-

Vadhirya and Karna-kshveda.


be employed
in

Now we
deafness

deal with the special recipes and preparations


cases

of ear-drops to

of

(Va'dhirya).

26.
oil

Treatment of deafness :The


cooked with water, milk and
of deafness.
urine (as Kalka) should be used as an ear-drop

duly
cow's
cases
,-

Vilva pasted with


in

Oil

should be

first

cooked with goat's


with sugar and

milk or the decoction of Vimbi


Yashti-

fruit

cooled

madhu and Vimbi fruit (as Kalka). When down (it should be churned with the hand
portion) should
in

and) the Sneha (oily

be

separated. of

This oily part, after being stirred

the decoction
15

114

THE.

SUSHRUTA SAMHITX.

[Chap. XXI.

Vilva* should again be cooked with milk weighing ten


times and with (the Kalka
(red) sandal
of) sugar,

Yashti-madhu and
be thickened and

wood.

It

should then
cases

used as an ear-drop in

of deafneSB.
in

Measures
connection

and remedies, which


with
cribed
Pratis'yaya-jin

will

be mentioned

(catarrh)

or have been already deJ

the chapter on Vata-Vyadhi

Chikits.4

may

be

as

well

employed with benefit

in

the

present

instances.

27-30.

Treatment of Puti-karna, KarnasraVa and Krlml-karna :The general mode


of treatment to be

employed
is

in

cases of Karna-srava,

Puti-karna and Krimi-karna

the

same as above.
filling

Now

here (me describe) the general

mode

of treatment to be

employed

in

them.

Errhines, fumigating,

up the

cavity of the ear (as with

an ear-drop), cleansing and


be washed with

washing should be employed according to the exigencies


of each case.

The

affected ear should

the decoction of the drugs of the Rdjaorikshddi or the

Surasddi group and


drugs.

filled

with the powders of those

In a

case

of Kama-Sra'va, the cavity of the

affected organ should be filled in with the

powders (D.
31-32.

R".

decoction) of the Pancha-Kashdya

drugs mixed

with

honey and the expressed

juice of Kapittha,

* In

place of "Vilvambu-gadhatn" some read "Vimbi-gjldham"


fruit.

,i.

mixed with an abundant quantity of powdered Vimbi


t Chap.
.

Dallana.
the

XXIV,
to

Uttara-Tantra.

t Chapter

V and

VI, Chikilsita-Sthrfna.

According

some,

"Pancha-Kashaya"
of

means

barks

of but

JL'ragdadha,

S'irhha,

Jambu,<Sarja and

Asvamdra

(Palas'a),

Dallana, on the authority of the authors of the Tika and the Panjikd, (the two commentaries) refutes this and holds that "Pancha-kashaya"

means

the barks of Tinduka, Abkayd, Lodhra,


in this chapter.

Samanga' and of 4'malafto

enumerated below

Chap.

XX I.

UTTARA-TANTRAM.

I j

The
mended
sisting

use of the

powders of Sarfa-ba.ik mixed with


juice of the

honey and expressed


in

Kdrpdsi

fruit is

recom-

Kama-Sraiva. of pulverised Ldkshd and


cases of
filling

compound con-

Sarja-rasa (D. R.

Rasanj&na) should be used in


affected organ in the said

up the cavity of the

disease.

The

oil

duly cooked

with the tender sprouts of S'aivdla, Mahd-triksha, Jambu

and of Antra, as well as with Karkata-S' ringi honey and Manduki is highly efficacious in these cases.

Powders of the barks of


Santavgd and of
the
used.

Tinduka, Abhayd, Rodhra,

Amalaka
of

mixed

with honey* and


should be similarly

expressed juice
33-36.

Kafittha

The expressed juice of Antra, Kapittha, Madhuka flower, Dhava and of S'dla, or an oil duly cooked with these is likswise recommended as ear-drops in these cases. The oil cooked with Priyangu, Yashti-madhu,
Ambdlikd, Dhdtaki,
S'ita-pami,
Manjislithd,

Lodhra,
juice

and Ldkshd
ear-drop,

(as Kalka),

and with the expressed


if

of

the sprouts of Kapittha as the liquid,


arrests

used

as

an

the secretion

in

a case of Karna-

sraVa.

37-38.

Treatment of Puti-karna
rubbed and dissolved
in the breast-milk

\Rasdnjana
and longdis-

and mixed with

honey proves highly


standing cases
charge.
of
oil,

efficacious even in chronic

of Puti-karna

attended with fetid

The

use as ear-drops of the

the expressed juice of

compound composed Ntrgundt and honey mixed


39-40.

together arrests an attack of Puti-karna.

Treatment of Krlmi-karna:Vermifuges should be employed for the treatment of a


* S'rikantha

case

Datta in his commentary on Vtinda quotes

this

couplet
i

hut does not read 'honey' there.

He

reads

"nqr*

in place of '"fro"

ltd

THE SUSHRUTA SAMHITX.


Fumigation*
(into

Chap.

XX t.

Krimi-karna.

of

the

affected

parts

with the fumes of (dried) Vdrtdku, or (the pouring of)

mustard
is

oil

the

cavity of the

affected

organ)

also beneficial in such cases.

Vidatiga

and Haritdla

(yellow
as

orpiment) mixed with

cow's

urine (and used

an ear-drop) as well as

fumigating the affected


Administraare
also

organ with the fumes of (burnt) Guggulu tends to destroy


the fetor in the ear due to local parasites.
tion of emetics,

smoke-inhalation and gurgles


41-42.

beneficial in such cases.

Treatment of Karna-Kshveda, Vidradhi, etc.


is
:

Use of mustard

oil

as

an ear-drop

efficacious in cases of

Kama-kshvedaf

An abscess

(Vidradhi) in the ear should be treated as an ordinary abscess. TheafFected ear should be sufficiently fomented
after being filled in with oil

so

as

to soften the filthy

deposit in

the cavity of the ear, after which the filthy


director

matter should be extracted with a probe or a


(galaka).

43-45.

Treatment
with the help of a
emetics,

of

Karna-kandu and
of the

karna-pratina'ha: Fumigation

pans

tube (Nidi-BVeda), exhibitions of

smoke-inhalations, head-purging (errhines), as

well as all kinds of

Kapha-subduing measures should be


of

Karna-kandu. Sneha and of Sveda and then of


resorted to in
cases
(errhines) should be

Application of
head-purgatives

made

in cases of

Karna-pratinalia,

Dallana explains this

to

mean fumigation

of the affected

organ,

at *ell as the use of the

same in the manner of smoking.


recqmrnended in cases of abscess in the
oil

The

use of

oil

is also

ear.

la cases of acute and painful Vataja Vidradhi scsamum


whereas in
-eases

should be used,

of

Kaphaja Vidradhi

the

use

of

mustard

oil

is

recommended.

Dallana.

Chap.

XXL

UTTARA-TANTRAM.

\\j

and the treatment thereafter should conform to the nature of the specific deranged Dosha of the body
involved fn the case.
46-47.

Treatment
profit
in a case of
ear).

of

Karna-pa'ka, etc. :
in

Remedies and remedial measures described


with Pittaja Visarpa*
tion of the

connection

be with equal Karna-psfea (inflammatory suppuraused


filth

should

Any

or vermin,

etc.,

lodged in

the cavity of the car should be removed with the help of


a probe, or (by cutting
it)

with a hom.
in

Cures for the


Chapters

remaining cases of affections


described before
(

the ear have been

in

the

Chikitsita-sth&na,
48-50.

XVIII, VI and XXIII).


Thus,
Sus'ruta
liar to

ends

the

twenty-first

chapter of

the

Ultara-Tantra

in

the

Samhita which' deals with the treatment of the diseases pecu-

the car.

In

place of 'Pittaja-Visarpa',

both VrinJa and Chakradatta read

'Kshataja-Visarpa'.

CHAPTER
Now we
shall discourse

XXII.

on the chapter which deals

with the causes and symptoms of diseases of the nose

(Na'sa'-gata-roga-ViJna'nlya). i. Nomenclature and Classification :


Diseases which are specifically found to affect the organ
of smell
groups,

may

be

classified

into Thirty-one

different

viz.,

Apinasa, Puti-nasya, Nasa-paka.

Sonita-

Pitta,Puya-s'onita,

Kshavathu, Bhrams'athu, Dipta, Nasa-

naha, Pari-srava, Nasa-s'osha, the four kinds of Ars'as


(polypoids), the four kinds of swelling, the seven types
of tumours
will

and the

five

types

of Prati-s'yaya

which
to be

be described hereafter with the specific treatment

of each.

Thus the
all.

diseases of the nose are said

thirty-one in

2.

Symptoms
sya
*

of

Apinasa and Puti-naburning


sensation
in

Chokedness
and
taste for

and

the

nostrils

attended with dryness and deposit of filthy slimy


thereby deadening the faculty
are
in
(

mucus

in their passages,

of smell

the time being;


(

the specific

indications

of Apinasa,

obstructions

the nostrils
of the

which are
type)

identical with

the

symptoms
It
is

same
the

of Pratis'yaya

(catarrh).

due

to

concerted action of the deranged Vayu and Kapha. The disease in which the fetid breath is emitted through the mouth and the nostrils owing to the presence of the deranged Vayu mixed up with the other Doshas ( Pitta, Kapha and blood ) in the throat and about the root of
the palate
is

called Puti-nasya.

3-4.

Symptoms
Pitta

of Nasa'-pa'ka,

Rakta
the

and Puya-rakta : A

purulent inflam-

mation and the presence

of pimples (Arush) in

Chap. XXII.
j

UTTARA-TANTRAM.

JI9

nostrils

owing to the

vitiated condition of the local Pitta


is
(

attended with sliminess and foetid odor


prfka..

called

N&4-

The

four kinds of Rakta-Pitta

haemorrhages)

with the two different origins and two different courses


will

be dealt with again later on.*

The
is

disease in

which

bloody or blood-streaked

pus

discharged through

the nostrils either as the effect of a blow on the region


of the fore-head or through the highly heated

condition

of the local blood, Pitta and


(

Kapha

is

called

Fuya-rskta

bloody pus

).

5-7.

Symptoms Of KShavathll
in

which

the

: The disease Vayu charged with Kapha repeatedly


nasal

gushes out of the nostrils accompained by loud reports


or sounds, owing to the fact of the

Marma

being

anywise

affected,

is

called

Kshavathu

(sneezing).f

trickling sensation in the

gristle of the
etc.,

nose owing to

the insertion of a thread,


action of

into the nostrils, or to the


articles

any strong (Tikshna)


smell, or
8 -9.

of fare, or of

any pungent
sneezing.

of looking

to

the sun causes

Symptoms
Dipta
:

of
disease

Bhramsathu
in

The

and
or

which
head
its

the

deranged
previously

undigested

thickened

and

saline

Kapha
Is

accumulated

in the region of the

dissolved

disintegrated and dislodged from

seat

through the

heat of Pitta and


nostrils
is

is

expelled (sneezed off) through the

called

Bhram
due

athu.

The

affection in

which

The

four kinds are

to vitiated

Vayu, Pitta and Kapha as well


are
(<$}

as their concerted action.


liver, or (&)

The two

origins

the spleen

and the

the Amas'aya (stomach) and the Pakvas'aya


are (0) the upper and the
(2)
is

(intestines).

The

two courses
the nostrils.

lower

orifice, or (i) the

mouth and

The

sneezing

here said to be of two kinds (1) Doshaja and (2) trauis

matic.

U;re

the former

Doshaja, while the latter

is

of traumatic origin.

*20

THE SUSHRUTA SAMHITX.


warm

[Chap. XXII.

the Vayu, in the shape of

vapour-like breaths,

comes out of the

nostrils
in

burning sensation

accompanied by an excessive the locality is called Dipta. io-n


Na'sa'-

Symptoms of Na'sa'-Pratina'ha,
parisraVa and
of the region

Na'sa'-Parisosha :The
up-coarsing
is

condition under ,which the

Udana Vayu
its

of the head of

deranged in

passage
the

by a

surcharge

Kapha,
is
is

seems

to

stuff

passages of the nostrils, and

called Nisi-PratinaTia.

The

disease

in

which there

constant, transparent,
secretion
(of

slightly

discoloured
nostrils,

water-like

Kapha)
is

through the

more

particularly at night,
Difficulty

called

Nrfsrf-Parisrdva (fluent coryza).


ting (inhaling

of respira-

and exhaling) caused by the drying up and consequent thickening of the Kapha (mucus) accumulating
in the

passages of the nostrils, through the

action of the deranged

Vayu and

Pitta, is
).

called Nrfstf-

Paridosha (parchedness of the nostrils Local Ars'as (polypoids) as well as


each)
are

12-14.

local

Sopha

(four

due

to

the action

of the three

deranged
differ-

ent kinds of

Doshas of the locality jointly and separately. The Arvuda (nasal tumour) as mentioned
all.

in the

Salakya-Tantra, with the one of Sannipatika origin are


seven in

The

five

types of Pratis'yaya (catarrh)


in

mentioned here

will

be dealt with

chapter

XXIV.

Remarks made in the chapter on the causes and symptoms of swellings in general (Sopha-Vijnana),
as well as

those of Ars'as (hemorrhoid growths) in the

Nidana-sthana should be understood to apply to those


diseases affecting the locality of the nose as well. 15-18.

Thus ends
Sus'ruta

the

twenty-second chapter in the Uttara-Tantra

of the
of

Samhiti which deals with the causes and symptoms

the

diseases of the nose.

CHAPTER
Now we
shall discourse

XXIII.

on the chapter which deals

with the therapeutics of nasal diseases

(Nasa-gata**

Roga-Pratishedha).

i.

Treatment of Apinasa and Putinasya


Apinasa)
of

In cases of the
in

first-mentioned disease

(i.e.

and

those of

Puti-nasya,
the

applications
part,

Sneha and of
diet should

Sveda

to

affected

and

application

of emetics

and purgatives should be made.


in

The The
use,

be light and moderate


drinking should
be

quantity.

water

for

boiled

before

and inhalation of
indulged
in
at

smoke (Dhuma-pana) should


proper time. Hingu,
Tri-

be

the

katu, Indra- Yava,

S'ivdti*,

Ldkshd, Katpftala,

Vacfia,

Kushtha,

S'obhdnjana,

Vidanga, and Karanja

should

be used daily with benefit in the manner of Avapida-

Nasya.

Mustard

oil

should be duly cooked with the


as

aforesaid drugs together with cow's urine and be used

an errhine (Nasya).

2-3.

Treatment of Nasa-paka,
for internal

etc. : In

cases of Na'sa'-pa'ka, all the Pitta-subduing measures both

and external use should be duly employed.


should be duly employed as wash and
local

Barks of the Kshiri (milk-exuding) trees mixed with


clarified butter

plaster after a

bleeding.

The medical treatment


be
dis-

of Sonita-pitta (Haemorrhaege) from the nose shall

hereafterf

described.

case

of
)

Puya-Rakta

charge of bloody pus from the nose

should be treated

* S'ivdti

may mean

either white
it

Punarnavd

or Sdfkdliki.

Neither

Chakrapani nor Vrinda reads


t See ch.

in the text,

XLIV

of the Utfara-Tantra.

122
as a case

THE SUSHRUTA SAMHITX.


of sinus (Nidi) *
for
all

[Chap. XXIII.

practical purposes,

and Avapida-nasya as well as inhalations of smoke

(Dhuma) of keen-potencied drugs and Nasya


efrhines)

(snuff or

of drugs of correcting

or

purifying virtues
exhibition

should be
emetics.

used after the satisfactory


4-5.

of

Treatment
S'athll
:

of

Kshavatu and Bhramof head-purgaing drugs


in

Powders
in

the

form of snuff should be administered into


through a pipe
rfathu.

the nostrils

cases

of

Kshavathu and BhramSneha-Dhumaf


to.

The head
similar

should be duly fomented with Vayuinhalation of


as

subduing
well as

drugs and

other medicinal

measures remedial to
All
in

the deranged bodily the

Vayu
all

should be resorted

Pitta-subduing

measures should be employed

a case of Dipta, and

cooling remedies and the drugs


6-7.

of sweet taste should also be prescribed.

Treatment of
internal use of

Na'sa'-na'ha, etc. :The


fumigations

Sneha (Sneha-pana) forms the principal


of Nffatt-ntfha, in which

remedy

in a case

with lardacious drugs as well as head-purgings


likewise employed.

may

be

The

use of Bala-Taila or
in

any other

Vayu-subduing remedy mentioned

the chapter on

the treatment of Vata-vyadhi (Ch. V. Chikitsita Sthana)

may
dered

be similarly
snuff should

used with beneficial

results.

Pow-

be introduced

into

the nostrils

through a pipe or tube, and strong and keen Avapida-

Nasya should be used


fumes of (burnt)
applied to the

in

cases of Nisri-SraVa.

Strong

Deva-ddru and Chitraka should be


affected
part.

Goat's
8-9.

flesh

is

also

found beneficial in such cases.

See ch.

XIV

of the Chikitsita-StMna.

t See ch.

XVII

of the Chikitsita-Sthana,

Chap. XXIII.]

UTTARA-TANTRAM.

ti.3

Treatment of Na'sa'-^osha :The -use of


clarified butter

churned out of milk, as well as that


errhine

of the

oil

as an

prepared in the manner of


a
case

Anu-taila are pre-eminently the best cures in


of Nastf-Sosha.

Potions of clarified butter, meals with

Jangala meat-soup, applications of Sneha and of Sveda,

and fumigating the

affected

part with lardacious drugs

may

be similarly prescribed with best advantage.

The

remaining nasal diseases should be duly treated according to the specific treatment of each case as described
before,

io-ii.

Thus ends

the twenty-third chapter of the Uttara-Tantra in the Sus'ruta

Samhitd which deals with the treatment of the diseases of the nose.

CHAPTER XXtV.
Now we
shall discourse

on the chapter which deals

with the (symptoms and) medical treatment of catarrh

(Pratlsysfya-Pratishedha).

i.

Causes
course,
particles

Excessive
of
or

indulgence in sexual

inter-

heating
of dust

the head, entrance of the minute

smoke

into the

nostrils, excessive

application of cold or heat, voluntary retention of stool

and urine are the causas which

may

instantly

usher in

an attack of nasal catarrh (Pratis'yaya). The fundamental


principles

of Vayu,

Pitta

and

Kapha,

jointly

and

separately, as well as of blood

becoming aggravated by
on an attack of nasal

various aggravating

causes, bring
.

catarrh in course of time

2-3,
of

Premonitary Symptoms : Heaviness


of
goose-flesh

the head, sneezing and aching in the limbs, appearance

upon

the body, as well

as

many
4.

other
to

different

kinds of supervening

symptoms are seen

precede an attack of nasal catarrh (Pratis'yaya).

Specific

Symptoms: Hoarseness of
in

voice,

a sense of stuffedness and obstruction

the nostrils
of the

accompanied by a thin mucous


throat, of the palate

secretion, dryness
lips,

and of the

a -pricking, and pierc-

ing pain in the region of the temples, as well as excessive

sneezing and a bad taste in the


istics

mouth

are the character-

of Vrftaja type of catarrh (Pratis'yaya).

hot

and yellowish secretion from the nose, heated


as the secretion being

skin, thirst,

emaciation and yellowness of the complexion, as well


sudden, hot and

smoky

these
of

are the characteristics which


catarrh.

mark the Pittaja type

Constant running at the nose, the secretion being

white and cold, paleness (of the skin) and swelling (D. R.

Chp.

XXIV.]

UTTARA-TANTRAM.

25

whiteness) of the eyes, heaviness of the head, flabbiness

of the face*

and

tickling

and

itching sensation in the

regions of the head, throat,

lips

and of the palate are


type of the
well

the features which


disease.
5-7.

mark the Kaphaja


as

The spontaneous disappearance,


appearance of
Pratis'yaya

as

re-

be

it

acute or chronic

is

the characteristic

symptom
8.

of Tri-doshaja Pratis'yaya,
all

wherein the specific symptoms of


of Apinasa are present.

(the three) kinds

Symptoms of Raktaja
a blow,
fetid smell in the

Pratisya'ya :
if

Discharge of blood (from the nose), redness of the eyes,


a bruised pain in the chest which seems as
struck with

breath and the mouth, and loss


are the characteristic symp-

of the faculty of smelling

toms of the Raktaja type of Pratis'yaya which has its origin in the deranged condition of the bloodIn
these cases

j
\

hosts of extremely small

worms

of whitish
loca-

or blackish
lities {vie.,

hue are found to

infest

the affected

the nostrils) which show

symptoms

identical

with those of the head-disease due to the


of parasites in that region.
9.

germination

Prognosis : The
disease (Dushta-Pratis'yaya)

malignant

nature

of

the

should be inferred from the

constant alternate sliminess and dryness, as well as constant alternate contraction

and expansion of the


'some
read

nostrils,

* In
i.e.

place of

"*rH3*
is

ft*!??'?',

"jtf^faTT

TC?

"the

man

(patient) gets

heaviness of the head."

In this case the

flabbiness of the face

not sepeialely mentioned.


this is the

t According to some

characteristic

symptom of another

kind of Pratis'yaya, and not one of the symptoms of the Raktaja type as
appears at the
first sight.

t Midhara Kar
f
'$TTT: WHIT:'
'

reads '^vx:

1%Wj'

'

>

glossy white in hue, in place

'

whitish and blackish in hue.

126

THE SUSHRUTA SAMHITX.


and
loss

[Chap.

XXIV.

fetour in the breath

of the faculty of smell.

Such a case of Pratis'yaya should be regarded as extremely


hard to cure.
Neglected and not properly remedied at
the outset of an attack,

any type of catarrh

(Pratis'yaya)
in

may
in its

bring on cases of malignant


rise

Pinasa, which

time gives

to

number

of diseases and produces


loss

train

deafness,

blindness,

of smell, violent

ocular affections, cough, dulness of appetite, and


(swelling),

Sopha

io-ii.

General Treatment of Pratisyaya :


Potions of clarified butter, various sorts of emetics, and

fomentations (Sveda)
(Pratisyaya), except

may be
in fresh

prescribed in nasal catarrh

and acute

cases.

Errhines

(Nasya) of Avapida type


time,
if

may

also

be employed in

required.

Fomentation should be applied and


state with
articles

diet should be taken in a tepid

of

acid taste, and draughts of milk should be

administered

with green ginger* and with any modification of the


expressed juice of sugar-cane-f for the purpose of thick-

ening and maturing the secreted mucus, in cases where


that maturing process has not already spontaneously
set in.

should

The mucus found matured, thick and pendent be made to secrete by applying head-purgatives
Purgatives, Vasti of the

(S'iro-vireka).

Asthapana kind,
of each case

smoke-inhalations and medicinal gurgles should also be


prescribed

according to the exigencies

under treatment and in consideration of the nature and


intensity of the deranged

Dosha involved

therein. 12-14.

Some

explain "A'rdraka" to
it

mean

the expressed juice of fresh ginger,

while others explain

to
l

mean

the

powder of dried ginger.

+ In place of " Tqtmi Mi tlr."


juice of sugar-cane, such
i.

w * th

n y modi6cation of the expressed


,

as treacle, sugar, etc


taste.

some read

"qrenj^ q tftl ;"

t,,

with articles of pungent

Chap.

XXIVO

UTTARA-TANTRAM.

27

Regimen of diet and conduct : In a


case of Pratisyaya the patient should
sit,

about

in closed

and windless roomshis head.

move and wear warm


lie,

or

and thick turban on


cooked

He

should take VijayA


of Paldnna*

(Haritaki) and partake of meals consisting

without clarified butter.

He

should also be
as

subjected to a course of strong head-purging as well


of smoke-inhalations.
cold baths,
tions,

Use of new wine and

cold drink,

sexual intercourse, anxious cares, lamenta-

voluntary retention of stools and urine, as well as

partaking of fares which are excessively dry (and beget


dryness in the system), should be foregone
suffering from an attack of Pinasa.

by a person

15-16.

Fastings and employment of digestive (Pachana) and


appetising (Dipaniya) remedies should be
the

medical

treatment

in cases of

Pinasa (nasal catarrh) accompanied

by such

distressing

symptoms

as

vomiting,

aching,

heaviness in the limbs, feverishness, non-relish for food,

apathy, and

Atisara (diarrhoea).

In

case of an

adult

person suffering from an attack of Pinasa


concerted action of

due to the

Vayu and Kapha,


in

the patient should

be made to vomit by taking


liquid

a large quantity of

any
in-

substance.

The

complications (Upadrava)

volved therein should be remedied by appropriate diet

and remedial
given before.

agents and after

their

subsidence,

the

patient should be

treated according to the instructions

17-18.
cases of

Treatment of VsCtaJa Type : in


ydtaja-Pratidyiya
the drugs of the
five

clarified

butter duly cooked

with

Vid&ri-gandk&di group or with the


should

officinal

salts

be prescribed
by cooking together
in
thii

for
rice,

internal
meat and
butter

* Palanna

is

generally prepared

clarified butter as well

as other spices, but

case

clarified

should not be used.

8
.

THE SUSHRUTA SAMHITX.

[Chap.

XXIV.

use^accbrding to the rules of taking Sneha (see chapter

XXXI., Chikitshita-Sthana).
etc.,

The
to,
if

process

of snuffing,
t

should also

be resorted

necessary, as

in

case of Ardita (Facial paralysis).

19.

Treatment of Pittaja and Raktaja


types
:

In

the

Pittaja and
should

Raktaja types
be given

(of

Pratis'yaya) the

patient

draughts*

cooked with the drugs of the Kdkolyddi group. Coldf washes and plasters should
of clarified butter duly
also be used.

Sarjarasa (Resin), Pattanga (red-sandal),

Priyangu, honey, sugar, Drdkshd, Madhulikd (Guduchi),


Goji,

S'ri-parni
gurgles,

and

Yashti-madku

should
?)

be

pres-

cribed as

and purgings (errhines

should be

induced with the help of the drugs of sweet potency


(such as Drdkshd, Aragbadha, honey,
sugar,
of)
etc.).

Oil

duly cooked with


Tri'phald,

(a

paste
Tilvaka,

composed

DAava-bavk,
S'ti-patni,

S'ydmd,

Yaskti-madhu,

Rajani, and with milk weighing ten


oil,

times as

much

as

should

be preserved for a time and


20.

used as an

errhine (Nasya) in either of these cases.

Treatment of Kaphaja Type : in


case of the Kaphaja-Pratis'ya'ya, emulsive

measures

(Sneha-karma) should be performed with

clarified butter,

and the

be made t vomit by using prepared (gruel) with MdsAa-pulse and Tila, Yava'gU (sesamum-seed), after which the general Kapha-subduing
patient should Oil

measure should be employed.


the two kinds
*

duly cooked with


kinds of
Brihati,

of Bald, the
place

two

Some

read

'ftpS;' in

of 'tfcif,'

This word means that the

clarified batter for use in this case

should be duly cooked with the j%^(

(bitter) drugs, viz., the leaves of Patola, etc.

t Both the commentators of Vrinda and

Chakradatta explain the

term ^rtfif (cold) to mean 'prepared with the drugs of Cold potency
such as the drugs of the Nyagrodhidi and Utfalidi groups.'

Chap. XXIV.]

UTTARA-TANTRAM.

129

Tri-kantaka, S'vetd-wots, Sahd (MudgaBhadrd (Gambhari) and Varshdbhu should be employed as an errhine. Sarald, Kinihi, Ddru, Nikumbha (Danti) and Ingudi should be pasted together and duly

Vidanga,

parni),

formed as Vartis.
for the purposes of

These Vartis should be duly used smoking (Dhuma-pana) 21-22.


the drugs of bitter

Treatment of Tri-doshaja Type :


Clarified butter duly prepared with

and
taste

pungent

tastes, inhalation

of the

smoke

of strong-

potencied drugs as well as the use of articles of pungent

and

other

appropriate
in a case of

medicinal

preparations

would prove curative


(nasal
all

Tri-3oshaja Pratis'yaya

catarrh)

brought about by the aggravation of

the three Doshas.

An
the

intelligent

physician should
oil

prescribe as an errhine the medicated

duly cooked

and

prepared

AtirvishA,

Rasdnjam, Musta and Bhadra-ddru. Gargles prepared


with

admixture

of

with the decoction of Musta,

Tejovati, Pdt/id,

Katphala,

Katuka, Vackd, Sarshapa (mustard), Pippali-mula, Pippali, Satndkava, Agnika (Ajamoda), Tuttha, Kara?t/asee6s,
Salt and Bliadra-ddru should be prescribed.
Oil duly
for

cooked with the preceding drugs

is

recommended
23-24.

purging (Siro-vireka) the head of the patient.


flowers

Flesh of birds and beasts of the Jangala group, aquatic

and the Vayu-subduing drugs (Bhadra-darvadi)

should be duly cooked in milk mixed with water weighing half as

much

as

the

milk. *

The

liquid

in

this

case should be reduced to the original quantity of milk,

when

it

should be taken
butter

down and allowed


be

to

cool.

prepared from this milk and should be agair duly cooked with the drugs
Clarified

should then

of the Sarvagandkd (Eladi) group, sugar, Anantd, YasktiSome

say that milk and water in equal parts should be taken.

17

130

THE SUSHRUTA SAMHITX.

[Chap. XXIV.

tnadku and (red) Chandana and with a quantity of milk


ten times
its

own weight.

All

types of nasal catarrh,

yield to the curative


if

efficacy

of this medicated Ghrita,

used as an errhine (Nasya).

Oils medicated with the

drugs remedial to the specific deranged Dosha involved


in

each case under treatment


25-26.

should also

be

pres-

cribed.

All

the foregoing preparations should be surcharged


in cases

with the urine and bile of a cow and used


to the existence of local parasites
,

due
g.,

and vermifuges

(e.

drugs of the Surasadi group) should be


a palliative measure.*
27,

administered as

Thus ends the twenty-fourth chapter of


Sus'ruta

the

Uttara-Tantra in the

Samhita which deals with the (symptoms and) medical treatment

of Pratis'yaya.

* In

places

of

"nm<J|i

'

Chakradatta reads "^rr^Tt^r*

*'

a<i

an

errhine.

He

also reads

"^mgrfqW:"
bile of

''> pasted with the urine (of a cow),


(ftpf) in the text. V'rinda,

and thus does not read the


reads "T^T^TTfT''
i

a cow

however,

n place of "nmmw" which means that vermifuges should

be used

for

washing purposes.

CHAPTER XXV.
Now we
of the head
shall discourse

on the chapter which deals

with the symptoms of diseases peculiar to the region

(iro-roga-Vi jiuCniya).
:

i.

Classification
to the region

Diseases which
their

are

peculiar
vis.,

of the head number eleven

in all,

the

four kinds respectively due to the action of the deranged

Vayu,

Pitta,

Kapha, and

combination, as well as
to

those which are respectively

incidental

any bodily

waste (Kshayaja), or to the vitiated condition of the blood (Raktaja), or to the existence of parasites (Krimija),
the remaining four being
vata,

known
and

as Suryavarta,

Ananta-

Ardhavabhedaka

Samkhaka. 'The symp-

toms of these eleven kinds of head-diseases are given


below.
2.

Symptoms of Dosha-on'gined types A of violent headache without any apparent cause


fit

and which becomes worse

in the night

and

is

relieved

by pressure

or

by being bandaged or by an application


the head, should be ascribed to
is

of fomentation round

the action of the deranged Vstyu, and

known

as the

Vitaja-Siroroga.
in the
.

violent

burning and aching pain

head, in which the scalp seems to

have been

strewn over with bits of live charcoal, accompanied by


a sense of scorching vapour being
nostrils,

emitted from the


or on the of

and which ameliorates

in

the night

application of cold, should be ascribed to the action

the deranged Pitta, and

is

known

as

the

Pittaja-

Siroroga.

fit

of headache in which the head (palate)


to

and the throat* seem


*

be covered with a coat of sticky


some lead
to

la

place

of

"fjiffjRf

"fjfft jutfl".

This reading

is

adopted by Madhava.

There seems

be no difference in the meaning

sth? word fjj^(head)

may

include both the palate and the throat.

t$2

THE SUSHRTjTA SAMHITX.


feel

[Chap. XXV.

mucus, and

cold

and heavy, and cannot be turned


the deranged

abont, and the face and the eyes look swollen or flabby,

should be attributed to the action of


bodily Kapha,

and

is

called

the Kaphaja-Siiroroga.

A
all

case

preceding Doshas exhibits


of them, and
2-6.
is

marked by the concerted action of all the three all the symptoms peculiar to

known

as

the

Tri-doBhaja-Siro-

roga.

Symptoms
and
type,

of Raktaja, Kshayaja Krlmija types of iro-roga :


the vitiated condition of the
of the Pittaja

case of headache due to


local blood manifests all

the

symptoms
as the

and the head becomes incapable of (bearing) the


This
is

least touch.

known
is

Raktaja-Siroroga.
local

A
(

case of headache incidental to the waste of the


(fat)

Vasi

or

Kapha*

marked by an
is

intolerable

pain

Abhi-tapa) in the head which

aggravated by the appli-

cation of fomentation, fumigation, errhine, emetic and


blood-letting.

This

is

known
head

as
in

the Kshayaja-Siro-

roga.

The

disease of the
is felt

which a pricking
if

and tingling pain

inside the

head as

being stung,

(by some poisonous

insect),

and which

is

accompanied

by a watery discharge mixed with blood (D. R. pus) from


the nose, should be attributed to the
parasites.

existence of local

This disease

is

a dangerous

one
7~g.

and

is

known

as the

Krimija

(Parasitic) Siro-roga.

Symptoms
roga
is felt
:

of

SuryaVarta
in

S"iro-

The disease of the head


here comments body,
that

which a severe pain

in the

eye and the eyebrow just at sunrise, and


the

* Dallana

term ''Vasjt" means

all

the

fatty substances in the

e.g.,

the brain substance, Medas, semen,


is

Majjan,
reading

etc.
is

There

is

a variant

which
('

not recognised by Gayi.

That
Vasi

<Htm{afcwtftT<flrrt
Vrfyu.

ty

*e

waste) of

blood,

Kapha and

This, however, seems to be the better reading.

Chap.

XXV.

UTTARA-TANTRAM.

I^j

which goes on growing worse with the progress of the

day and begins


It (generally)

to abate only

when
is

that great luminary


called

begins to set in the western sky,

SuryaVarta.
ascribed
10.

abates on the use of cold articles but some-

times on that of

warm

things as well.

It

is

to the concerted action of the three Doshas.

Symptoms
rOgSL
pain
is

of

Ananta-vstta S~iroin

The
felt

disease of the head

at

the

Manya and
the

the

which a violent Ghata (the two

nerves on the backside of the neck) which ultimately


affects

the region of

eye, the

eyebrow and the

temples and specially produces a throbbing of the cheek,


as well as

paralysis

of the jaw-bone and the eye.


is

The

disease

is

known

as Ananta-va'ta and

due to the

concerted action of the three Doshas.

n.
head
in

Symptoms
nature
is

of

Ardhavabhedaka and
disease of the

Samkhaka: The
felt

which

a violent and excruciating pain of a piercing or aching


in

one half of

the

cranium

which

makes the patient feel giddy, and which either follows no distinct periodicity or recurs at a regular interval
of ten days or of a fortnight,
is

called

the

ArdhaVa-

bhedaka and
three Doshas.

is

due to the

concerted action of the

violent

pain

caused in the head

and more

especially in the temples

by the

local

Vayu

in

combination with the deranged Kapha, Pitta and blood is designated by the holy sages of Ayurveda as the

Samkhaka.

very hard to cure even by the joint advice of thousands of


It
is

produces a very great pain, and


as fierce as death

physicians and
Thus ends the

is

itself.

12-13.

twenty-fifth chapter in the Uttara Tantfa of the Sus'ruto

Samhiti which deals with the symptoms of the diseases of the head.

CHAPER XXVI.
Now we
shall discourse

on the chapter which deals

with the therapeutics of the diseases of the head (Si 1*0-

roga-Pratishedha).

i.

Treatment of Va'taja-Ssiroroga
ment of Vata-Vyadhi should be employed
entirety in the
in

:~Retheir

medial measures described in connection with the treat-

Vayu-origincd types of the diseases of


all

the head, and

medicinal compounds of

oil

or clarified

butter should be followed by a potion of milk.

Mudga,

Kulattha, or
thing,

Mdsha
as

pulse,

unmixed with any other


and heat-making
articles,

as well

pungent

saturated with clarified butter and followed by potions


of tepid milk should be taken in
oil

the night.
also

Sesamum
Milk

or the paste of

sesamum may
state in

be taken.

duly boiled with the Vayu-subduing drugs should be

employed
locality,

in a

lukewarm

washing the diseased

and a plaster composed of the powders of the


luke-

same drugs boiled with milk should be applied

warm

to the scalp.

In the alternative, the scalp


flesh

may

be

plastered

over with the boiled

of fish

or with

Kris'ard (preparation of rice

and sesamum) saturated


of)

with Saindhava

salt,

or with (the paste


finely

Chandam,

Utpala, Kushtha and Pippali,


(all in

powdered together

lukewarm

state).

2-3.

Oil duly prepared with Kulira (crabs) should


for

be used

Nasya

(snuffing) purposes subsequent to the

employ-

ment of the (above) fomentation.


diluted

quantity of milk

with the addition

of half as

much

of water

should be duly boiled with the paste of the drugs of the

Varunddi group and taken down from the


the wnter has evaporated.

Butter should be

fire when skimmed out

Chap. XXVI.]

UTTARA-TANTRAM.
and
clarified

135

of

it

when

cool

butter prepared

therefrom

should be again duly cooked with the paste of the drugs


of the

Madhura
(snuff)
is

group.

The

use of this Ghrita

as

Nasya

highly

efficacious in

the type under

discussion.

Clarified butter duly

cooked with the decoc-

tion of the preceding drugs (of the

Varunadi group) and


Snaihika

with milk should be taken with sugar.


(Chikitsa,

Dhuma

XL.) should be administered in time when

required,

and Traivrita Ghrita and Bald Taila should be prescribed as a draught and as an errhine, as
the

well as for

purposes of anointing, sprinkling and

Vasti-Karma.
subduing

The food
and

in

the

present

type

of the

disease should be taken

with milk cooked with


with
4.-5.

Vayu-

drugs

meat-soup saturated with

Sneha

(clarified butter).

Treatment of Pittaja and Raktaja


SirO-fOga
fied butter
:

Cooling plasters

saturated with clari-

should be applied to the scalp and cooling


in

head-washes should be prescribed

the

Pittaja

and

Raktaja types of Siro-roga.

Milk, the expressed juice of

sugarcane, fermented rice-gruel (Dhanyamla), curd-cream


(Mastu),

honey and sugar mixed


purposes.

in

water

these
for

should

be used for sprinkling


should
lotus),

Plaster
Vetasa,

the

head
(red

be

prepared with

Nala,

Kahldra

Cftandana, Utpala, S'atnkha (conch-shell), S'aivdla,

Yashti-madhu, Musta

and

lotus

taken together

and

mixed with

clarified butter,

and the

plasters described in

connection with

the treatment of Pittaja and


u^e-d.

Raktaja

Visarpa (Erysipelas) should also be


of the as plasters and

The drugs

Madhuta group should be used in a tepid state the Sneha (oil or clarified butter) duly cooked with the same drugs should be used as an errhine,
and appropriate medicines should be used as purgatives as well as in Asthapana and Sneha-Vasti measures.

I36
Clarified

THE SUSHRUTA SAMHITA.


butter

Chap. XXVI.

skimmed

from

milk,

and

fresh

Vasd

(lard)*

of Jangala

animals

should be used as

errhines, and,

cooked with

the drugs of the Utpalddi

group, should be used in the

manner of Asthapana-vasti.
in the

Pood should be taken with meat-soup of Jangala ani-

manner skimmed from milk and duV cooked with the drugs of the Madhura group and mixed with sugar should be used for emulsive
mals, and clarified butter should be used

of an Anuvasana Vasti.

Clarified butter

purposes (Snehana),

and
to

all

measures

and

remedies

which
Pitta
cases.

are

remedial

the

deranged

blood

and
these

may
6-7.

be likewise employed with

profit in

Treatment of Kaphaja iro-roga:


In a
case

of

Kaphaja-Siroroga, the Kapha-subduing

measures, such as strong emetics, head-purgatives (Sirovireka)

and gargling should be resorted


of clarified butter
-\

to.

The

trans-

parent upper part


to drink,

should be given

and fomentation should then be frequently


Head-purgatives should then be
of

applied to the head.

administered with the pith

Madhuka wood,

or

with Mesha-s'ringi

and
of

Ingudi bark.

Vartis (sticks) used

made
in

of Meslia-s'ringi and Ingudi barks should be

smoking.

Snuffs

powdered Katphala

should be

taken, and gargles with Kapha-subduing drugs should be


used.
Plasters

prepared with Sarald, Kushtfia, S'drn-

gashtd, Deva-ddru, and

Rofcsha pasted together with

the alkaline water and

mixed with Saindhava salt should be applied lukewarm to the head. The diet should
consist of

cooked barley or Shashtika

rice,

which should

In place of 'to'

( lar(1 )

some reaa
"

'TOT*

which means meat-soup.


butter

+ 1 According to a variant matured


in this case.

clarified

should be used

Up. XXVI.

UTTARA-TANTRAM.

137

be judiciously taken with Yava-kshdra and powdered


Trirkattt

and with the soup of Mudga,


8.

Patola

and

Kulattha pulae.

Treatment of Tri-doahaja and Kshayaja S'lrorOga


:

The Measures which are severally


marked by
butter are

remedial to the three deranged Doshas pf the body


should be employed in a case of Siroroga
the concerted action of the

three Doshas (Tri-doafcaja")


clarified

and draughts of old and matured


said
to

be specially efficacious in such instances. Employment of nutritive (Vrimhana) measures and remeis

dies

recommended

in

cases of the diseases of the head


local fat, etc.

due to any waste or atrophy of the


aja Siroroga).
Clarified

(Kshay-

butter duly cooked with the

admixture of the drugs of the

V ayu-subduing

Madhura groups*
errhines.
in

should

be given

and the as drinks and

Any

medicated Ghrita which acts as a remedy

cases of consumptive

cough would be found most


(Kshayaja) type.
9-10.

efficacious in the present

Treatment of Krimija Siroroga :


In a case of head-disease (head-ache
?)

due

to the germi-

nation of parasites (Krimi) in the head, the patient should

be

made to snuff in a quantity of animal blood. The worms or parasites lured with the smell of the blood, would greedily come down (into the passages of the nostrils) when they should be carefully extracted (by
means of
tongs, etc).

Head-purgatives composed of the

pulverised

mixed with pounded together should then be used, if necessary, or any vermifuge drug (Vidanga, etc.) pasted with the urine of a cow should be
seeds of
brass)

Hraswa

(small) S'igru

Kdnsya (dead

and

Nili (indigo)

According

to

Videha the

clarified

butter in this

case should be

cooked with the decoction of the


oi

V ayu-subduing drugs and

with the Kalka

the Madhura -do^p

18

I38

THE SUSHRUTA SAMHITX.

[Chap. XXVI.

stuffed into the nostrils in

the manner of an

Avapida
nostrils

Nasya.

Fumigations should be applied into the


fishes

with the fumes of burnt sordid

and vermifuge
1 1.

foods and drinks of various kind should be given.

Treatment of Suryavarta and Ardha'vabhedaka Errhines etc. (plaster, gargle, etc.)


:

should be prescribed in cases of the Suryavarta type of


Siroroga.
rice

The

diet should principally consist of boiled

and milk

with clarified butter and the essence

or extract of the meat of Jangala animals.

These and
of Siroroga.

similar other suitable remedial agents should be employ-

ed in cases of the

ArdhaVabhedaka type

Sirisha* and Mulaka seeds or bamboo-roots camphor, or Vacha and M&gadhi, or Yashti-madhu and honey,

or

Manah

sild,

pasted

with

honey,

or

(pasted)
in

Chandana should be
varta

stuffed

into
in
in

the nostrils

the

manner of an Avapida Nasya


bhedaka headache.
patient should be

a case of the Surya-

type of Siroroga as well as

a case of Ardhavaof the

After the use

above, the

made

to snuff in the medicated clarified

butter cooked with the drugs of the


lyadi)

Madhura

-f-

(Kako-

group, in

both the above cases.

Plasters

com-

posed of Sdrivd, Utpala, Kushtha and Yashti-madhu pasted with Kanjika(acid gruel) and surcharged with
clarified
oil

and
be

butter

arc to be found efficacious


affected region.

in

both the

cases, if applied to the

This

may

employed with equal success


type
%

in the cases of the

Kapha ja
bark and

of Siroroga. 12-14.

* Sripati Dalta, the commentator of Vrinda, prescribes the

S'ivadasa
S'irisha.

Sen,

the commentator

of Chakrapani,

prescribes the seeds of

Some take "jrg^Tf"


not accepted by Jejjata.

to

mean "jr^"

%
it is

In place of the Kaphaja type some read the Kshayaja type.

Bui
in

Others again read

"Aniltoake"

i.e.

the Vdtaja type.

dhap.

xkVl.

UTTAUA-TAKTRAM.

139

Treatment of Ananta-vaCta :Cases of


Ananta-vata Su'oroga should be treated like those of Suryavarta. Moreover blood-letting should be effected
(by opening a local vein) and
as to subdue the

the diet should

be such

Vayu and
made

the Pitta and should cossist


t.nd Ghrita-pura (different
clari-

of

Madhu-Mastaka, Sangydsa

kinds of confectionery
fied butter, etc.).

of wheat, sugar, milk,

15.

Treatment of

Samkhaka

: Clarified
the diet

butter churned from milk should be given for a drink and

used as an errhine in a case of

Samkhaka and

should consist of (boiled rice mixed with) clarified butter

and the essence of the meat of jangala animals. Plasters composed of S'atdvari, black sesamum, Yashti-madhu,

Durvd and Punaruavd pasted together, or of Mahd-sugandhd (Utpla-asariva) or Pdlindi pasted with
Nilotpala,

Kdnjika should be applied to

the

affected

locality.

Cooling washes and plasters as well as different Avapida

Nasyas prescribed

in

cases of Suryavarta should


16.

also

be prescribed for this disease (Samkhaka).

Strong head-purgatives (crrhines) composed of

oil

and honey should be


roga with the

first

administered
of

in cases

of Siro-

exception

the

Krimija

and the

Kshayaja types.
ing

Then

the patient should be


oil.

made

to

snuff in drops of mustard

In cases

remedies would

fail

to

where the precedproduce any relief, the

patient should

be treated with Sneha and Sveda, and


then be effected by opening a local

bleeding should
vein.
17-18.

The Conclusion The


:

causes,

symptoms
disease

and the therapeutics of the seventy-six kinds of ocular


affection,

of the twenty-eight kinds of the

of

the ear, of the thirty-one kinds of nasal disease, of the


eleven

kinds of the disease of the head as well as

t40

THE

STJSHRTJTA SAMHITX.

[Chap.

XXVI.

of the sixty-seven (sixty-five) kinds of the affection of


the

mouth have been

described in

detail

in

other

treatises (eg. those of Videha, etc. dealing with this special

subject

the diseases of the over-clavicular region).


19.

The

number, symptoms and therapeutics of these diseases


of the over-clavicular region are herein briefly described
in

accordance therewith.
Thus ends

the twenty-bixth chapter of the Uttara-Tantra in the Sus'iuta

Samhita which deals with the treatment of the diseases of the head.

Here ends the dalstkya Tantra (Surgery


Minor).

CHAPTER
Now we
with the
life,

XXVII.

shall discourse

on the chapter which deals


of infant

specific features (of the nine diseases

which are attributed to the influences) of the nine malignant Grahas (Nava-Grah&'krJti-Vf Jnrf-

nam).
cribe,

r.

Different

Names

'.Attentively hear

me

des-

Sus'ruta, the origin, cause

and medical treatment

of the diseases of infancy

of malignant stars (Graba) or


characteristic
ly

which are due to the influences demons as well as the


accurateall

symptoms by which each can be diagonosed. The diseases number nine in


called

and

are

Skanda-Graha,

Skandapasmara,
Sita-Putana,
2-3.

Sakuni,

Revati, Putana,

Andha-Putana,

Mukhamalig-

mandika and Naigamesha or

Pitri-Graha.

General COUrse Of attack :These


child in the cases
(in

nant stars (Graha) or demons affect the person of a

where the directions

laid

down

before

the

Sarira-sthana) in

respect of the conduct of the

mother or the nurse during the time the child is broughtup on the breast arc not followed, and consequently

where proper benedictory


the child
is

rites

arc not
in

performed and
state, or

allowed to remain
child

an uncleanly

where the
ened,
their
is

becoming anyhow uneasy gets


of getting

fright-

rebuked, or begins to cry.

They (demons) make


proper

appearance for the purpose

respect

and

worship.
arc not

They
capable

being 'omnipotent and


of being seen
I

omnipresent

by man

when they
fore,

enter the person of a child.

should, there-

discourse

on the symptoms of their presence, as


4.

derived from the authority of the sages of yore.

i42

TILE SUSIIKUTA

SAM HIT A.

[Chap. XXVII-

Symptoms of attack by Skanda graha and Skandapasmara-graha :


Swelling of the eyes and distorted features of the face

and an aversion to the breast-milk arc the indications of an attack by the Skanda-graha. The body of the chiid emits a bloody smell and one of the eyelids becomes
fixed or motionless.
his
fists

The
rolling

child looks frightened,

closes

(as in

fit

of convulsion) and

moans

little.

The

eyes

become highly

and the
fits

stool

becomes hard
and cons-

and constipated.
in dancing,

Alternate

of fainting

ciousness, convulsive jerks

of legs and hands like those

foaming

(at

the mouth), yawning and the


of wind arc

passing of stool and urine with the passage

the characteristic features of an attack by the Skaud^-

pasma'ra-graba.

5-6.

S^akuni

and Revati : Looseness


by
the
in

of

limbs

which emit a peculiar bird-like* smell arc the indications


of an attack of the child
child in

Jjakuni Graha.
terror

The
is

such a case starts up

and

its

body

covered with a large number of secreting ulcers (Vrana),


or
of

eruptions

of vesicles

attended

with a burning

sensation

subsequently suppurating

and

bursting

of

themselves.

The
if

face assumes a blood-red hue, the stool

(as well as the urine)

becomes green and the body of the


colour,

child

looks as

of deep yellow or dark brown

fever ensues with an infiamation of the mouth, a bruised

pain
rubs

is felt all

over the body and


ears

the
the

child

frequently

its

nose and

these

arc

features which

mark

a sure attack of Revati-Graba.

7-8.

PutansC and Andha-putana' :Looseness of the


limbs,

disturbed

sleep

whether

by day

By

the

word fa^f.

(lit.

a bird) in fa^rjlfa:

is

here meant rueat-

eating aquatic birds.

Chap. XXVII.

UTTRA-TANTRAM.
of a

I43
crow-like

or at nighc, loose stools, emission

smell

from the body, vomiting, appearance of goose-flesh on the skin and thirst are the specific symptoms of an
attack of the child the breast-milk as

by the Putana'-Graha.
well as

Dislike
of

for

an attack

dysentry,

(Atisara), cough, hic-cough, vomiting, fever, discolouring

of the complexion, and swelling in the skin as well

as

an inclination to

lie

always on the fa;c are the sympin

toms which arc exhibited


the Andha-Putana'-Graha.

case

of an

attack by

9-10.

ita-putanaand IYIukha mandika :


Constant and frightened startling up, excessive shivering,

comatose

sleep, constant diarrheic stools

and bloody smell

of the limbs arc the of

symptoms which characterise a case an attack by S.ta-Putana'. The child in this case cries
is

almost unceasingly, and a rumbling sound


intestines.

heard

in

the

Paleness (emaciation) of the body (trunk) and


the
extremities

a glossy line (swelling) of the face and

attended with frightfulncss,

voracious appetite, appear-

ance of net-like veins on the abdomen and the emission


of urine-like smell frbm the

body are the symptoms of an


u-12.
vomits, bend-

attack of the child by Mukha-mandika' Grata,

NaigameSha-Graha : Frothy
crying,

ing of the middle of the trunk, anxious appearance, loud

upward gaze of the

eyes,

constant emaciation

(fever-D. R.), a fatty smell in the

body and unconsciousa case of an attack

ness are the

symptoms which mark


13.

by the Naigatnesha.

Prognosis : A
of fainting
specific

stupificcl

state

of

the child
fits

attended with anaversion to breast-milk and constant


as
well

as the

full

development of
fatal

all

the

symptoms show the imminent


Otherwise
if it
it

termination

of the disease.

may

prove amenable to
14.

medical treatment,

be not a case of long standing.

144

THE SUSHRUTA SAWHITX.

Chap.. X3CVII.

Rules to be observed sThe


should be rubbed
clarified

child
its

should

be kept in a clean and purified chamber and


or anointed

body
all

with old and matured

butter.

Mustard seeds should be strewn

over the floor (by a person) in a clean state and a lamp of

mustard

oil

should be kept perpetually burning therein.

Libations of clnrified butter with the drugs of the Sarvagandftd and

Sarvoustiadhi * groups and

garlands

of
fire

flowers as well as sandal paste should,be cast into the

and kept continually burning by


incantations, "Obeisance to thee,
to thee,

reciting

the following

fire-god,

obeisance

goddess

Krittika,

obeisance to thee,

Skanda, obeisance to thee,


with deep humility,

lord of the

Grahas (which
Dost thou

has cast this malignant influence).


I

With head down


thee.

supplicate thy favour.


I

accept the offerings

have made to
it

May my
from.

child get rid of the disease

has been
1 5.

>ufFcring

Makest

it

hale and hearty again."

Thus ends

the

twenty-seventh chapter of the Uttara-Tantra in

the

Sus'ruta-Samhit which deals with the specific jjjaturcs of an attack by the


nine (malignant) Grahas.

The

drugs of

the

Elidi 'group

are

known

as

Sarv.i-gandha.

Sarvaaushadhi drugs here mean Yava, Dha'nya,

Tila, etc.

CHAPTER
Now we
shall discourse

XXVIII.
remedial

on the chapter which deals


measures) of an

with the Therapeutics (and


attack by Skanda-Graha

(Skanda-Graha- Pra-

tlshedha).

i.

Decoctions of the leaves of the trees (Vilvadi) possessed of Vayu-subduing virtue should be used
ling purposes
for sprink-

and

oil

duly

cooked and prepared with


drugs of the

the decoction of their

roots and with the

Sarvagandha, group and iwith Kaitaryya* and Surdtnanda as Kalka should be

used

in

anointing the

body

of the child laid up with an attack of Skanda-graha. Draughts of clarified butter duly cooked with Deva-ddru, Rdsnd, the drugs of the Madhura group and with milk,

should be internally administered.

2-3.
child

Fumigation
should be fumigated
clarified butter

Moreover the body of the

with the fumes of the mustard

of a snake, Vachd, Kdkddani, and the hairs of a camel, a goat, a sheep or of a cow mixed together and burnt. 4.
seeds, the cast-off skin

The twigs

of

Soma-balli (Guduchi), lndra-balli (As-

mantaka) and S'ami as well as the thorns of Vilva and


the roots of Mrigddani, should

be strung together
its

(in

the shape of a garland) and tied (round

neck).

5.

The
Skanda

physician (or any other person

acting

on

his

behalf) should bathe in the night and

worship the god

for three successive nights in the inner

quadrangle
of roads

of the house of the

child
viz.,

or at the crossing

with various offerings,


flags, red

garlands of red flowers, red

perfumes such as Kumkutna, edibles of various


means Niniba or Guduchi.

* Kaitaryya, according to Dallana,

19

I46
kinds

THE SUSIIRUTA SAMHITA.

Chap. XXVIII.

and newly harvested barley grains,

5 dli

rice.

cock should be sacrificed on the occasion (to appease

his wrath)

and
to

bells should

be rung

(for his propitiation).


(in

The water
and the

be used for bath


reciting

course of worship),

should be consecrated by
sacrificial
fire

the Gayatri Mantra


lit

should be duly

with (three,
6.

seven or ten) libations (of clarified butter).

Mantras
guarded by

The
:

body of the

child

should be

a careful physician against

the influence of

the malignant Grahas by reciting every day a

which runs as follows


changeless deity
energies produced

"May
is

Mantra
of

Skanda, the eternal and


all sorts

who
by

the receptacle of

austerities, fame, valour, or organic

combination
the

(vital energy),

be propitious to thee.
all evils

May
of the
of the

almighty Guha protect thee from


is

Guha

who

the commander-in-chief both of the


is

army

gods and of the Grahas and

the
(in

destroyer

enemies of the army of the gods


been
gods).
installed,
lit.

which rank he has


all

wedded, with the suffrage of


is

the

May

he

who

the begotten son of the supreme

deity

the

god of the gods and who

acknowledges

severally the

exalted motherhood of Ganga,


comfort.
single

Uma
May

and
the

the Krittikas, give thee health and


beautiful

god who pierced with a


rays of his

shaft

right

through the heart of the mountain Krouncha and


is

who

effulgent with the red

own

divine person

smeared with the paste of red sandalwood and decked


with the garland of
perils."
7.

red

flowers, protect thee

from

all

Thus ends the twenty-eighth chapter of the Uttara-Tantra


Sus'ruta Samhiti

in

the

which deals with the Therapeutics of Skanda-Graha.

CHAPTER XXIX.
Now we
shall discourse

with the Therapeutics of an attack by

on the chapter which deals Skandapasmara


i.

(Skandapasmara- Pratishedha). A decoction of Vilva S'irisha, Golomi (Durdlabhd),


t

and the drugs of the Surasddi group should be employed


in

sprinkling the body of the possessed child in a case


disease.

of the present

Medicated

oil

duly

cooked

with the drugs of the


used in anointing;
its

Sarvagandhd group should be

body. Clarified butter duly cooked

with milk and the decoction of the barks of the Kshiri


trees together with the

drugs of the K&kolyddi group

Kalka* should be prescribed for internal use. 2A. The body of the affected child should be rubbed (UtBttdana) with the paste of Vachd and Hingu taken The dungs of an owl and a vulture, human together.
as
hairs, the nails of

an elephant,

clarified butter,

and the
for

hairs of a bull should be

mixed

tog'ether

and used

fumigating the child's body. Anantd, Vimbi, Markati, and Kukkuti should be strung together and fastened 215. (as a charm) to the body of the child.

The

physician (or the

votary officiating for him)


of the disease
in

should worship the presiding deity


ditch (dug out for the purpose)

with the offerings of both


(of

cooked and uncooked meat, fresh blood


ghosts,

a goat

milk, and edibles prepared with the Mds/ia pulse for the

and the possessed


of roads

child

should
'

be bathed at
observing
the
to

the
*

crossing

by

physician

Although Dallana prescribes the drugs of the Kikolyadi group

be

used as Kalka,

we

are inclined

to

take

the sentence

to

mean

that the

decoction of those drugs should be used.

14&
necessary

THE SUSHRUTA SAMHITX.

Chap.

XXIX.

Mantra
one

"O

fast,

etc.

with

the recital

of the

following

thou, the trusted

the god Skanda,

and beloved friend of Skandapasmara, O thou ugly-faced

whom

the world knows

by the

epithet of Visakha,
2.

may good

befall this child in distress."

Thus ends

the

twenty-ninth chapter

of the

Utlara-Tantra in the

Sus'ruta Samhita

which deals with the Therapeutics of an attack by

Skandapasmara.

CHAPTER XXX.
Now we
shall discourse

on the chapter which deals

with the medical treatment of an attack by Safcuni

(akuni-Pratishedha).

i.

A
child

wise

physician

should

sprinkle the body of the


decoction (duly

possessed

by Sakuni with the

Vetasa, Antra and Kapittha. Oils duly cooked with the drugs of the sweet and astringent groups

prepared) of

should

(plasters)

used in anointing its body. Pradehaa composed of Madhuka, Us'ira, Hrivera, Sdrivd, Utpala, Padmaka, Rodhra, Priyangu, Manjishthd and Gairika, should be applied. 2A. Various kinds of medicinal powders and diet and

be

remedial

measures

in

general described

with the medical treatment

in connection of Ulcers * as well as the


in

fumigations (Dhupana) mentioned

the chapter on the

treatment of Skanda-graha (vide

ch.

XXVIII.) should

be prescribed for the disease under discussion. Drugs such as S'atdvari, Mrigddani, Ervdru, Ndgadanti,
Nidigdhikd, Lakshmand, Sa/iadevd and
Vrihati should
(in

be fastened

(as a

charm) to the body of the child


2B.

the preceding manner).

The
inside

presiding deity of the disease (Sakuni

Graha)

should be
a

by a physician of self-control Karanja bower and be propitiated with


worshipped

offerings

of huskless

sesamum, garlands of

flowers,

Haritdla (yellow crpiment) and Manahs'ild

(realgar)

and the

child should

(according to the

Skanda Graha).

be bathed duly inside the bower down in the treatment of The medicated Ghrita prescribed foi
rules laid

* See Chapter I, Chikit&hila Sthina.


i{|0

THE SUSHRUTA SAMHITX.


treatment
of
in

[Chap.

XXX.
ad-

the

Skanda Graha may


the present instance.

also be

vantageously given

2C.

Various sorts of worship should be made with the

The Mantra to be recited on the occasion runs as folllows "May the ever down-looking sharp-beaked goddess, Sakuni, who (with her keen and far-seeing eyes) is decked with all sorts of ornaments and who traverses
offerings of various species of auspicious
flowers.
:

the ethereal

sky

in

her

flight,

be propitious to thee.

May

the brown-eyed, fierce-looking, huge-bodied, large-

bellied,

and
2.

spike-eared

Sakuni,

who

strikes

terror

into the heart of

man

with her terrible voice, be pleased

with thee."
Thus ends

the thirtieth chapter of the

Uttara

Tantra

in

the Sus'ruta

Samhita which deals with the treatment of (an attack) by S'akuni.

CHAPTER XXXI.
Now we
shall discourse

on the chapter which

treats

of the Therapeutics of an an attack by Revati

(Revati

Pratishedha).
The duly prepared
Ajas'ringi,

i.

decoction of A/vagandkd, Sdrivd,

PunarnavA, the two kinds of Sahd

and

sprinkling (Sechana) the body of the affected child (in a case of an attack

Viddii should be employed in

by Revati). Medicated oil duly cooked with Kushtha and Sarjarasa (resin) * should be used in anointing
the child's body.
the decoction of

Medicated Ghrita duly cooked with

Dhava' As'va-k&rna, Kakubha, Dhdtaki


drugs of the

and

Tinduka and with the


(as

Kdkolyddi

group

Kalka) should be employed internally as a


2 A.

draught.

Kulattha, (burnt and) powdered S'amkha (conch-shell)

and the drugs of the Sarvagandha group should be used as Pradehas (plasters), and the body of the child should be fumigated {Dhupand) morning and evening with the

smokes of barley, Yava-phala (bamboo), and the dungs Neckof vultures and owls mixed with clarified butter. ornament should be made with (the wood or pith of) Varuna, Arishta (Nimba), Ruchaka, Sinduka (Nirgundi), and Putranjivaka and should be always worn on the neck (as a charm) by the child. 2-3.

The

presiding deity of the disease

known

as

Revati

should be worshipped in a cow-shed by a self-controlling


physician with the offerings of white flowers, milk, parched

* There is an additional text in the Bhivaprakas'a which says that Guggulu (Palamkashi), Nalada (Khus-khus) and Giri-kadamba should also be used in the preparation of the medicated oil.

152

THE SUSHRUTA SAMHITX.


S'dli rice

[Chap.

XXXI.

paddy and boiled


the child should

and the nurse as well as


in

be bathed

junction

of

rivers.

The Mantra (to be recited in course of worship) runs as follows :"May the goddess, Revati, of dark complexion who is clad in parti-coloured garments and
garlands of flowers of various colours and painted with

anointments of various kinds and with oscillating earrings,

be pleassd with thee.

May

the

goddess, Revati,

who

is tall,

drooping and terrible-looking, and

who

is

the
2.

mother of many sons be always propitious

to thee."

Thus ends the thirty-first chapter of the Uttara-Tantra in the SuVruta SamhitX which deals with the Therapeutics of an attidi by Revati.

CHAPTER XXXII.
Now we
shall discourse

on the chapter which


of
r.

treats

of the medical

treatment

an attack by Putana

(Putana'- Prati shed ha),

decoction of the barks of Kapota-bankd, Araluka,.

Varuna, Pdribliadraka and A'sphotd should be used in

washing, and medicated oil duly cooked and prepared Kalka and decoction of) Vac/ia, Vayasthd, (Brahmi), Golomi, Haritdla, Manah-s'ild, Kushtha and
with (the
Sarja-rasa (resin) should

be

used

in

anointing the

body

of a child possessed

by Putana.

2-3.

Clarified butter

duly cooked with the Tugd-kshiri,

Khadira and Chandana, and the drugs of the Madhura group would be found beneficial. 4.
Kushtha, Talis
Deva-ddru,
a,

Vachd,

Kushtha,

Hingu, Giri-kadamba,

Eld and Harenu should be used in fumigating the Fumigation of Gandhandkuli, body of the child. Kumbhikd, marrow of Vadara-fruits, shells of crabs, and mustard-seeds pounded together and mixed with
clarified butter

may

fhald, Vimbi and


(as a
v

also be used. Kdkddani, ChitraGunjd should be worn on the body


child.

charm) by the
in

5-6.

Putana, the presiding deity of the disease, should


the interior of a lonely chamber with
rice

be worshipped

oblations and with the offerings of boiled

prepared

with the admixture of

fish

as well as those of Kris'ard,

and Palala (meat or puddings of sesamum) placed in a saucer and covered with another, and th? child should
be bathed with the water
slovenly
in
left

behind after worship.


is

The worshipping Mantra


the

as

follows

"May
who
is

7A.

shag-haired

goddess,

PutanS,

dressed

dirty clothes, and

who

loves to haunt lonely

20

154

THE SUSHRUTA

SAMIIITX.

[Chap. XXXII.

dwellings, .preserve
frightful

the child.
is

May
a

the fierce-looking,

goddess
to

who

as black as

dark rain-cloud,

who

loves

haunt
all evils."

lonely and

dilapidated

human

dwellings and whose body gives off filthy odours protect the child from
7.

Thus ends
Sus'ruta

the

thirty-second chapter

of the

Uttara-Tantra

in

the

Samhita which deals with the medical treatment (of an attack) by

PutanS.

CHAPTER
Now wc
>vith

XXXIII.

shall discourse

on the chapter which deals


by) Andha-pui.

the medical treatment of (an attack

tana

(Andha-putana-Pratishedha).
decoction
of the

The

leaves

of

the

trees

of the
in

Tiktaka gana (trees of bitter taste) should

be used

sprinkling (the body of the possessed


Souviraka
(a

child).

Surd

(wine),

kind

of acid

gruel), (resin)

Kusktha, Hantdla,
should be used
in

Manah-s'ild

and
in

Sarjarasa

due proportion
medicated

medicating the

oil (for

the child)

and
the

Ghrita should be duly

cooked

with

Kalka and decoction


of the

of Pippali, Pippali-mula, the

drugs

Madhura

group,

S'dlaparni and the two

kinds of

Vrikati with the addition of honey (as an after-throw). 2 A.

Plasters of the drugs of


should be soothed
cock,

the'

Sttyva-gandhd (Eladi)
child

group should be applied to the body of the


its

and

eyes

with
its

cold

applications.

The

feces of the the

feather

and skin*, the

cast-off skin of a

snake and the ragged garment of a


should

(Buddhist)
child's

monkf
The

be used for fumigating the


be

body.
of)

child should

made

to

wear

(the

roots

Kukknti,
2B.

Markati,

S'imbi and

Anantd as

a charm.

Offerings of meat, cooked or uncooked, and of blood

should be

made

(to

Andhaputana)

at

the

crossing

of

roads or inside a

house for the preservation of the

Some

explain

"%HP^"

(hair)

and

=q*r

(tkin) as

those

of

man and

not of a cock.
|

Bhavaprakas'a reads "^W^rifl'^liT 3T8:"

'

'

v cry old cloth. This

reading does not suggest that the cloth to be used should

have been worn

by a Buddhist monk.

t$6
child,

tHE SUSURUTA SAMIIITX


which (with
its

[Chap.

XXXltt

nurse) should also be

bathed with

the decoction of the

holy drugs of the Sarva-gandha


runs as follows
:

group.
ful,

The Mantra

"May the dreadto

brown-coloured, bald-headed, goddess Andha-putana,

wearing a red-coloured garment be pleased


this child."
2.

save

Thus ends

the

thirty-third

chapter

in

the

UttaraTantra of the
attack)

Sus'ruta Samhita which deals

with

the medical treatment ol (an

by Andha-pulana.

CHAPTER XXXIV.
Now we
shall discourse

on the medical treatment of

(an attack by) S'ita-putana

(lta-putana'-Prati-

shedha).
The
be used

t.

decoction of Kafittha,
(?),

Vilva, Prachivala
in

Suvahd (Risna), Vimbi, Nandi ( Vata) and Bhalldtaki should sprinkling (the child's body). The urine of

a cow and of a she-goat, as well as Musta, Deva-ddru, Kushtha and the drugs cf the Sarva-gandha (Eladi)

group should be used


oil

in

duly preparing a medicated

(for

the

purpose) and

medicated Ghrita should be


of)

duly cooked with (three parts


Rohitri
K

the decoction of

Sarjarasa (resin \ Khadim, Paldsd and barks of


of) milk.

Arjuna and (one part

2 A.

Dungs of an owl and a vulture, the cast-off skin of a snake as well as Ajagandhd and Nimba leaves and Yashthi-madhu should be used for fumigating purposes, and Lambd (Tiktalavu), Gunjd and Kdkddani should be
be worn (as a charm) by the child.
2B.

The goddess ^itaputana should be worshipped with the offerings of the preparation of rice and Mudga
pulse (cooked together) as well as with

Vdmni wine and


river

blood, and the child should be bathed near a


:

"May the goddess tank. The Mantra is as follows Sita-putana, who is fond of the preparation of rice and Mudga pulse, who delights in drinking wine and blood and who resides by the side of a river or a tank, preserve
thee."
2.

or a

Thus ends
Sub'ruta

the

thirty-fourth

chapter

in

the

Uttara-Tantra of

the

Samhita which deals with the medical treatment of (an attack

by) S'itaputani.

CHAPTER XXXY.
Now we
shall discourse

on the

:hapter which
attack by)

deals

with the medical

treatment

of (an

Mukhai

mandika(Mukha-mandikaf-Pratishedha)
The decoction

of Kapittha, Vilva, Tarkdri (Jayanti),

Vants' a-lochana (D.R. Visa), Gandharva-hastakd (Eranda) and Kuvcrdkshi (Patala) should be used in sprinkling
(the

body of the possessed

child).

Oil

and

fat

(in

equal

parts) should be duly

cooked' with the expressed juice

of the Bhringardja, Ajagandlid and

Harigandhd (As'wa-

anointing the child's body. Medicated Ghrita should be duly cooked with Madhulikd
in

gandhd) and be used

(Murva), Tugd-ksliiri and the drugs of the

Madhura and
2.

the minor Panchd-mula groups and with milk.

A.

Fumigation mixed with clarified butter would be found beneficial and the child should be made to wear the tongue of a
Vac/id,

with

Sarjarasa and Kushtha

Ch&sa

bird, a Cldralli bird or a

snake (as a charm).

2. V>.

Offerings of

Varnaka (Kampillaka), Cliurnaka, garboiled in milk) and

lands of flowers, Rasdnjana, Pdrada (mercury), RTanahS't/d,

Pdyasa

(rice

puddings should

be

made

(to the deity)

inside a cow-shed

and the

child

should also be bathed therein with water consecrated

with Mantra.
beautiful

The Mantra
ornaments,

runs as follows

"May

the
is

and blessed goddess, Mukhamandika, who

decked with
forms at
thee".
will

who
resides

can
in

assume

different

and who

cow-sheds, preserve

Thus

ends

the

thirty-fifth

Chapter of the Uttara-Tantra

in

the

Sus'ruta Samhita

which deals with the medical treatment of (an attack

by) Mukhamandiki.

CHAPTER XXXVI.
Now wc
sha
shall discourse

on the chapter which deals


attack by)

with the medical treatment of (an

Naigamci.

(Naigamesha-Pratishedha).
The
decoction
of
Vilva,

Agnimantha and Putikd should be used in sprinkling (the body of the possessed child) and sprinkling with Surd, Sauvira and Dhdnydmla (Kanjika)
medicated
oil
is

also

advisable

in

such cases.

A
with

should

be duly cooked with Priyangu,

Sarald, Avantd, S'ata-pnslipd and Kutannata and


cow's urine, the liquid
of the

milk-curd (Dadhi-mastu)

and Kdnjika

Medicated Ghritas shoulJ

be duly pre-

pared with the drugs of the


with the decoction

Madhura group as Kalka, oflhe Dasamula and with milk or


2.

with the head of a date-palm tree

A,
Vac/td, Vayasthd,

The

child should be

made

to

wear

Go/omi and Jatild as a charm and the utsa'dana measures

recommended

in

the

treatment
also.

of

Skandapasmara
rice,

should be used in this case

Siddhdrtliaka (white
Bhalld-

mustard), Var/id, Hingii, Kushtha, parched


taka and

Ajamodd should be used in fumigating the body of the child. In cases of attacks by Navagraha the dungs of a monkey, an owl and a vulture should also be used by persons wishing the good of the child for
a fumigating purpose and that
at the
2.
V>.

dead of the night

when
and

all

persons arc asleep.

Offerings of husklcss
various
dishes
(the

scsamum, garlands of flowers


be

should

made
child)

to

the
at the

deity
foot

Naigamcsha

preserver

of the

of a Vata tree on the sixth


child should be

day of the fortnight and the


tree.

bathed there at the foot of the

l6o

THE SUSIIRUTA SAMIHtX.


runs as
follows
:

[Chap.

XXXVI.

The Mantra
goat's face with

"May
rolling

the far-famed

god, Naigamcsha, the preserver of children,

moving brow and


will,

who has a eyes and who


2.

can assume different forms at

preserve the child."

Thug ends

the

thirty-sixth

chapter

of

the

Uttara-Tantra

in

the

Sus'ruta Samhita

which deals with the medical treatment of (an attack

by) Naigaraesha.

CHAPTER XXXVII.
Now wc
shall discourse

on the chapter which deals

with the origin of the (nine) Grahas

(GrahotpattiSkanda and others


arc
all

Adhyaya).
The
ethereal

i.
vr'rj.,

nine presiding deities


diseases

of the nine

of infant

life

possessed of

frames,

divine

effulgence

distinction

of their

own.

and specific sexThey were created by the

gods Agni, Mahadcva and the goddesses Krittika and

Uma for guarding the person of the new-born Guha though protecting himself with his own divine prowess
amidst the stems of
the females

S'ara grass.
possessed

Of

these

Grahas

who

arc

of various
as

shapes as

described before arc


the

considered

originally

made

of

Rajasa
2

essence of

the goddesses Ganga,

Uma

and

Krittika.

A.
is

The Naigamcsha Graha who


face

possessed of a sheep's

was created by the goddess l'arvati as the friend and protector of the young god Guha and who was as Skand&pasmara, the dear to him as his own self. presiding deity of the disease named after him, was created by Agni, the fire-god (Vulcan). ]]c is as bright as fire itself and is a constant companion of the god Skanda and is also known by the name of Visakha.

The god Skanda,

the tutelar divinity of the disease of

that denomination,

was begotten by His Holiness, the Almighty Destroyer of Tripura and is otherwise known
(lit.

by the name of Kumara


dcva).
It is

child, viz.,

of

Maha-

2B.

impossible that the god springing from Rudra


his exalted

and Agni, with


jn

parentage would find pleasure


out
of childish frolic21

such a dangerous disease even

162

THE SUSHRUTA SAMHITA.


it

[Chap.

XXXVH.

somcness and
authorities

has also

been asserted by eminent


unintelli-

on the physical science that some


into holding,

gent persons have been misled

through a

mistake due to the identity of


other than the invincible Skanda.

the names, that the


is

author of the disease under discussion (Skanda)


2.

no
the

On

the effulgent god Skanda's being elevated to

leadership of the armies of Heaven, the presiding deities

of those diseases waited

upon him
his

and with folded


of their
referred
subsis-

palms asked
tence.

him about the means


turn,

The god Skanda- in


latter in a

them

to

His Holiness the god Siva for the answer, whereupon

they went to the

body and made the same


Grahas, exist
minis-

query. Mahadcva, the Destroyer of Bhaga's eyes, replied

"Gods,

men and

other

animals, O, ye

on the principle of reciprocal benefit*.


ter

The gods

to the wants of
of

men and
the

beasts, etc.,

by marshalling
in

different seasons

year and by setting the air


rain,

in motion and sending

down the

and men,

their
per-

turn, propitiate the gods

by duly and reverentially

forming the

sacrificial rites,

by saying

their prayers with

blended palms, by bowing

down

repetition of prayers, religious

observances.

All

services

and by vows and other religious and their emoluments in


in

reverence,

consequence have been

filled

up and
in

settled

and there
infant

remains nothing for you to


(though the emoluments
stained with

fill.

Your proper means of


the
*

subsistence will, therefore, be

life

of an

you
3 A.

shall

receive

shall

be

the tears of

many

an anxious, watchful

and night-worn parent).


*

Exchange or

reciprocity of services underlies

the

foundation

of all

distinct

and cognitive existences, whether beasts, men or gods.


to

The
is

worlds are linked

one another hy bonds of service.

Give-and-take

lh? law of the universe.

Duty implies

obligation.

Chap.

XXXVtt.

UTTARA-TANTkA.

tC^

Children of the families in which the gods, the Pitris

(departed fathers), the Brahmans, the


tors

pious, the precep-

and the seniors and the guests arc not properly


rulc.i

worshipped and attended upon and wherein the


cleanliness

of

and

virtues arc not

observed and the


offerings

memgods

bers of which do not

make

daily
live

to

the

and give alms

to beggars

and

on food prepared by

others and cat from broken bowls


bell-metal

and plates of Indian

would be the proper persons

whom

you might

strike with impunity, and by your malign influence

lay
shall

them

up with diseases peculiar


on their children.
of

to infant

life.

(It

be your duty

to sec that iniquities of the parents

are visited
least

Attack

them without

compunction

heart

and ample
to
you).

means
in

of

subsistence will be thereby secured

There the
their

parents of tho:-e
calamities and

children

will

worship you

you shall get plenty to live upon." 3B. Thus the Grahas came into being and began to
parents),

attack the children (of iniquitious


therefore that a child attacked

and

it

is

by a malignant Graha
Death or permanent
is

becomes very hard


disfigurement of

to

be cured.

any limb or organ


Grahas.

sure
is

to ensue

from an attack of Skanda Graha, since he


dreadful of
all

the most

the

case

of full-developed

attack by any other Graha should


incurable.
3.

be likewise held as

Thus ends
Sus'tuta

the thirty-seventh

chapter of the

Uttara Tanlra in the

Samhita which deals with the origin of the Grahas.

CHAPTER
Now we
shall discourse

XXXVIII.

on the chapter which deals

with (the symptoms and) the therapeutics of the diseases


of the female* organ of generation

(Yoni -vya'pat
well
as

Pratlshedha). Causes : The


Vayu
build

i.

bodily (as

the

local)

of a girl of tender years, weakly

constitution

or

and dry organic temperament,


in

is

deranged and

aggravated
with a

consequence of her excessive indulgence


of

man

abnormally

developed reproductive
of generation

organ, and

on getting into her organ

(yoni) gives rise to different local vaginal diseases

which

become manifest through the presence


In the chapter on the enumeration
diseases which
affect

of the

symptoms
2.

of the aggravation of the three specific Doshas.

of diseases, the

the female

organ of generation
kindsf.

(yoni) have been classified into twenty different

The

injudicious conduct of life

which

is

usually found in

females, menstrual disorders,

the diseased
of the
set

or defective
girl),

nature of the seed


accidental
of

(of the parents

or

any

cause

may

be

fairly

clown

as

causes

these female
3.

diseases.

Now

hear-

them discussed

separately.

Enumeration and Classification :


Udavarta (dysmenorrhea), Bandhya
(introversion of the
uterus),
(sterility),

Vipluta
or

Paripluta (retroversion
five

retroflexion of the uterus)


*

and Vatala are the

kinds

The leim "yoni"


lines

is

here used in a very conip.ehensive


ol generation,
'.

sense and

means the whole female organ


+ These three

t.,

Uterus, Vagina, etc.

correspond

verbatim

with three lines in the


Chapter

Cbaraka
Gtbana).

Samhita (vide Charaka Samhita,

XXX,

Chikitsita-

Chai>.

XXXVIII.]

UTTARA-TANTRA.

165

of Vtftaja vaginal diseases. Rudhirakshara (menorrhcea),

Vamini,

Sramsini,

Fittaja ones.

Puttraghni and Pittala are the Atyananda (nymphomania), Karnini, the

in

two kinds of Charana and Slaishmiki find their origin Kapha, and Shandi, Phalini, Mahati, Suchivaktra and Sarvaja arc said to be due to the aggravation of
the three Doshas.
4.

Symptoms of the Vataja types


suppression
of the

: An

Udavarta' yoni discharges painful and frothy menses and a Bandhya' yoni is marked by the absence or
catamenial flow.
in

local

pain
in

is

always complained of

Viplttta'

yoni
is

and

Faripluta' yoni an excessive

local

pain

experienced

at the time of sexual congress.

A Va'tala' yoni is marked by an aching and piercing pain in the organ which seems rough and numbed. The peculiar pain due to the
derangement of the Vayu
types of the
scries.
5.
is

also

felt

in

the

first

four

Symptoms
the passage
is

of the Pittaja types :


in

Discharge of the menses with a burning sensation


the
characteristic

kshara' or Rudhira-kashra' yoni.

symptom of LohitaThe yoni from which


is

the semen charged with the menstrual blood,

ejected

with

Vayu
or

(sound)

is

called Va'miui

the

coming out
and a
of a

(prolapsus) of the organ (uterus)


difficult

when

disturbed

painful parturition arc the

symptoms

Frasramsini yoni. The yoni in the case of repeated abortions due to the excessive discharge of catamenial
blood

during

the

period

'of

gestation

is

called

Puttraghni.
suppuration
in

An
which

extremely

burning

sensation

and
four

the organ

attended with fever are the


a
Pittala'

symptoms
symptoms

mark

yoni.

The

previous vaginal diseases are also marked by the specific


of the aggravated Pitta.
6.

1(36

THE SUSHRUTA

SAMlIITA.

[Chap.

XXXVIII.

Symptoms
An
of sexual
pleasures.

of the

Kaphaja types :
in

Atyanandst yoni knows no satisfaction

matters
polypii

Hemorrhoid growths or

due lo the aggravation of Kapha and vitiated blood appear on the Karnini yoni.
of
act,

living

In an

membrane of the organ in a Acharaua' yoni a greater quantity


the
in

ovum
and
is

is

secreted before

completion of

sexual

in the

other

/. ?.,

an Aticharana' yoni the

semen

not retained in consequence of over-indulgence.


is

Sleshmala' yoni
itching

very

cold

and slimy and has a


four

local

sensation.

The
(lit.

first

kinds of this

series of vaginal

disease

diseased
of

vagina) arc also

characterised

by the

actions

the
7.

deranged and

aggravated

Kapha

in the locality.

Symptoms
types The
:

of

the

Tri-doshaja
the

yoni of a

woman marked by
non-development
the

non-

appearance of the menses,

of her

and canal) which


breasts

the
is felt

roughness of
at the

vagina (vaginal
is

time of coition

called

Shandhi.

A woman
when

of tender years,

her girlhood,

ravished

by a

who has just man with an

passed abnor-

mally developed genital


of a Phalini yoni.
called

organ, offers the illustration

An

extremely dilated

vagina

is is

Mahayoni, while an extremely constricted one


SucMvaktra*
all
(lit.

called a
vulva).

a vagina with a needle-eyed


the

The yoni marked with

symptoms
is

of the

aggravation of

the three Doshas

said

to

be a

Sarvaja yoni. The four preceding kinds of vaginal malformations or diseascs^rc also due to the concerted action of the three deranged Doshas
in

the

locality

and these

last (five)
8.

kinds of Tridoshaja vaginal diseases

are incurable.

MedtCal Treatment : The


ment
of the

medical treatdiseases

curable types

of vaginal

should

Chap. XXXVIII.]

UTTARA-TANTRA.

67

begin with the administration of a Sneha according to


the Dosha

involved

in

each case and applications of

properly charged vaginal

enemas
In

(Uttara-vasti) should

be particularly resorted

to.

cases

where the yoni

(vagina) would feel cold, rough,

by diminished

sensibility
it

of

numbed and be marked its mucous membrane


be
fomented, in the
the flesh of aquatic and

during sexual action

should

manner

of Kumbhi-sveda, with
;

and drugs of the Madhura group mixed with Ves'avara (all described before) should be

A'nupa animals
applied
(in

the form of poultice) to the part, and


cotton

plugs
in

of oil-soaked

should

be constantly retained
lotions
c.

the yoni (vagina).

Proper vaginal
/

and washes
injection

as well as the measures of Purana

medical

(prepared with the


be employed
;

Vayu-subduing drugs) should also


measures should be adopted
in

cooling

the cases marked by dryness and sucking pain (Osha and

Chosa)
filled

in

the affected locality.

The vagina
five

should be
kinds
fetour

up with the powders of the


secretion,

officinal

of drug (Pancha-kashdyd) in a case,

marked by
in

and slimy mucous


ing.

and the decoction of the


washpurify-

drugs of Rajavriksh&di group should be used

Pindas

(balls')

of disinfectant (Sodhona, urine

lit.

ing)
salt,

drugs pasted with cow's

and saturated with

should be inserted into the vagina marked by the

discharge of pus.

T2.

A yoni
sensibility

(vagina)

marked by an
fumigated

itch

and impaired
together,
in

should be

with the vapour of

Vrihati and the two kinds of Haridrd j)takcn

which should be as well inserted and retained


vagina
(in

the

the shape of a plug

plug or stick com-

posed of a paste of disinfectant (or Sodhana) drugs should


be inserted into and
prolapsing
retained in a

Karnini yoni

and a

(Prasramsini) yoni should be fomented with

168

THE SUSHRUTA SAMHITA.


clarified

[Chap.

XXXVIII.]

hot milk and rubbed with


then be restored to
its

butter.

It

should

proper place and, being pasted

with Ves'avara, should be duly bandaged. 13

14.

Diet. Suti,
drugs) should

Asava, Arishta, (wines of medicinal


to

be prescribed according

the

Dosha

involved in each case and the patient should


to take

be

made

the expressed juice


diet

of garlic {Las/tuna) every


consist

morning and her


meat-soup,
etc.

should

mainly of milk,

15.

We

have

already

described

the

nature

of
to

the

medical treatment
respectively pursued

and the
in

remedial

agents

be
of

and prescribed
complaints,
cases

for diseases

the semen,

menstrual

affections

of

the
of

mammae,
child

impotency,
diseases

of false

presentation

and

during the period

of

pregnancy

and motherhood,

and

all

those

may

be employed with

equal benefit in these diseases


sex.
arise

peculiar to the
etc.)

female

Other diseases (such as fever

which
in

may
the

from immature delivery should be treated


in the respective
16,

manner described

treatment of those

diseases in the Uttara Tantra. Thus ends


the
thirty-eighth

chapter of

the

Uttara Tantra in the

Sus'tuta Samhita which deals with the

therapeutics of the female organ o

generation-

Here
Tantra,

ends

the

Kaumarabhritya

CHAPTER XXXIX.
Now we
medical
shall

discourse on

the (symptoms

and)

treatment of Fever

(Jwara-PratlShein

dha). i. The Divine Dhanvantari, who


tion arose out

his

first

incarna-

of the primordial

of ambrosia on his head,

(when

it

Ocean with a pitcher was churned by the


conferred immortality

gods and the demons) and

who

on Indra and

his

brother celestials, was

thus interro-

gated by his disciples, Sus'ruta and others


instructed
subject
us, all

"You have

O, you, the foremost of physicians, the


the

on

concomitant distressing symptoms

(Upadrava) of Ulcer iVrana).


outline

Now

let us

have a general

and detailed description of the concomitant distressing symptoms, physiological and pathological conditions e.g. fever, dysentery, cough, etc.
patient.

showing
a

in

an

ulcer-

An

ulcer attended with

many
cured

concomitant
with the

symptom
greatest

Upadrava)
difficulty
in

may

be

only

and

such

concomitant

symptoms
loss

appearing

an emaciated

and weak

ulcer-patient,

take time to
Dflshas and

be subdued because of the


Dhatus.

of his

Hence illumine

us fully,

sir,

on those diseases affecting the whole body (and not localised in any particular limb or organ) observed by
the holy sages of yore, and instruct us the nature and application of the therapeutic agents to be employed
in their cure".
2.

Description Of Jwara :To


the disciples, the divine physician,
as follows
:

the query of

"First

Dhanvantari replied
on the nature and
bodily distempers
2?

shall discourse

origin of fever for

it is

the king of

all

IfO
in as
It

THE SUSHKUTA SAMHITX.

[Chip.

XXXIX

much .as it affects the whole orgainsm at a time. was begotten by the fire of wrath of Rudra, and afflicted the whole animal world or organic kingdom. The different names by which it is designated amongst the
different kinds of animals are well
is

known.

Its

presence

perhaps an indispensable

condition under which a


or

creature can

come
it is

into being

can depart from this

life,

and hence

called the lord of ailments


fever.

and none

but a god or

man

can bear the heat of

Men may
in

become gods by virtue of their good deeds (Karma) life and would again revert to humanity (mortality)
the close of their blissful effects, and
it

at

is

this divine or

godly element
simply

in

man
its

that

enables

him

to

bear this

abnormal heat of fever whereas the lower animals are


lost

under

influence.

3.

Definition and Classification of FcVCr The disease which is marked by the arrest
:

of the flow of perspiration,


skin),

by increased heat

(of the

by pain

all

over the body and by a sense of


is

numbness
into

in the limbs,

called

Jwara

(fever).

Cases

of fever of which the causes are numerous, are divided


eight types

according

as they

are

brought on

through the derangement of the three bodily Doshas


separately, or through that of

nation or through their

any two of .them in combicencerted action, or by any ex*

traneous causes*

4-5,

When
specific

the Doshas of the

body are deranged by

their

respective aggravating causes and in the hours of their

dominance^ they bring on an attack of fever by

* There can be three cases of fever due to the derangement of the three

Doshas separately, three cases from the derangement of two of them


These are the seven cases while that due

at a

time and one case only from the concerted action of the three Doshas
to an extraneous cause is the eighth.
Pitta, at

t Kapha
{))*

is

aggravated in the morning,

noon and Vayu, in


the

evening.

Fever follows a distinct periodicity determined by

Chap.

XXXIX.

UTTARA-TANTRA.

171

spreading through the whole organism.

The deranged

bodily Doshas augmented or enraged by their specific

aggravating causes, enter into the Amas'aya and soon


find

lodgment

in

the Rasa
(

(lymph-chyle) by virtue of
).

their

inherent heat

Ushman

The

Doshas
the

thus

deranged and

mixed with

Rasa

obstruct

Rasa-

carrying and sweat-carrying ducts, impair the digestive


fire

and cxpelthe inherent heat (Ushman) out of


and spreading
all

its

seat in the Pakvas'aya,

over the body

during the period of their specific dominance, bring on


fever

and causes

its rise

and exhibit, their


6

specific

colour

on the

skin, etc. (of the patient).


:

7.

Pathology
application

The
etc.,

improper

and

excessive

of Sneha,

any kind
in

of blow, the pre-

sence of

any

other

affection
boil

the organism,
ulcer
in

sup-

puration (of an
over-fatigue,

existing

or

the body),

any process of physical waste, indigestion, introduction of any extraneous poison or poisonous matter into the system, infringement of any habitual
rule of diet

ty of seasons, the

and conduct, the sudden change or contrariesmelling of any kind of poisonous


grief,

herb or flower,

the malignant influence-? of inaus

picious stars or planets (at the time of birth),

dynamics

time of aggravation of the deranged bodily Doshas ushering in the attack

An

attack of fever due to the deranged

Kapha comes on
Pitta

in the at

morning or

after

dusk

one due
to the

to

the deranged

comes on

noon or mid-

night, one

due

deranged Vftyu comes on in the afternoon or during


In a case of Dvi-doshaja fever (due
ig
t<j

the small hours of the night.

the

combined action of the two deranged bodily Doshas) the heat


vated during the specific hours of domination of
continues through those
peculiar
to
the.

aggra-

stronger

Dosha and
attacks

each of them.

All night

should be regarded as connected with the action of the deranged Pitta.

In

a Tri-doshaja case,
strongest

the
is

heat comes on

with the specific hour of the

one and

abated on the approach of the time peculiar to the


in the

weakest.

Vayu

is

aggravated

Varsha (rainy) season,


(spring).

Pitta, in the

S'arat (autumn)

and Kapha, in the Vasanta

t/2
of deadly

?HE SUSHRtfTA SAMHITX.


incantations or charms,
superiors),

[Chp.

XXXIX.
Brah-

curses (from

manas and
effects

any fancied dread or anxiety,


or

of miscarriage
life
first

untimely parturition, injudi-

cious conduct of
delivery,

on the part of a

woman

after

and the
fever,

accumulation of the milk in the


the causes which
lead to

breast (after

delivery) are

an attack of
of the

the

derangement and aggravation


principles,

fundamental

vital

(Doshas)

of

the

body being the existing


stomachic heat
is

origins

of the disease.

The

propelled by the extremely deranged


of the
in

and aggravated Doshas

body,

and, coursing

through the wrong channels


incarcerating
a
rise

the orgainsm, tends to

escape through the surface (the skin of the body) and, by


the vitiated

Rasa Dhatu generally causes

in

the bodily temperature and puts a stop to


8

perspiration.

9.

Premonitory Symptoms : A
fatigue

sense

of

or

physical

languor, aversion to

all

sorts of

work, paleness of complexion, bad taste


tearfulness
for

in the

mouth,
dislike

of the
cold

eyes,
air,

alternate

liking

and
the
of

heat,

and

constant

yawning,
of

aching
body,
vision,

of

the

limbs,

a sense of
disrelish

heaviness

horripilation,

for

food, darkness

depression

and a feeling of creeping cold in the body are the general premonitory symptoms which
Constant yawning, burning
to

usher in an attack of fever


of the

eyes and aversion

food are the special pre-

monitory symptoms of the derangement of Vdyu, Pitta and Kapha respectively. The derangement of
all

the three Doshas is marked by the presence of all the symptoms, while, in the derangement of any two
of these, the
4

special

symptoms

of those

two Doshas

appear.

10.

Symptom* of Vrftaja

fever : Shivering;

Chap.

XXXIX.]
fits

UTTARA-TANTRA.

173

irregular

of fever, dryness of the throat, lips and


of sneezing, par-

of the mouth, loss of sleep, stoppage

chedness of the skin, pain in the head, chest and limbs,


distaste

mouth, suppression (D. R. hardness) of stool and aching pain (in the abdomen) arc the
in

the

characteristics

of a

case of fever due to the action of


of the body.
11.

the deranged

Vayu

Symptomssleep, vomiting,

of

Pittaja fever : High


but disturbed
lips,

fever (hyperpyrexia), diarrhoea, scanty

inflamation in the throat,


delirious
in talks,

mouth
or

and

nostrils,
fits,

perspiration,

swoon

fainting

burning sensation
urine and

the body, loss of

consciousness, pungent taste in


of the stool, are

the
the

mouth, yellowness
eyes

of

and

vertigo

the

symptoms which mark

the

Pittaja type of

fever.

1 2.

Symptoms
passages
of

of the

Kaphaja fever :
pain

Heaviness of the limbs, shivering, nausea, appearance


of goose-flesh, excessive sleep, obstruction of the internal

the

body,

slight

(in

the

limbs),

water-brash, sweet taste in


the body, vomiting,

the mouth, slight heat in


mal-assimilation
(Aviindica-

lassitude,

pakata), whiteness (glossinss) of the eyes arc


tions

the

which
13.

point

to

the

Kaphaja

origin

of the

disease.

Symptoms
fever
:

of

the

Insomnia,

Tri -doshaja
or
difficult

vertigo,

laboured

breathing, drowsiness (somnolence), a sense of innertness


in the limbs, aversion

to food, thirst, swoon,

delirium,

numbness, burning sensation and shivering of the body, pain about the region of the heart, delayed assimilation
of the deranged bodily Doshas, (temporary) insanity,

blackish yellow coat

on

the

teeth,

blackness
in' the

and

roughness of the tongue, pain in the head,

'joints

r?4

THE SUSHRUTA SAMHItA.


in

[Chap-

XXXIX.

and

the bone, dilation of the pupil and cloudiness


eyes,

of the
talks,

pain and ringing in the ears, delirious


of the
living

inflamation

membranes

of the

channels (of the nose and of the mouth),

indistinct

sound

in

the mouth,

coma

(loss

of consciousness)

as

well as perspiration, scanty emission of urine

and

faecal

matter at long intervals, are the symptoms which are


exhibited in a case of fever due to the concerted action
of
all

the three deranged Doshas of the body


14.

fri-do-

shaja or Sannipataja)

AbhlnyeCsa fever :Now


whereof are as follows
rise of the
:

hear from

me

about

the peculiar forms of this type of fever the

symptoms

Where a slight or impcrceptibje


or a slightly subnormal temperaor

bodily heat,

ture attended with a subcomatose state, erroneous vision,


loss

of

voice,

injured

cracked

condition

of the

tongue, dryness of the throat,


perspiration

suppression
eyes,

of stool,

and

urine,

tearful

hardness of the
of

thorax

*,

aversion

to

food,

dulness

complexion,
other conin a

difficult

breathing and delirious talks and


specific

comitant symptoms are the


patient always confined to

indications

his bed,

it is

known by
it

the
of

name

of Abhiayisa, while
fever.
15.

others

call

a case

Hataujasa

An
almost

attack

of Sannipataja fever can be cured only


difficulty,

with the greatest

while others hold

it

to

be

incurable.

case
is

of Sannipataja fever attenAbhiuya's-t,


it

ded with somnolence

called

is

called

Hataujasa when the vitality of the patient is greatly diminished and it is called Sanny&a when there is
an innerrness of the limbs.
* "OTjfWlInir."
>s

16
reading in
place
of
<

different
is

qrgt fnjto

VT^T."
loan to

Tne

term ftw^j

more appropriately

applicable

tpqif

f^f

both grammatically and in sense.

Chap. XXXIX.]

UTTARA-TANTRA.

175

When

(in

a case of Sannipataja fever), the Ojo-dhatu


principles)

(one of the fundamental

of the

organism

being disturbed or agitated by the deranged and aggravated


Pitta

and Vayu,

gives

rise

to

shivering

and
into

numbness of limbs and makes the patient drop


fits

of

unconsciousness

whether

asleep

or

awake,
hor(in

and when there are somnolence


ripilation,

delirious talks,

looseness, of the

limbs and slight pain


is

the

body)this kind

of fever

called

Ojo-nirodhaja

fever (due to an obstruction or


tion of the Ojo-dhatu)

an overwhelmed condi17.

by the

experts.

The

disease, (in such cases) finds aggravation

on the
the case
18.

seventh, the tenth or on the twelfth

day

when

takes either a favourable turn or ends in death.

Symptoms
A
case

of

Dwandvaja fever :
is

of fever

which involves, and

due

to

the

combined action of any two deranged Doshas of the body, is called Dwandvaja fever and such cases are
classified into three different

types

(e.

g. Vata-pitta-fever,

Vata-s'leshma-fever and Pitta-s'leshma-fever).


distension of the

Yawning,
shiverthirst,

abdomen,

loss of consciousness,

ing

pain

in

the joints, emaciation of the body,

delirium and heat or increased temperature of the skin,

are the characteristic

symptoms of Vita-pitta fever (due


and Vayu).
Aching-

to the action of the deranged Pitta

pain (Sula), cough, the


coryza,
to
cold,

vomiting of Kapha, shivering,


of the limbs, aversion
are the

sense of heaviness
feeling of

food,

and a

general numbness,

The

fever in

that in

which

Pitta

which Vayu predominates gets aggravated on the 7th, predominates becomes aggravated on the loth and
to

that in

which Kapha predominates comas


According
to

be

aggravated

on the

I2th

day.

some

authority, however,

Abhinyasa, Hataujasa, and


10th

Sannyasa types of fever are pacified


respectively.

on the 7th,

and

12th.

day

Dalhna,

l?6-

THE SUSHRUTA SAMHITX.

[Quip.

XXXIX,
to the

symptoms of a
action
of cold
ration,

case of Vita-dleshma-fever (due

of the

deranged

Vayu and Kapha).


to food,

Sensation

and heat, aversion


epileptic
fits,

numbness, perspivertigo,

unconsciousness,

cough,

lassitude

and nausea are the symptoms which characPitta-rfleshma-fever (due


to the action
21.

terise a case of

of the deranged Pitta and

Kapha)*
of an

19

Even a small
in a

residue of the deranged bodily

Doshas
still

patient just

cured

attack of fever but

sufferring

from weakness and

indulging in injudicious

regimen of diet and


ed and aggravated

rule of conduct, is apt to

be augment-

by

the deranged

Vayu

of the body,

and thus begets five different types of fever lodged in any of the five specific locations of Kapha -f\ These five
types arc

known

as the Satata,

Anyedyushka, Tritiyaka,
\.

Chaturthaka and the Fralepaka

The

(residue

of the)

deranged Dosha of the body, shifting from one location


of

Kapha

to the next in the

course

of the entire
lines

day

* Dallana in his

commentary has quoted

in eight

with different
fever

wordings the symptoms of these kinds of


lines

Dwandvaja

and these

have been adopted by Madhava in his Nidana


:

The

lines

when

transtated would be thus


tion,

Thirst, unconsciousness, vertigo, burning sensaof Vstta-pitta-fever.


'

somnolence, pain in the head, dryness of the mouth and of the throat,

vomiting, horripilation, disrelish for food, giddiness, pain in tbe joints, and

yawting

are

the

symptoms

Sensation of moisture

all ( f^fijfl )

over

the body, pain in the joints, excessive sleep, heaviness the head,
catarrh, cough,

of the limbs, pain in sensation of heat,

scanty perspiration, slight

and pulsation not too quick

nor too slow,


taste,

are

the
the

symptoms of V^ta-s'leshma-fever.
mouth, somnolence,
alternate

bitter

coating on

unconsciousness,

cough, disrelish for food,

thirst,

and varying sensation of heat and cold are the symptoms of

rileuhma-pitta-faver

+ The
and the

five

locations of

Kapha

are the Amas'aya,

chest, throat,

head

joints.
is

t There

another kind of

Vishama Jwara named Santata


it

(cf.

S'loka

31 of this Chapter) and


residue of the deranged

Dallana remarks that

is

begotten

whin

the

Dosha

is

lodged in

all

the five seats of Kapha.

Chap.

XXXIXO

UTTARA-TANTRA.
finds

177
in

and night, ultimately


(those) fevers.

lodgment

the

Amas'aya

(stomach) and thus brings

on the virulent attack of Of these the type known as the PralfrSosha (consumption) and though
it

paka appears
its

in cases of

attak

is

a mild one,

puts almost insurmountable


cure, brings

difficulties in

the

way

of

its

about a

loss or

waste of Dhatus (the seven fundamental principles of


the organism) and thus ultimately ends in death.
are cases of Vishama-jwara

There

known

as the

Viparyyaya

type (reverse of the


of the deranged

bodily

above type) which are the result Doshas being simultaneously


specific

located

in

two or four
authorities
its

seats

of the deranged

bodily

Kapha and

arc hard to cure.

22

23.

Several
generis in

hold

Vishama Jvara

to be suiidio-

origin.

But whether spontaneously

pathic

or

not,

an

extraneous fact (cither a


etc.

passing

psychic condition such as fear, grief,


of

or the presence

any foreign

poisonous matter
in

in

the

system)

is

always involved
of

Vishama

fever.

and intimately connected with a case The pre-dominance of the deranged

(tertian)

is marked in cases of Tritiyaka and Chaturthaka (quartan coming on every fourth day) fevers. A case of fever due to the abuse of any wine or ardent spirits as well as the one occuring

and aggravated Vayu

in

low land
to

at

the foot

of a mountain, should be

supposed

involve

predominant action of the


Pitta.

deranged and aggravated


fever
is

case of

Pralepaka

due

to'

the concerted

action of the deranged

and aggravated Vayu and Kapha, of which the action of the latter should be regarded as" more dominant. Cases of Vishama fever ushered in by epileptic fits
should be regarded as the result of the
concerted action of any two deranged Doshas of the body.

24

25.
if lo-

The deranged Kapha and Vayu

of the body,

23

I7

THE SUSHRUTA SAMHITX.

[Chap.

XXXIX.

cated under the surface of the skin, produce cold (shivering) during the
first

tstage of fever,

while the deranged


its

Pitta brings on the characterstic burning sensation at


latter stage after the subsidence

of the deranged

Kapha
is

and Vayu.

In certain cases the burning sensation


Pitta
at

engendered by the deranged


(shivering) being brought

the outset, cold

on by the deranged Kapha


of the of

and Vayu
deranged

at the latter stage after the subsidence


Pitta.

Both these two types

fever

arc

brought on through the combined action of two deranged

Doshas of the body and of these two, the type which


ushered in by a burning
ly hard

is

sensation in the

body

is

extreme-

to cure.

case

of continued

fever resulting
as
is

from an abnormal
grief, desire, etc.)

psychic

condition (such

anger,

or due to any blow or hurt

likewise

hard to cure.

26

28.
man
it

Fever of the Vishama type attacks a

in

various

ways and
deranged

follows

a distinct periodicity,

being aggra-

vated during the six specific times of dominance of the


bodily
principles

(Doshas)

as

mentioned
the

before * in the course of day and night.


fever never finds complete remission,

This Vishama
in

(but lurks

deeper organic principles of the body) and produces a


sense of physical

langour and heaviness of the limbs


characteristic
its

as well

as

the

emaciation.
is

It is called

Vishama-jwara because
founded with
ing
its

abatement

always conconfound-

cure and
fact

remission,

and

this

the disease (fever) lies is due to the dormant in a very small degree in the deeper principles

that

of the vital organism to be patent

only at the slightest


fed with an insufficient
slightest exciting-

exciting cause, just as a feeble

fire

supply of
cause.
*

fuel,

becomes patent at the


XXI, Sulra-sthana.

29.

See chapter

Chap.

XXXIX.]

UTTARA-TANTRA.

.179

Seat of Vishama Jwara :Even


residue

a small
in the

of the deranged

bodily

Dosha, lurking
fever, is

system after the apparent cure of


a course of injudicious conduct

aggravated by

and

indifference to strict

regimen of
is

diet,

and thus

invites a fresh attack *

which

known

as the

Vishama Jwara.
its

case of

Santata
while a

(remittent or continuous) fever has

seat in the vitiated


;

Rasa (serum) and blood + of the


case of

organism
in

Anyedyah
body.

finds

location

the contaminated
as the Tri-tiyaka

flesh of the

The type known


third
(fat),

(tertian-fever

coming on every coming on

day) affects

the

principle of

Meda

while the one called Cha'turthaka


ev'ery fourth

(quartan-fever
is

day) affects and

infiltrated into
is

bones and marrow.


It

The
often

last

named

type

very dangerous.

brings on

a simultaneous terminates

attack of several
fatally.

other diseases and


authorities

Several

include cases of fever due


of evil
30.

to

the malignant influence

spirits

within the

category of

Vishama Jwara.

Duration of Vishama Jwara : The type


of fever which continues for
seven,
is

ten

or

twelve days

without any break or remission,


case of Satataka fever
is

called

Santata.
night.

characterised by two distinct


of

aggravations
of the

in the

course

day and

Fever

Anvedyushka

type comes on only once aday

and one of the Tri-tiyaka type comes on every third t. e. on every alternate day, while a case of Cha'turthaka
fever sets in every fourth day.
31.

case of fever

may
the

lapse into a

Vishama type even from the Very

commencement

of the attack.

t Vijaya Rakshita,

commentator on Midhava Nidana, says, on

the authority of Charak,

that

by the

term

Santata

are

meant here

both Santata and Satataka and that they have their origin in the vitiated

Rasa and blood

respectively.

ifco

THE SUSHRUTA SAMHITX.

[Chap.

XXXtX.

Influence Jwara. i Just


water
is

of
as

Vayu
ocean
is

on

Vishama
when
its

the

overflown

swollen up

bodily Doshas are aggravated

by the gusts of wind (Vayu), so the by the bodily Vayu,


kinds
floods
its

and give
tide

rise

to

different

of

fever.

Just
at

as

the water of the occean

the

shore

flow-

and

rolls

back

to

former

place

during

ebb-tide,

so

fever

being augmented by the deranged


rushes out of
itself
its

Doshas
in

of the body,

lurking place

the organism and manifests


skin)

(or

comes

to

the

surface of the

during

the hours of the specific

aggravation

of the

Doshas,

only

to

be driven back
of the

into the deeper tissues

and

vital

principles

body

during the period of their

specific

abatement, or to

be expelled from the organisiin at the completion of


their

perfect
32.

assimilation

in

or

elimination

from the

system.

Agatltuka Jwara ; A
any extraneous blow
light

case of fever due to

or injury

should be treated in the

and aggravation or in other words the nature of the deranged bodily Doshas underof
its

periodicity

lying, or involved in such a

case

should

be ascertained

from the periodicity of

its

aggravation.
is

case of fever

due to the

effects of

poison

marked by such symptoms,


diarrhoea,
to

as blackness of the face, burning sensation,

catching pain in the

region

of the

heart,

aversion
fits

food, thirst, piercing pain in the limbs, epileptic

and

extreme weakness.
the pollens of

Hay fever

is

A case of fever caused by smelling any kind of ( strong smelling ) herbs ( as marked by fainting fits, pain in the head

and sneezing. A case of fever incidental to an ungratified amorous longing of the heart, or due to any such ardent passion is characterised by aberration or
a distracted state of the mind, drowsiness, languidness,

Chap. XXXIX.]

UTTARA-TANTRA.
food, pain
at

l8l

aversion

to

the

cardiac

region and

speedy emaciation of the body.


of fever due to
terises
fits

Delirium marks a case

grief or terror
fit

and shivering characThirst and fainting

one due to a

of anger.

are the concomitants of a case of fever due to

any

curse, or

ushured in through the dynamics of deadly

incantations.

Anxiety, laughter, shivering and weeping


the

mark a
genii.

case due to

malignant influence of

evil

3334.
bodily

The
entire
is

Vayu deranged

and

aggravated

by

fatigue, physical

waste or by a blow spreads through the

organism and begets (traumatic) fever. There another kind of fever which is due to any extraneous
results

cause or which

from

the acute stage


It

of

any

other disease attendant on the body.

exhibits all the

symptoms

characteristic of each of the

deranged bodily

Doshas involved therein *

35

Gambhira fever and


A
case of

36.

its

prognosis :
by a
feeling
is

Gambhira

fever

is

characterised

of internal burning sensation in

the body (which

not

complained of in the
stool,

surface), thirst,

suppression of the

laboured or painful breathing and cough. Paleness

of the complexion, dulness of the sense-organs, emaciation cf the body, depression of the

of supervening
etc.) in

cases

mind f and presence symptoms (e. g. hard breathing, cough, of both Gambhira (inward or latent) and

* "Abhichar,'

means incantations

or Atharvan rites
,

by which disease,

death and any other injuries are brought about.

"Abhis'apa" means the curse pronounced by Brahmins, preceptors,


seniors

and

alters possesed of puissance.

Dallana says
this.

in his

commentary

that

some read a few additional

lines after

does not comment on those lines and further add that Jejjata does not read them. So we, too, refrain from

He, however,

translating those lines.

$2

THE StfSHRUTA SAMHITX

[Chap.

XXXIX

Tikshna (high) fever are the indications which point to


the hopeless nature of the case. 37

38.

slightly,

middling or excessively aggravated condi-

tion of the

deranged Doshas of the body forebodes the

continuace of fever for three, seven and twelve days


respectively, each succeeding

one being more


it

difficult to

cure than the

one immediately preceding

in

order of

enumeration. Thus
(the nature, causes

we have done with the description of and symptoms of) the different types
now
deal with the remedial measures

of fever.

We

shall

or therapeutic agents to be

employed
of

in these cases.

39.

Treatment :Draughts

filtered

(matured

but non-medicated) clarified butter should be given as

soon as the premonitory symptoms would

make

their

appearance and the patient would get


This
is

relief thereby.

applicable

only in a

case of the Vtftaja type of


in a case

fever while purgatives should be administered

of the Pitta] a

and mild emetics,

in a case of the

haja type under similar conditions.


doshaja and Tri-doshaja
should be adopted
in

In cases

of

KapDwi-

fevers, the foregoing

measures measures

according to the Doshas involved

each case.

In the cases in which emulsive

(Sneha-Karma) and exhibition of purgatives and emetics are forbidden, such measures should be employed as
would tend
(Langhana)
to
etc.
1

lighten
40.
:

the

system

such

as

fasting,

Fasting
fire

The
of

premonitory

and

the

actual

stages of fever are

various forms
is

like

those of

and

its

fume.

Fasting

pre-eminently the best

remedy as soon as the characteristic symptoms of the


disease

make
most

their

appearance distinctly and vomitin

ing

is

efficacious

a case marked

by

the

presence of the deranged bodily

Dosha

in

the Amas'aya
water-brash.

(stomach) and attended with nausea,

thirst,

Chap.

XXXIX.]

UTTARA-TANTRA.

183

Fasting should be continued as long as the least quantity


of the deranged
in the

Dosha or Doshas would remain

intact

organism, and light food should then be given


fully assimi-

with discretion after the Doshas have been


lated in (to) the sysmtem.
41.

Prohibition of Fasting :Fasting


hibited
in

is

proin

a case of fever due to a wasting process


incidental
to

the

body or

the action of the deranged


in

bodily

Vayu

or

appearing

consequence
lust,

of

any
etc,)

serious state of the


as well as in rases in

mind

(c. g.

anger, grief,

which fasting has been forbidden


I,

as in the chapter on Divi-vrana (Chapter


sthana).
42.

25

Chikitsathe case

Effect Of
of a patient
in

Fasting

Fasting
of

in

deranged and
dull,

whom the bodily Doshas of whom the digestive fire


an
asstmilatio/i

have been
has become

lead

to

the
fire,

deranged
producesrelish

Doshas
remission
for food.

and

kindles

the

digestive
of the

of fever, lightness
43.

body and

Satisfactory and excessive fasting Easy and natural passing of Vayu and stool
'

and

urine,

intolerable keenness

of thirst

and

appetite,

lightness of the

body,

sprightly, action

of the mind

and the sense-organs and a weakness of the body are


the
results

which spring from Satifactory fasting


thirst,

while such symptoms as loss of strength,


ness
(of

dry-

the

mouth),

insomnia,

vertigo,

doziness,
diffi-

fatigue and

such other supervening symptoms (as

cult breathing, cough, fever, hic-cup)

mark an excessive
water
is

fasting.

4445(boiled)

Tepid Water :Tepid


ing
of

appetis-

and

it

tends to disintegrate
restores

the

accumulation

Kapha and

the deranged bodily Pitta and

I4

THE SUSHRUTA SAMHITX.


to their

[Chap.

XXXIX.
tepid

Vayu

normal

condition.
is

The

use of

water which allays thirst


of fever due to the

highly efficacious in cases


of the deranged

actions
it

bodily

Kapha and Vayu,


of the deranged
effect of cold

as

tends to cleanse the internal

passages of the body and helps in the easy


bodily
is

Doshas

in

the organism.
its

movement The
inherent

water

just

the reverse and

cold tends to aggravate fever.

46
of

Pcy(

A
red

potion

consisting

water

boiled
viz.

with the admixture of the following bitter drugs

Gdngeya (Musta\
(Balaka) and

Ndgara,

Us'ira,

Pdrpata,

Udichya

sandal-wood should be given, when

cooled, for drinking in a case of Pittaja fever, as well as in

one due to the

effect of

any
in

liquor

or poison

*.

Peytf

prepared with digestive drugs should


patient

be given to the
it

when hungry
and

as

much

as

is

digestive,

appetising, light

febrifugal.

Tasteful decoctions of
thirst,

digestive drugs,
taste in the

which

alleviate

remove
for

bad
food

mouth, bring about a fresh


for fever,

relish

and prove remedial


seventh day
in

should be given after the

a case of fever which, in consequence of


in

a plethora of deranged Dosha

the system, would


of
fasting

not

abate even after the observance

and the
digestive

subsequent use of YavrfgU and where the

power of the patient has been impaired.

47

A
Dosha

49.

decoction of Panc/ia-mu/a assimilates the bodily


in

case

of Vataja

fever, while a decoction of

Musta, Katuka and Indra-yava mixed with honey (when


cold) proves curative in a case

of Pittaja

fever,

and a

decoction of the component drugs of the Pippalyddi

group helps the assimilation of the deranged bodily

Dosha
*

in a case

of

Kaphaja
ies

fever.

Decoctions remcwhen
cooled,

According to different anlhori


also

purely boiled water,

may

be given

in such cases.

Chap.

XXXtX.]

UTTARA-TANTRA.

185

dial to

each of the deranged bodily


in

Doshas, should be
case of fever due

administered in combination
to

the concerted action of any two deranged Doshas

of the body. a patient

decoction

should

not be given to

immediately after eating, drinking or fasting,


afflicted

nor to a patient
ness,

with

thirst,

extreme weak'

emaciation and indigestion.

So.

Symptoms
ment
of

of

Pakva-Jwara : Abate-

the

bodily heat, lightness of the body and

an easy passing of stool and urine are the indications

from which the assimilation of the deranged bodily Doshas should be presumed, and it is then that febrifuges should be administered
of the

according to the nature

deranged bodily Doshas underlying the case under treatment *. Some, however, believe that the
from the changes
Doshas.
51.

assimilation of the deranged Doshas should be presumed


in the

symptoms

characteristic of the

Symptoms of Ama- J wara


sensation
in

: A

crushing
sali-

the region of the heart, drowsiness,

vation, aversion to food, non-assimilation of the derang-

ed

bodily

Doshas,

suppression

of

stool

(and wind),
of heaviness

copious discharge of urine, laziness, sense


in

the abdomen, stoppage


dissatisfaction,

of perspiration,

undigested

stool,

somnolence, heaviness and numb-

ness of the

limbs, dulness of appetite,

bad

taste in the

mouth, a sense
virulence

of

physical

languor

and increased

and continuity of the attack of fever (abnor;

mal rise in the bodily temperature) arei the symptoms by which a learned physician should ascertain the
*

Some

read these two lines in a different way.

the non-assimilation (A'ma) of the deranged

by the presence of high

fever,

They would mean that Doshas would be presumed heaviness of the body and stoppage of the
the sign of their assimilation (Paka).

excreta (Mala), and the reverse

is

24

l86

THE SUSHRUTA SAMHITX.

[Chap.

XXXIX.

undigested state of the deranged bodily Doshas ushering,


in

an attack of

fever.

52.

Time for administering Febrifuge:


According to several authorities, medicines (febrifuges)
should be given
in

case

of fever after the seventh,

or according to others after the Febrifuges

tenth day of the attack.

may

be administered earlier in the cases of


the

Pittaja fever, or in

event of the deranged bodily


earlier.

Doshas being
fever

digested

An

administration

of (febrifugal) medicine in
is

an undigested stage of the


recrudescence of the disease.

sure to produce

Corrective,
(in

purifying and soothing (Samaniya) remedies


of
fever

case

with

undigested
(fever)

Dosha) helps
a

the
type.

lapse 53

of the
54-

disease

into

Vishama
(Mala)

The spontaneous motions


of a patient suffering

of

the

bowels

from fever should not be stopped unless they are excessive, vvhen the case should be
medically treated as one of Atisara (Diarrhea).
55.

Preliminary
purgative
acute
etc.)

Treatment: A
even
in

suitable

should be administered
if

case of

fever

the

digested
in in

Malas

(fecal

matter

are accumulated

the internal passages of the


as

Koshtha (abdomen),
the organism in that

much

as their presence in

undigested state

may

usher

in

an attack of Vishama Jwara attended by distressing symptoms, or may produce loss of strength. Hence they should be eliminated from the system with the helf
of emetics,
etc.

Emetics, Asthapana-enemas, purgatives,

S>irc~virechana

and errhines should be

successfully

em-

ployed for the purpose.

Etnatics should be at the outset

exhibited in a case of Kaphaja fever where the patient would be found to be a person of considerable physical strength, and pnrgatives should be given in a case of

Ctap. XXXIX.]

tfTTARA-TANTUA.

l8^

fever

marked by the predominant


(intestines).

action of the derang-

ed Pitta in the event of there


bowels

being laxity of the

Nirudha-vasti should be applied


in

in a case of

Vataja fever attended with aching pain

the limbs and with Udavarta (obstinate constipation of the bowels), whereas

Anuva'sana-vasti should be presif

cribed for a patient with a strong appetite,

there be
Siro-

pain in the regions of the back and the waist,

virechana (head-purgative) should be adiministered in of the deranged cases marked by the accumulation

Kapha

in

the

head, as the pain in and heaviness of

the head would be relieved, and the sense-organs roused

up thereby

to their

normal functions.

56- A.

plaster composed of Deva-ddru, Vacka, Kushtha,

S'atdhvd, Hingu and Sitindhava pasted

together with

Kdnjika should be applied lukewarm to the


in a case

abdomen
if

of fever

attended with painful tympanites

the patient be weak, whereas a medicated plug (Varti)

prepared with the above drugs should


the anus in a case
the bodily

be applied into
of

marked by the upward coursing


attended with
suppression

Vayu

of stool

and

urine,

Pippali,

and Yava'gU prepared with Pippali, roots of Yamdni and Chavya should be given to the
it

patient

as a potion,
56.

being remedial for the deranged

bodily Vayu,

Administration of Ghrita: The residue


of the deranged bodily

Dosha having lurked


fever

in the

system

(of a patient) even after the exhibition of proper emetics

and purgatives, the

should

be
if

remedied

by

draughts of medicated clarified butter,


the patient be sufficiently dry (Ruksha).

the system of

57.

A weak
of soothing

patient with only a small

quantity of the

deranged bodily Dosha should be treated with the help

(Samaniya) remedies.

Pasting should be

lS8

THE SUSHRUTA SAMHITA.


all

[Chap.

XXXIX

the principal cure for

types of fever due to (Santar-

pana) over-eating

etc.,

provided the patient be found to


58.

possess sufficient strength.

Diet

Diluted

barley gruel (Yavagu) should be

given to a patient constantly feeling thirsty and with

impaired digestion.

mixed
in

with

Powdered parched corn (paddy) honey and water should be given


to

copious quantity

patient suffering from

the

after-effect of liquor,

and

afflicted
it

with vomiting,

thirst,

burning or perspiration and


duly digested, by meals of

should be followed,
rice-soup

when

and
from

meat-soup.

A diet

consisting of boiled

rice

mixed with meat-soup


an attack

should be given to a
of fever

patient suffering

marked by the preponderance of the bodily


as
in

Vayu,
fasting
in

as well

mild type * of fever due to


physical labour.
consist

or

over-fatiguing

The

diet

a case of Kaphaja fever should

of boiled

rice
it

and of Mudga
consist

pulse.

In

case of Pittaja fever

should

of boiled rice

and a soup of Mudga

pulse and be taken,


sugar.

In a case

when cold, with the admixture of marked by the concerted action of the
Pitta,

deranged Vayu and

the diet

should consist of
of)

Mudga. soup mixed with (the expressed juice


laka
or

Ama-

Dddima.

In

case

of Vata-s'leshma fever
to
in

the diet

should be prescribed

be taken with the

Soup of lender radish, while


type
it

one of Kapha-pitta

should consist of the soup of the leaves of


59

Nimba

and Patola.

60. Ltfja-tarpana powdered parched corn (paddy) mixed


should be
is

with a copious quantity of water and with honey (and


sugar)
*
.

given,
quoted by

instead of any other diet (e.g


S'reekantha Datta in his commentary

This passage

on Cbakra-datta wherein he does not read


Ing appears
lo

sj^ (mild

type),

and his read-

be the better one,

it

being supported by Charaka as well.

Chap. XXXIX.]

UTTARA-TANTRA.
to a patient
suffering

89

boiled

rice)

from fever marked

by burning sensation, vomiting, thirst and weakness. Yavdgu is not beneficial in summer as a diet in
a case of Kapha-pittaja fever or in a case of Rakta-pitta

(Hemoptysis

?)

or in the

case of a

habitual drunkard.

Such a case should be treated with the soup of any


pulse or of the

meat of Jangala animal with or without


61

any acid

juice.

62.

Prepared barley mixed with any old wine would


prove beneficial in cases of (fever accompained by) a
dullness

of

appetite.

Takra (butter-milk or

whey)

mixed with the powdered Tri-katu should be given in case of disrelish for food due to the action of the deranged Kapha. 63-A.

Milk as a diet: Milk may

be given with

advantage in a case of chronic or lingering fever


in the system,

mark-

ed by the scanty presence of the deranged bodily Dosha

by emaciation of the frame and by mental


a case of Vata-pittaja fever

depression

as well as in

accompained

by dryness of the organism and nonemission or otherwise of the deranged bodily Doshas as well as in a case of fever marked by thirst or burning
But milk taken
is

sensation.

in

a
63.

case

of fever in

its

acute stage

highly injurious.
light diet for

A
as,

spare and
all

observed in

cases of fever,

weak person should be when its intensity abates,


a
it is

otherwise by a heavy diet,


diet

aggravated.

proper

and wholesome
even
if

should be given in a case of fever

the patient would

show a

positive

aversion to

it

since the

want of food
it, is

at the proper time or to be followed

when

the

system craves for


of the body,

sure

by the waste

and
is

may

bring about death in the end.

food which
;

heavy of digestion (Guru), or secreting Kapha-producing) in its effect should by no means

i&D

THE SUSHRUTA SAMH1TA.

tChap.

XXXlX.

be taken nor should food be taken at an improper time,


since such a food

which

is

not beneficial,
(in

is

neither

conducive to longevity nor to happiness


fever).

case of

64

66.
(such as milk or essence of meat)

light diet
in

may

be given

copious quantity and with advantage to a


attack

patient emaciated through a long and protracted

of Satataka or as

Vishama

fever.

The soup

of such pulses

Mudga,

Masura,
etc.

Chanaka (gram), Kulattha and


be given with benefit as diet
fever.

Makushtaka,
to the

may
>

hungry patient suffering from

67.

Meat-diet
Ena,
Pnshata,

The

meat
kinds

of

Ldva, Kapinjala,

Sarabha,
(different

Kdla-fuchchha,
of

Kuranga,
S'as'a

Mrig&mAtrikA
(hare)

deer) or

may

be prescribed as diet for a fever-patient


to

accustomed
authorities,

the

use

of

animal food

*.

Several
the use

however,

do

not recommend

of the meat of Sdrasa, Krouncha,

Mayuta

(peacock),

Kukkuta (cock) and of


to
its

Tittira in cases of fever,

owing
its

heaviness (as regards digestion), as well as to

heat -making potency. (We, too, subscribe to this opinion

with a certain limitation)

The

use

of the

flesh
in

of

these animals may, however,

be recommended

case of fever in

moderate quantitiy. and at proper time


is

provided the fever

marked by a preponderance of
67.

the deranged bodily Vayu.

Prohibitions in fever : A
should
forego baths, washing
(

fever-patient

Parisheka), plunge-bath

(Avagaha. D. R. Pradeha
course and any cold

plaster),

anointments, emul9exual
inter-

sive potions, day-sleep, physical


articles or

exercise,

any emetic or purgative


may be
given
etc
)

* According to Charaka, the meat-soup, in cases of fever,

"% Charaka also holds the same opinion as

at without the addition of an acid juice (e.g.

Didima, A'mlaki,

Sus'ruta.

Chap.

XXXIX

UTTARA-TANTRA.
a time even after his recovery)
till

191

medicine

,(for

he

is

restored to his

wonted strength and vigour. *


prejudicial acts

68.

Any
weak
fever

of the preceding

done

in

state of health,

closely following a recovery

from

may

bring

on a relapse which invariably conjust as fire

sumes the body


tree.

does a dried and sapless

These

rules,

therefore, should be strictly followed


till

after

recovery from fever

the fundamental Principles

body have returned to their normal condition health and strength is fully regained. 69. the and A very small amount of physical exertion, in cases
of the of fever,
is

likely

to

usher in an attack of fainting


in

fit

and hence the patient


ed

such cases should be supportor

when he

sits

taking his food


or

passing urine or

stool.

An
the

emetic

purgative
after

(Sodhana) remedy
the subsidence
of
resi-

should be resorted to even


fever in

case

where the continuance of a


in

due of the deranged Doshas


food, weariness of the
its

the organism

would

be apprehended from such symptoms as aversion to


limbs, discoloration of the body,
fever-patient emaciated through

evacuations,

etc.

prolonged suffering should not be largely fed at a time


(D. R. should not have a bath)

and
70

in haste

i.e.

until the

patient recruits his strength in as


to a fresh attack of the disease.

much

as

it

might lead

72.
factors.

All
peutic

cases

of fever should

be remedied with thera-

agents antidotal to

the exciting

The
first

principal

pathogenic

cause or causes should be


in

removed and remedied


*

a case of fever';due to bodily

Additional text : A

patient suffering from acute

fever should
fatty

forego also the use of astringent, heavy

and dry food as well as

and secreting food.


anger, grief,
etc.

In short he should also discourage mental emotions of


as well as

the use of newly collected corns,

Thfc

is

evidently Dallana's reading.

193

THE SUSHRUTA SAMHITX.

[Chap.

XXXtX.

exhaustion, waste or hurt.


fever incidental
to

An

attack of (peurperal)

miscarriage or to the spontaneous

accumulation off milk in the breast of the mother after


delivery, should be medically

treated

by an experienced

physician with Dosha-subduing (Sams'amana) remedies

according
therein.

to

the deranged
shall

bodily

Dosha
the

involved
recipes

Now we

deal

with

of

Dosha-subduing (Sams'amana) decoctions be


advantageously

which may
fever.

employed

in

all

types of

7374-

Sams'amana decoctions
J'wara: A
decoction

for Vfta-

duly

prepared of Pippali,

Satapushpd and Harenu should be given with the admixture of treacle in a case of Vdtaja fever or a cold infusion % of Guduchi should be taken by
Sdrivd, Drdkshd,
the patient. Similarly a decoction of Vald,

Darbha and
of the
cla-

S'wa-danshtrd boiled

down

to

quarter part

original quantity of water


rified butter
;

and mixed with sugar and

or a decoction of

5 atapushpd,

Vachd, Kush-

tha,

Devaddru,

Harenukd, Kustumburu

Nalada and

Musta mixed with sugar and honey should be given to a


patient in a case of Vataja fever.
shd, Guduchi, Kds'marya,

decoction of Drdk-

Trdyamdnd and Sdrivd mixed


*

with treacle should be prescribed in a case of Vdtaja


fever.

potion of the expressed juice of Guduchi mixed


equal

with
in a

an

quantity

of that

of S'atdvari

and

with treacle proves almost instantaneously efficacious


case of fever of the

same

type.

Rubbing of the
should

X According

to

Dallana the cold infusion of Guduchi

be
;

given in a case of Vateja fever involving the action of vitiated Pitta also

whereas the decoction duly prepared of Guduchi should be prescribed in a case of Vataja-fever, the vitiated Kapha is also involved. if, Cold
infusion is prepared

by keeping over-night a quantity of the drugs immerinfusion thus prepared


is

sed in hot water.

The

used in the morning.

Chip, XXXIX.]

UTTARA-TANTRA.
clarified

193
as

body wjth (Sveda) and

butter

as
also

well

fomentation'

plaster

should

be prescribed under
75

certain conditions in the present disease.

Si.

Samsamana decoctions
Jwara
Us'ira,
:

red sandal wood, Parushaka and Madhuka (Moul) flowers duly boiled and mixed with a proportionate quantity of sugar (when cold), or a decoction of the drugs of the Sdrivddi group duly mixed with sugar, or a decoction of the drugs of the Utpalddi group and Yashti-madhu, * or a cold infusion of the drugs of the same group mixed with sugar would cure a case of Pittaja fever.

for Pittaja

decoction of S'ripami,

similar preparation

of Guduchi,
taken,

Padmaka, Rodhra,
cold,

Sdrivd and Utpala would prove beneficial

when
and
of

with sugar
82-84.

in cases of Pittaja fever.

decoction
or

of

Drdkshd
the

Aragvadha, or -of
sweet,
bitter-or

Kds'marya,
cold,

of

drugs

astringent groups mixed with sugar and used,

when

would alleviate
of

thirst

and

the

severe

burning,

body (in a case of Pittaja fever). The stomach should be vomited out by water saturated with honey large draughts of cold whereby thirst (in a case of Pittaja fever) would be
sensation of the

contents

the

Milk duly cooked with the decoction (of barks or twigs) of the Kshiri-Vriksha (milk-exuding or with Chandana or with any other cooltrees),
alleviated.

ing drugs should


externally) as a

be used
relief

cold

(both internally and


internal

for

an

sensation

of

burning in a case of Pittaja fever.

85

87.
Vas/tti-madAu,

Draughts of water

with Padmaka,

* Yaihti-madku

is

comprised in the drugs of the Utpalddi group.


of this cleeoction,

Hence

in

preparation

two parts

of

Yaskti-matihu

should be taken-

25

194

THE SUSHRUTA SAMHITX.


(white
lily),

[Chap.

XXXIX.
parched

Drdkskd, Paun&arika
barley, Us'ira,
in

Utpala,
fruit

Samangd and Kds'tnari


(in

steeped there-

and

stirred

and kept overnight and then mixed and


the morning) would

taken with honey

give relief

from fever and burning sensation and a plaster of the

same drugs should be applied over the scalp in a case of fever accompained by dryness of the tongue, the Pastes of the palate, the throat and of the Kloma. polens or filaments (Kes'ara) of Mdtulunga mixed with honey and Saindhava salt, or of Dddima mixed with sugar, Drdkshd and Kharjura (date) as well as
gargles prepared from these drugs should
in

be retained

the

mouth with

a view to

removing

its

bad

taste.

8889.

Sams'amana decoctions for KaphaJa Jwara A decoction of Saptachchhada, Gudti'

chi,

Nitnba and Sphurjaka mixed with honey, or of TriNdga-Kes'ara, Haridrd, Katurohini and
Indra-

katu,

yava, or of Chitraka, Haridtd, Nimba,

Us'ira, Ativishd,

Vacha, Kushtha, Indra-yava,

with honey and pulverised

Murvd and Patola mixed Markka (black pepper) should

be given

in a

case of

Sdrtvd, Attvishd,

Kaphaja fever. A decoction of Kushtha, Puru (Guggulu), Durdlabhd

and Musta, or of Musta, Vrikshaka-seeds (Indra-yava), Tri-phald, Katurohini and Parushaka will be found to be equally efficacious in the case of Kaphaja fever.

90-94-

Treatment of Kapha- Va^taja Jwara:


A
decoction of the component vriksh&di group
course,

members of the Rdjamixed with honey and taken in due


in

would readily prove curative

a case of fever

due to the concerted action of Vtfta and Kapha. The exhibition of the decoction oiNdgara, Dhanydka, Bhdrgi, Abhayd, Devaddru Vaclid, Parpataka, Musta Bhufifca,
t

Ch*p. XJCXIX.]

tfTfARA-TANTRA.

tg$
(asafcetida)

and Katphala mixed with honey and Hingu

would be attended by almost instantaneous benefit in the present type of fever accompanied with bronchitis,
cough, asthma,
constriction

of the throat, hic-cough,


at the chest

swelling in the throat


at the sides. 95

and aching pain

and

96,

PItta-S'leshmaja Jwara: A
and
Vrisha (Vasaka) and

decoction

duly prepared with Eld, Patola, Tri-phald, Yashtydhva,

of Katuka, Vijayd,
fiata&a,

mixed with honey, or one (Haritaki), Drdkshd, Musta and ParVacha, Parpataka, Dhanydka,

or

of

Bhdrgi,

Hingu, Abhayd, Ghana, Ndgata and Kds'marya mixed


with honey would prove efficacious
in a

case of fever

due to the combined action of the deranged Pitta and


Sleshma'-

Similarly two Tola-measure of powdered Katuka and sugar dissolved in warm water proves
curative equally in a case of the present type.

97

100.
Ama-

A
laki

decoction

of Bhu-nimba, Guduchi, Drdkskd,


treacle,

and S'athi mixed with

or of Rdsnd, Vrisha

(Vasaka), Tii-phald and fruits of Rdja-vriksha proves


curative in a case of fever

due

to

the combined
101

action

of the deranged

Vdyu and Pitta

102.
remedial
in

Drugs

and

therapeutic agents

to

each
of

of the specific deranged Doshas

involved

case

the Tri-doshaja type should be employed in combination


for

cure

according

to

the

predominance

of

each

Dosha.
(white

potion of milk duly boiled with Vris'c/ifka

Punarnava),

Varshdbhu

(red Punarnava),

Vilva

and water, but frdrn which the water has entirely evaporated would prove curative in Tri-doshaja fever. The pith and marrow of a S'irisha tree duly mixed with milk (Weighing eight times that of the drug) and with water
weighing three times that of the milk, should be boiled

down

to

the quantity of the milk which,

if

administered

10

TliE

SUSHRUTA

SAMlilTX.

[Chap.

XXXIX.

as a drink would prove curative in Tri-doshaja fever.

potion of the decoction* duly prepared with the roots of

Na!a and of Vetasa (cane) and Murvd and Devaddm


would prove remedial
fied butter

to

this

form of

fever.

Clari-

mixed

with the decoction of Tri-phald should


attack of Tri-

be given to a patient suffering from an


doshaja fever.
\

103

106.
water with benefit to a patient
it

Two-Tola-measure of powdered Anantd (Duralabha),


Vdlaka, Musta, S'unthi and Katitka should be given

with (one Pala

of) tepid

before sun-rise in Tridoshaja fever. Moreover,

acts as a

good

appetiser.

Any

one or two of the (groups of the)

drugs of the purgative or appetising properties can


be employed with benefit in a case of (chronic) fever.

A lambative composed of Abhajd pasted together with honey and mixed with oil and clarified butter should be
by the patient in a case of Tri-doshaja Trivrit with honey would pacify a case of high 107109.
licked
feVer.

fever.

Medical

treatment

of

Vishama-

JWara
in

Purgatives and emetics should be exhibited


Vishama Jwara and
under the
the medicated clarified

a case of

butter

described

treatment of

Plihodara
Tri-phald

(chapter

XIV

Chikitsa-sthana), or pulverised

with
used
*

.the -addition

of treacle

may

be advantageously

in

the type

under

discussion.

A
if

decoction of

The

decoction should be prepared


to the rules of
..

with water only or with milk


the exigencies of the

and water according

Kshira-paka,

case so require. Dallana.

t Additional

text:A

potion

of

the

decoction

of

Hdridri,

Bhadra-mutta, Tri-phald, Katuka, Nimba, Pattla, Devada'ru and Kantakeiri would cure a case of Tri-doshaja fever with indigestion, water-brash,

dropsy, cough and disrelish for food.

t Dallana

includes this line also in the additional text.


to

According

Dallnaa the decoction of Tri'fhala' should be used.


Chap.

UTTARA-T ANTRA.
IO?

XXXIX.

Guduchi,

Nimba* 'and Dhdtri duly mixed with honey,


(in

may

be likewise prescribed

a case of Chaturthaka

fever).

The

patient

should be likewise
clarified butter.

made
all

to take

Las'una

(garlic)

with

The

three decocof

tions duly

prepared with three, four or


:

the

following drugs, viz

taka (D. R.

Madhuka, Patola, Katuka, Musshould be likeBatsaka) and Haritaki


-j-

wise administered.

10

1 1 1.

potion

consisting

of milk, clarified butter, sugar,

honey and Pippali should be administered according


to the strength of the patient.

Similarly Pippali should


Pippali-

be taken with the decoction of Das?a-mnla.

Bardhamsina
to take only

(sec

chapter V, Chikitsita-sthana) should

be likewise used by a patient

milk or

who should then be made meat-soup. The use of good wine


is

with the meat of fowl

also

recommended.

H2

Use of medicated Ghrita in cases of Vishama J wara : Clarified butter duly cooked
with the decoction of Kola,
phald, with
\

Agnimantha and
as

Tri-

milk-curd (Dadhi), with Tilvaka

Kalka

would be found to be highly

efficacious in a case of
clarified

Vishama
Pippali,
(red),

Jwara
Ativishd,

potion

of

butter duly

cooked with the

Kalka

(and decoction

Dallana)

of

Drdkshd, Sdrivd,

Vilva.

Chandatia

Katuka, Indra-yava, Us'ira, Simhi, Tdmalaki, Musta,


fS&la-parni), A'mlaki, S'unthi

Trdyamdnd, Sthird

and

Chitraka would be found highly beneficial lo irregular

(Vishama) appetite and would cure cases of chronic


*

Chakradatta reads "Mus/a"


says
J6

in place of

"Nimha"',
are

t Dallana

that

some commentators

inclined

to

use the

decoction of the

different

combinations of the

five

drugs taken three,

four or five at a lime.


(25)

Kola

is

here used for Pancha-kola, viz

: Pippali,

nppaU-roots,

Chavya, Chitraka and Na'gara.


ig&
fever,

THE
headache,

StJSHltiJTA

SAMHItX.

[Chap.

XXXIX.

Gulma,
113

Udara

(atcites),

Halimaka,
the body

consumption,

cough, burning
sides.

sensation

in

and pain at the

14
use of a

CudUChycfcli Chrlta ;The


Guduchi,
Tri-phald,

medi-

cated clarified butter duly cooked with the decoction of

Vdsd (D. R. Rdsnd), Trdyamdnd

and Durdlabhd together with the Kalka of Drdkshd, Mdgadhikd, (Pippali), Ambhoda (Musta), Ndgira, Utpala
and Chandana would be attended by good
cases of consumption, asthma,
results
in

cough and Jirna-Jwara


of chronic fever,

(chronic fever).

1 1 5.

Kalasy&II Chrita :Cases


headache, pain at the
(lit.

sides,

cough, and of consumption

any

wasting disease of the body attended with

fever)

medicated
Avith

would readily yield to the curative efficacy of a clarified butter duly cooked and prepared
of

the decoction

Kalas'i (Piis'ni-parni), Vrihati,

Drdkshd, Ttydnti, Nimba, Gokshura, Vald, Parpataka,


Musta, S'dla-pami and Yavdsaka and with the
of S'athi,

Kalka

Tdmalaki, Bhdrgi, Medd,

Kataka

(D. R.

Amalaka) and Pushkara-roots and with milk twice as

much as the clarified butter. 1 16. Patola'di Ghrfta : Clarified


cooked with the Kalka
(Nimba), Guduchi,
of

butter

duly

Patqla, Parpata, Arishta

Tri-phald, Btislta, Katuka,

Ambuda
Utpala

(Musta), Bhu-nwiba, Yavdsa,

Yashti-madhu, Chandana,

Ddrvi, lndra-yava, Us'ira, Trdyamdnd,

Kand and

and with the expressed juice of Dhdtri, Bhringa*rdja, Abhiru (Satavari) and K&ka-tndehi readily proves
curative
in cases

of Apachi (scrofula),

Kushtha,
eyes.

fever,

Sukra and Arjuna (two optical


diseases of the mouth, ears, nose

diseases), ulcer

and
117,

in

and the

Kalya'naka Chrita :Clarified butter, duly cocked with the Kalka of Vidanga, Tri-phald, Musta,

Chap.

XXXtX

UTTARA-TANtRA.

\<#)

Manjiskth^y Dddima, Utpala, Priyangu, Eld, Elavdluka,

Chandana,

Devaddru,

Varhistha

(Valaka),

Kusltifid,

Haridrd, the two kinds of Parnni and of Sarivd, Hare-

mka,

Trivrit, Dauti, Vacha, Tdlis'a,

Kes'ara and Mdlati

flowers

with milk twice as

called the

much as clarified butter, is Kalysfaaka Ghrita. The range of its therainc'udes

peutic application

such

diseases as

Vishama
and
it

Jwara, asthma, Gutma, insanity


the effect
of

and diseases due to


is

any

poison.

It

auspicious
evil

removes

affections
spirits
fits,

due

to

the
etc.,

influences

of

malignant
epileptic

and demons,
decay,
It

dulness of appetite,

senile

sterility

and

diseases

of the seminal

cord.

invigorates the

eye-sight

and

imparts
uses
it.

memory and
1 1

longevity to the person

who

8.

Maha'-Kalya'naka Ghrita : A
measure of
clarified

Prastha

butter

made from

the milk of a

cow of Kapila

species

and duly cooked with the Kalka


and the drugs known as Sarvaand with (dead) gold and gems

of the preceding drugs

gandhd (Eladi-gana)
should

again be duly cooked with the Kalka of Sumanah, Champaka, As'oka and S'irisha flowers and with Nalada and Padma (red lotus) and the polens of

Dddima
species.

flowers
It

with the

milk of a cow of the same

should be prepared under the auspicious of

favourable astral combinations and lunar planes of both


the physician and of the patient and then be duly
called secrated by Bramhanas. It is naka Ghrita aud may be prescribed
corf-

Maha'-Kalytt

for a king.

It

proves curative in

all

forms of
bliss

fever.

Its

very touch
disease.
Its

and

sight

confers

and

destroys

use enables a

man
all

to live to three hundred years free

from disease and decay and to remain invincible against


the attacks of
created beings.
1

19.

200

THE SUSHRUTA SAMHITX.

[Chap-

XXXIX.
of

Pancha-Gavya-Ghrita :Fqual
milk, curd, clarified

parts

butter and urine of a

cow and the

expressed fluid of cow-dung duly cooked with the Kalka


of Tri-phald, Chitraka, Musta, the two kinds of Haridrd,
Ativishd, Vachd,

Vidanga, Tri-katu, Chavya and Surain

ddru prove curative

cha-Gavya-Ghrita.

Vishama Jwara. It is called PanThe same five substances obtained


curd, clarified
butter,

from a cow

(e.g.,

milk,

urine and

the expressed liquid of cow-dung)

may

be duly cooked

without the addition of any Kalka as also with the

above Kalkas and the expressed


Vald, or of Guduchi. *

juice of

Vdsaka or of

All of these medicated Ghritas

are efficacious
chlorosis

in

cases

and edema.
clarified

Jima Jwara (chronic fever), The same five substances (e. g.


of
urine

milk,

curd,

butter,

and the expressed


milk curd,

fluid of dung)

of a

she-sheep,

a she-goat or a sheg.

buffalo

fied butter

and the four substances ( c. and urine) of a shc-camel


120

clari-

may

be prepared

(and used) in the same manner.

122.
butter duly
Us'ira,

Tri-phaiadi Ghrita :-Clarified


cooked with the Kalkas
the two kinds of Rajani,
Patola, Arishta,
Utpala,

of Tri-phald,

Sam-

pdka, Katuka, Ativishd, S'atdvari, Sapta-parna, Guduchi,


Chitraka,
Triurita', Murvti,

Vd/aka,

Kirdta-tikta,

Vachd,

Vis'dld,

Padmaka, the two Kinds of Sdrivd, Yashtimadhu, Chavikd, Rakta-chandana, Durdlabhd, Parpataka,
(saffron),

Trdyamind, Atarushaka (Vasaka), Rdsnd, Kumkumi Manjishthd, Mdgadhi and Ndgara with the
* Dallana

says

that

the

expressed

juice

of

Vdtaka,
ordinary

Bald

or

Guduchi, should be separately used along with the (Tri-phaU, etc.) of the Pancha-gavya Ghrita.
the lines to

Kalkas

But

we

are inclined to take

mean

that

VAtaki,

VaW

and Guduchi should be separately

used as Kalkas in place of the ordinary Kalkas.

Some

here add Ghana (Musta) with the other Kalkas.

Chap.

XXXIX.]

UTTARA-TANTRA.

201

expressed, juice of Dhdtri weighing twice as


clarified butter proves curative in Parisarpa

much

as

(erysipelas),

fever,

Asthma, Gulma, Kushtha, Chlorosis, enlargement


123.

of the spleen and dulness of appetite.

One
Nhnba,

Pala weight each of Patola, Katuka, Ddrvi,


Vdsd,
Tri-phald,
a

Durdlabhd, Parpataka

and

Trdyamdnd and
quarter measure.

Prastha measure of

be boiled in one Drona


then be

measure of

Amalaka should water down to its

A Prastha measure of Ghrita should cooked with the above decoctions. * The
due
to

Ghrita thus prepared proves curative in cases of Raktapitta, diseases

Kapha,

perspiration, muco-purulent
chlorosis,
erysi-

discharges, atrophy of the limbs, fever,

pelas

and Ganda-mala

(scrofula).

124.

PanCha-S'ara : Boiled
honey and

milk, sugar, Pippali,

clarified butter should be taken by stirring them together with hands. The compound is called Pancha-sara and may be employed with advantage in

cases of

Vishama-Jwara, Kshata-Kshina,
heart.
125.

consumption,

asthma and affections of the


prepared by cooking

Medicated TailaS: A
it

medicated

oil

duly

with Ldkshd,

Vis'va,

Nis'd,

Murvd, Manjisktkd, Sarjikd and Amaya (Kushtha) as Kalka and with Takra weighing six times as much as oil A medicated oil duly cooked and acts as a febrifuge.
prepared with Kshiri- Vriksha, Asana, Arishta, Jambu,
Sapta-chchhada, Arjuna,
Amrita-valli,
S'iriska,

Khadira,
Parpata,

Asphotd,
Us'ira,

Atarus/iaka,

Katuka,

Vacha, Tejovati and Ghana as Kalka


* Additional
'

may

be employed

nimba,
in

Some recommend the use of Kutaja, Bkutext Ghana (Musta), Yathti-madhu, Chaniana and Pippali as Kalka
of this

the

preparation

Ghrita and

that

it

proves

efficacious in

the

diseases of the eye, nose, ear, of the eye-lid

mouth and of the white part of the eye and

and

in ulcer.

26


202

THE SUSHRUTA SAMHITX.


body of the patient
1

(Chap.

XXXIX.]

in anointing the

in a case of Jirna/

Jwara with benefit

261 27.

The patient should be frightened with a non*veno mous snake, trained elephants 'and bogus thieves (or
rebuked with a thievish act falsely supposed to have been committed by him before) at the appointed date and hour of the paroxysm and be kept in empty stomach for
the day.

In the alternative,

he should be fed with


articles

heavy and
curd, etc.)

extremely secreting

(milk,

milk-

and be made to continually vomit out the contents of his stomach afterwards, or he should be made
to drink

any strong

liquor,

or febrifugal

medicated
in

clarified butter

or simply

matured

clarified butter

copious quantity or be treated with drastic purgatives,


or withlfomentations followed by Nirudha-Vasti application

on the date of the expected

attack.

128.

Fumigation and Anjana :The


of the patient

body

should be fumigated with the fumes of

the skin and hairs of a goat and a sheep mixed with


Vacltd, Kushtha, Palankashd (Guggulu), Nimba leaves, and honey and burnt together. The excreta cf a cat should be similarly used in fumigating the body of the patient in a case of fever marked by shivering. Pippalt, Saindhava and Naipdli (Manah-s'ila) should be

pasted together and mixed with

oil
1

and be applied
1

along the eye-lids as an Anjana.

29

30.

The medicated
the treatment of

Ghritas mentioned in conection with


(ascites),

Udara

as well as the

Ajita
II.)

Ghrita mentioned in the Kalpa-sthana (Chapter

may

be likewise employed with benefit in fever.

131.

A case of fever due to the malignant influence of the


spirits, etc.

should be remedied with the help of magical

incantations (Aves'ana), binding

and beating (D. R.

adoration) mentioned

in the

treatment of Bhuta-vidya

Chap. XXXIX.]

UTTARA-TANTRA.

203

(demonolbgy Chapters LX LXII). A case of fever due to any mental condition should be cured with
psychic (hypnotic) measures
fatigue or exhaustion
;

while the one due to over-

should be treated with diets of

Rasaudana

after

anointing the body of the patient

with clarified butter.

Fever due to

any

curse

or to

deadly incantations (exorcism)


forming

may

be cured by per-

Homa

(offering oblations to the gods)


;

and such

other ceremonies
influence of

while the cases due to the malignant


hostile

any

planet,

or of

any unearthly

sound

may

be cured by practising charity, hospitality and


All heat-engendering
in

peace-giving rites (Svastyayana).

(Ushna) measures are prohibited

a case of traumatic
oil

fever and sweet and astringent drugs charged with


clarified butter

or

should be prescribed.

Other therapeutic
the

agents should also be employed according to the nature


of the specific

derangement of Dosha involved


of

in

case. In a case of fever

caused by the smell of any herb


effect

or cereals

or in one due to the

any

sort

of

poison, the treatment should consist in such measures as

would
the

alleviate the poison

and the aggravated


in

Pitta in

the system.

Decoction of Sarva-gandhd (the drugs of


is

Etadi-gana)

also

beneficial

these cases.

decoction of

Nimba and Deva-ddru

or

of Jdti flowers

may
of

be prescribed as well.

Clarified butter,

wine and
of as well

preparations of barley

grains are wholesome in a case

Vishama-Jwara which
* Rasaudana

may

be got

rid

/
is

a kind of food prepared by boiling

rice

in

meat soup

(instead

of in water).

The term may, however, mean


read

rice

simply mixed

with meat-soup.
\ In
that

place of

"ftfPWRBFJ^;" some

"fwfiWWR^;'' and
to

would mean that the measures and remedies prescribed in cases of


This variant seems
bo

poisoning (sec Kalpa-stUana) should be applied.


the better one.

iC>4

TrtE

SUSHRUTA SAMHITX

[Chap. JtXXiX.

by worshipping Brahmans, cows, the god Is'ana, and Ambika. 132 133. The body of the patient overwhelmed with coldness

(shivering) in cases

of fever or

aggravated

Kapha

due to the action of the Vayu, should be plastered with


of

a paste of the

drugs

the

heat-making group *
to.

and heating measures should then be resorted


the
cow's
alternative,

In

urine

compound of Arandla, S'ukta, Mastu and (curd-cream) made lukewarm


a
over the body.
Plasters

should be sprinkled

of the

leaves of Surasa, Arjaka

and S'igru pasted together

with water would prove beneficial.

rubbed with Kshara-taila


with S'ukta.

(oil

The body may be cooked with alkali) mixed


in

decoction of the drugs of the Aragva-

dhddi group proves highly efficacious particularly


the
present
case,

and

decoction

of

Vayu-subduing

drugs should

be used tepid as a bath.

The

shivering

having been thus relieved with the foregoing measures

and by the sprinkling of tepid water over the body, the languid body of the patient should be smeared with pasted K&ldguru and wrapped up in a silk, woolen
or linnen cover and then the patient
lie

should be

made

to

in a bed.

34- A.
beautiful

Damsels young,
of love,

and

skilled

in the sport

with faces

glowing like the


forth

full

moon

of

autumn and darting

beams of love from

their

languid blue-lotus-like eyes, with eye-brows moving in the

ardour of desire and with dreary foreheads throbbing with


the gentle pulsations of love, with girdles sliding
fr:>m

down

their

slender waists, with their

splendid buttocks
steps,

naturally
lips
*

making them lazy

in their

with their

vying with the ripe Vitnba


Dallana explains the

fruit in their luscious


to

Ushna-varga (heat-making group)

mean

the Bhadra-darradi, Surasidi and the Eladi groups.

Chap.

XXXIX.]

tfTTARA-TANTRA.

20$

redness, with their elevated thickest breasts,

and smeared
thin trans-

with saffron and Aguru pastes and clad

in

parent garment, fumigated and scented with the vapours


of burnt
into

Aguru, should be asked to take the patient


itself

a firm embrace like a forest-creeper entwining


tree,

around a sylvan

keep off as soon as

and the girls should be told to the patient would feel himself heated.
of the
disease (cold-fever)

The

patient thus

cured

by

the fond

be treated

embrace of these beautiful damsels should to such a wholesome repast as would be


134.

welcome

to him.

Measures which alleviate


of the

the

burning

sensation

should be employed in a case of fever marked by sever

burning sensation
induced
in

body.

Vomiting should be
leaves.

such cases with honey and treacle mixed

with the (cold) infusion of


of the patient

Nimba

The body

should

be anointed with Sata-dhauta *

Ghrita and then plastered with a paste formed by mixing powders of barley, Kola and Amalaka with the

fermented boilings of
paste of tender leaves

S'ttka
of.

paddy, or with the cold

Phenild (soap-berry) mixed

with

Kola

and
or

A'malaka

and

pasted

with

Amla
of

(KAnjika),

with the cold

paste

of the

leaves

Palds'a pasted with

Amla

(Kanjika',

or with the froth

(produced by stirring in Kdnjikd the paste) of the leaves

Vadara or Arishta, \ whereby thirst, swoon and burning sensation would be relieved and removed. 135. A Prastha measure of oil duly prepared by cookof
* Clarified butter

w ashed
to

hundred times

in

water

is

known

as {fata*

dhauta Ghrita.
t Arishta according

Dallana and S'rikantha (the commentator of


or Phenila' (soap-b rry).

Vrinda) may mean cither

Nimba

But S'ivaddsa,
(leaves of)

the commentator of Chakradatta, explains

Arishta

Nimba. The

practice, howeverj

is,

to use the leaves

mean of Nimba.
to

io6
ing
a
it

THE StfSHRdTA SAMHItX.

[Chap.

XXXIX.

with half a Kudava measure of Yava ^barley), half


Prastha

Pala weight of Manjishthd and a hundred

measure of Amla (Kanjika).

The

oil

is

called

Prah-

Udana

and it relieves the burning sensation of the body due to an attack of fever. 1 36.
(refreshing)

Taila

In the alternative, the

body of the patient should

be plastered with the pasted drugs of the Nydgrodhddi, Kdkolyddi or Utpalddi groups, or anointed with a Sneha

duly cooked with the decoction of the drugs of the


preceding groups and with Amla, or the patient should

be given a bath (Avagaha)


drugs.

in the Sita-kasiya * of these

On

the alleviation

of the burning sensation, the

patient should be raised out of the tub and then

washed

with the spray of cold water and smeared with soothing


sandal pastes,
etc.

Young, gay, beautiful and


pastes,

lotus-faced

damsels with their youthful cooling breasts profusely

smeared with sandal


ful

wearing garlands of beautias

lotus

flowers

as

well

necklace of pearls,

etc.,

and clad
him.

in fine silken clothes

should be asked to hold

the depressed patient in their firm embrace and to kiss


-be removed as soon as symptoms of exhilaration. He should be given wholesome (Pitta-subduing) food which would give him much relief. Purgative and

These damsels should


exhibit

the

patient would

pacifying (soothing) medicines described

in

connection
in

with the Pittaja fever are


present case.
1

likewise

beneficial

the

37.

General treatment of the Complications The deranged Pitta should be crushed


:

and remedied
therewith
the

first

of

all in

case

of fever,

involving

co-operation of
in as

any
as

of the deranged

Doshas of the body,


* ''ditft-tosttya"

much

it is

extremely hard
cold
infusion

may here mean

cither

the

of the

dregs or only the cold decoction.

Chap.

XXXIX.]

UTTARA-TANTRA.
Pitta

207
case of

to subdue the deranged


fever.

especially in a

Such

distressing

symptoms

as vomiting,

epilep-

tic fits, thirst, etc.

should be remedied with such therato the

peutic agents as are not hostile or aggravating

principal disease (fever) but are antidotal to the exciting


factors.

138.

Specific treatment of the complications Now hear me tell you other specific remedies
:

for

the complications.

plaster

composed

of

Yashti-

madhu, Rajani, Musta, Dddima, Amla-vetasa, Rasdnjana,


Tintidika (tamarind),

Nalada (Mansi), Patra, Utpala, Tvak (cinnamon), Vydghra-nakha, the expressed juice
honey and Madhu-s'ukta, *
alleviate
if

of Mdtulunga,

applied to

the head, would

heat

in

the head, delirium,


in cases

vomiting, hic-cough, and shivering


of fever.

concomitants
to the

Vomiting would yield

use

of a

com-

pound consisting of Madlaika

flower,

Hrivcra, Utpala
clarified butter

and Madhulikd mixed with honey and

and used to be licked up with the tongue as a lambative.


It is

equally efficacious in water-brash, hic-cough, Rakta(hemoptisis)

pitta

and asthma.
with

Fits

of cough

and

asthma
shika

in cases of fever rtadily yield

to the use of the

electuary prepared
-f

Tri-phald, Pippali

and Mdkbutter.

and mixed

with honey and

clarified

139 14.T.

A
*

plaster of Viddri,
is

Dddima, Lodhra, Dadhittha and


by
preserving
the expressed juice of

Madhu-s'ukta

prepared

/amtira-Umaxi, Pippali and honey in an earthen r&t formerly used in keeping honey.
before use.
It

should be laid for a month under the heap of paddy

(Dallana) For an alternative


IJ^T.

mode

of preparation see

Wf^T,

Chapter

X 1W

t Dallana takes "Mikthika." in the sense of honey and comments


largely

on the seperate use of honey

(^)

in the

compound.

But we are

inclined to take

"Mikshika"

as the mineral of the

same name.

208
Vijapuraka

THE SUSHRUTA SAMHITA.


pasted
together

[Chap.

XXXIX.
with

may

be

applied

advantage to the
thirst

scalf of

a fever-patient afflicted with

and burning sensation.

Pastes of
if

Dddima and
kept in the

sugar,

and of Drdkshd and Amalaka,


Mddhvika, *

mouth, or a gargle ^Gandusha) of milk, expressed juice


of
sugar-cane,
clarified butter,
oil

and
case,

warm

water, according to

the

exigency of the

would remove the bad taste

in the

mouth

in fever.

An

empty feeling in the head in fever would be relieved by using as an errhine (Nasya) the medicated clarified

butter prepared

with the drugs of the Jivaniya

group.

142

144.
compound
given
for

A
sugar,
benefit

pulverised
Trivrit

consisting

of

Tri-fhala',

S'ya'mcf,

and Pippali mixed with honey


purgative
of the
fever,

and
with
in

can be
after the

purposes

digestion
Pittaja

derangsd Dosha
in

case

of chronic

an

up-coursing

Raktapitta

and

in

shivering.

The

system of the

patient should be cleansed with similar purgatives and

lardaceous lubrications
fever.

in cases of Kaphaja and Vataja Lambativc of honey, sugar and Abhaya' should

be given in a case marked by vertigo (Bhrama) even


after the subsidence of the

aggravated Dosha. 145.

Application Of VastiS : Nirudha-vastis


charged with the decoctions of sweet (Kakolyadi) or

Vayu-subduing (Bhadra-darvadi) drugs, should be applied


in

fever

due to the derangement of the bodily Vayu,


intensity

according to the nature and

of the

specific

deranged Dosha
patient
also
.

in the case

and

to the strength

of the

in

the alternative,
applied.

Anuvasana Vasti should

be similarly

The
the

decoction of the drugs


it

Dallana seems to read

"Ma'isiiia," and explains

as honey.

''Stadkviia" which generally means

wine made

of honey,

may

however, also mean honey.

eijp.

XXXIX,]

UTTARA-TANTRA.

2CX>

of the IJjjpal&di group mixed with Chandana and Us'ira

and sweetened with the addition of sugar should be similarly applied cold (as a Nirudha Vasti) in cases of
Pittaja
fever.

.charged
etc.,

Vasti (in the manner of Nirudha) with a compound consisting of .^*ra-barks,

S'amkha (conch), Oiandana, Utpala, Gabika, Rasdnjana, Manjiskthd, Mrina'l.i and Piidma-kdshtha
pasted

together

and

dissolved in milk saturated with

jugar and honey should


of linen

be passed

through

a. piece

and then applied cold in a case of (Pittaja) fever marked by intolerable pain. The characteristic, burning sensation due to fever may be relieved by applying Vasti charged with a decoction of the
preceding drugs in the

manner of an Anuvasana-vasti,. Nirudha Vasti charged with the decoction of the


'

drugs of the Aragvadhddi group


should be applied
decoction of the

mixed with

(the

pow-

ders of) the drugs of the Pippalddi group and with honey
in cases of Kaphaja fever and the Kapha-subduing (Aragvadhadi) drugs should also be injected into the rectum in the manner In cases of fever due to the of an Anuvasana Vasti.

aggravation of two or three Doshas, the Vastis (Nirudha

and Anuvasana) to be applied should be charged with


the decoction of the drugs respectively antidotal to the

deranged Doshas involved


exception of

in

each case.

146

150.

All the medicated lardacious substances with the


oil,

which have been prescribed as being


use of Vastis) in
diseases of the de(<in

efficacious (in

the

ranged Vayu, are equally applicable


Vastis) in a
all

case of fever due to the


also oil) are

same

cause.

Anuvasana But

of

them (including
close of the

equally applicable

to anointing, etc. at the

body with oil on the thirteenth; or fourteenth day of the attack would be attended with
Lubrication of the
acute stage
i.e.,

27


3IO

THE SUSHRUTA SAMHITX.


a case of Vata-sleshma
Vayu.

[Ctup.

XXXIX.

beneficial results in

fever,

where

fomentations have utterly failed to relieve the distressing

symptoms

of the deranged

Clarified butter

duly cooked with sweet and bitter drugs should be


used (for the purpose of annointing) in Pittaja fever
while in Kaphaja fever, the Ghrita should be cooked

with bitter and pungent drugs.


to the

In the cases of fever due

concerted action of two or three Doshas, the

Ghrita should be cooked with the drugs of two or

more of the above groups according to the nature of 151 the Doshas involved in each case. 152.

The
Pitta in

presence of even a small residue of the deranged


the organism

maintains the heat of the skin

up to the

fever-point, so the

remedy

consists

in

taking

the expressed juice of sugar-cane, or sweet cordials or

Satvats (sugar dissolved in water), and the diet in such


a case should consist of cooked
Sali and Shashti rice and milk. Fomentations and anointments should be employed in cases of Kaphaja and Vataja fevers.

Draughts of

clarified butter

should be given in

all

forms

of fever at the close of twelve days, for

by that time the


(in

aggravated Doshas return to their respective As'ayas


(places in the system).

The Dosha
by

involved

a case

of fever) becomes aggravated

affecting,

at the time

of the remission of the fever, the other fundamental vital


principles (Dhatus) of the

body and thereby makes the


153
\

patient

weak and

dejected at this time.

55.

Symptoms
or indications
fever, are

of remission :The
of the

features

which mark a complete remission of


head, flow of perspiration,

lightness

pale and yellowish colour of the face, sneezing and


desire for food.
.

156.

Fever originating from the wrath-fire of the god


is

3ambhu,

a dangerous disease.

It

affects appetite

and

Chap.

XXXIX.]

UTTARA-TANTKA.

21

the strength as well as the complexion of the body and


is
is,

virtually

the sum-total of

all the-

other diseases.

It It is

therefore, called .the lord of all bodily diseases. to all created beings

common
is

(men and animals),


(including
is

affects

the whole of the organism

also the mind),


in all cases at
it is

extremely hard to cure and


all

present

the time of the death of

creatures.

Hence
1

rightly

called the destroyer of created beings.

57.

Thus ends

the thirty-ninth chapter of the Uttai* Tantra in the Sus'rutra


fever.

Samhita which deals with the (symptoms and) medical treatment of

CHAPTER XL.
Now we
shall

discourse

on the

(causes,
etc.

and) medical treatment of diarrhoea,

symptoms (Atlsa'rause of

pratlsheda). i. Causes Of AtlsaVa :The


extremely heavy (hard to
cold,
fluid,

excessive

digest),

oleaginous, dry, hot,

and incompatible articles of food, eating irregularly and at improper time (or unaccusthick,
articles

tomed
of

of fare), indigestion,

eating

before the

digestion of the previous meal, excessive

use or misuse

any lardacious substances, etc., (Sneha, Sveda, etc.), use of any poison, fright, grief, drinking impure water,
the excessive drinking cf
physical
contrarieties,

liquor,

change of season or
in

indulgence

aquatic

sports,

voluntary repression

of any natural
parasites
in

urging (of the


the intestines

body) or germination of
are the causes which bring

on an attack of diarrhoea
will

(Atisara) the
presently.
2.

symptoms whereof

be

dealt with

Pathology : The
body,
if

liquid part (Ap-dhatu) of the

aggravated and carried downward by the bodily

Vayu, impairs the fire in the stomach (fire of digestion) and mixing with the fecal matter, is painfully and constantly emitted through the anus.
is

This dangerous disease


oozing out (Ati
those

named Atisara from

the constant
fecal

and Sarana) of the liquid

matter from the anus.

It is usually classified into six different types, viz.,

due to the predominance of the deranged bodily Doshas severally involved therein, that due to the concerted
action

of

the

three

Doshas, one due to grief and

that due to the indigested

mucous accumulations (Ama)

(jh*p.

XL.]

UTTARA-TANTRA.

2i$

in
is

the

intestines.

Some
it is

authorities hold that Atisara

of mtlny kinds

but the holy Dhanvantari, on the not so but that the physical

contrary, holds that

conditions of a

diarrhoeic patient undergo changes


3.

and
pain

become manifold.

Premonitory Symptoms '.Piercing


in the regions of the heart, umbilicus, rectum,

abdomen
sense

and

in

the Kukshi (sides of the abdomen), a


in the limbs,

of

numbness
and of

stoppage or suppression of

flatus

stool,

distension

of the abdomen, and indiges-

tion are the premonitory

symptoms

of the disease.

4.

Symptoms of Vsftaja, Pittaja, Kaphaja and Tri-doshaja Types : The


Vtfyu-origined type of the disease
(colic),
is

marked by Sula
in

suppression

of

urine,

rumbling sound

the

intestines, looseness

(constant

movement
in

in

the intes-

tines)
in

of the abdominal
in

(Apana) wind, a gone feeling


the
legs,

the waist,

the

thighs and
flatus

and
stool.

frequent emissions

with

of

scanty,

frothy,

dry

(Kuksha)
specific

brown-coloured (yellowish black)


of the
hot,

The

features
is

Pitta-origined
yellow, blue

type are

that the

stool

fetid,

or slightly

red-coloured,

or

resembles

the

washings

of
is

meat,

and

is

emitted with sharp or acute force and


thirst, epileptic
fits

accom-

panied by

(fainting),

burning sensa-

tion, perspiration,

suppuration

and inflamation (Paka)


fever.

of

the affected organs,

and

In

the

Kapha-

origined type of the disease the stool becomes loose and


constant, gets
white.

The

stool

mixed with the lump comes out without


is

of

mucus and looks

any^ sound.

sense

of constant urging
'

complained of and each, motion

only creates the apprehension of a fresh one in the mind.

The

patient becomes drowsy or sleepy, and feels

a sense of heaviness in

the limbs, nausea, disrelish for

il4

THE SUSHRUTA SAMHITX.


and
lassitude.

[Chap.

xL.

food, horripalation

The symptoms which

mark a case of Tri-doflhaja type (due to the concerted action of the three simultaneously deranged bodily
Doshas) are drowsiness, swoon, lassitude, dryness
the mouth, thirst and a varied colour of the stools.
case of Tri-doshaja
is

of

A
the

type,

if

attended with
if

all

symptoms,
infant, or

very hard to cure and*


is

occurring in an

an old person,
5-8.

scarcely amenable to medical

treatment.

Symptoms
AtlSfCra
reach
!

The

of dokaja
suppressed
tears

and Amaja
of

bereaved
fire,

person of sparing

diet,

on quenching the digestive


the local

down

into the

Koshtha

(intestines)'and there freely

mix
the

with, and vitiate

blood which becomes


It

dark-red like Kdkananti (Gunja).


rectum, charged
it

then passes through


impart-

with

peculiar fetour

ed to

by the

fecal
latter

matter in
or

case

of

its

combismell,

nation with the

without

any

fetid

when in by
ly

passing out

unmixed.

Such

an attack ushered
is

the grief of bereavement of a person

according-

considered
in

very hard to cure.

The

local

bodily

Doshas

the

Koshtha (abdomen) are aggravated and


in

deranged when they come

contact with the

Ama
the

(unassimilated chyle), and are brought

down

into

Koshtha
emitted

(bowels),
in

where they are more agitated and


with the
undigested fecal

combination

matter

in

various ways, and are attended with pain

and

characterised

by a variety of
9

colour.

This

is

type of Atisara.

10
if

the sixth

Symptoms of Ama and Pakva


S^ra
I

A case of Atisara (diarrhoea) would be said to


Ama (acute) state,
the stool of the patient

Atl-

be in the
suffering

from any of the foregoing Doshas would be found to sink in water and to emit a very fetid smell

Chap. XL.]

UTTARA-TANTRA.
in

2X5

and to pass

broken

jets

(D.

R.to

be slimy).

contrariety of the preceding


lightness of the

symptoms and a

sense of

body and

in

the affected cavity would

indicate that

the disease has passed the acute stage

and

it is

then called

Pakva

(chronic) Atisara.

n.
fat,

Prognosis : If the
washings of Ves'a vara,
oil,

colour of the stool (in a

case of Atisara) resembles that of clarified butter,

the

goat's milk, honey, ManjishthA,


if

brain-matter, or Rasdnjana, or
to the touch,
smell,

the stool

is

cold or hot
fetid

or

if

it

is

charged with a fleshy or


lines

or

marked with
if it

or

specks of variegated
if just

colours, or

looks like pus or clay, or

the

opposite or reverse

symptoms

or other distressing sympis

toms would be exhibited, the case


in case the patient

likely to

end

fatally

be weak.

patient suffering from an


if

attack of Atisara would be given up (as incurable)

he

be weak,

if

the orifice of his anus


if

cannot be closed,
(D. R.

become suppurated and there be distension of the abdomen


self-restrained), if there
if

if

the patient be not

be

distressing

symptoms
of

and

the patient be found

destitute of thermal heat.

12-13.

ushered in by whatsoever marked by the specific symptoms of the deranged bodily Dosha or Doshas complicated
attack

An

Atisara

cause,

is

sure to be

AH cases of Atisara whether due to the indigesany oleaginous food or drink (Ghrita, oil, etc.), whether with (or without) the symptoms of Pravahika
with
it.

tion of

and the accompanying colic, as well as those due to Visuchika or any 'other kind of indigestion as also
those due to the effect of
digestive system),

any poison
(Ars'as),

(affecting the

haemorrhoids
of

or

worms

in

the intestines,

all

toms of the

specific

them are marked by the sympDosha involved therein. The treatits

ment of Atisara varies according to

acute or matured

2I

THE SUSHRUTA SAMHITA.


symptoms of those
.

[Chap. XT*

stage, the- characteristic

therefore

are to be carefully observed

and

noted

in

each case

under treatment.

14-15.

The

patient should be kept without food as soon

as

the premonitory

symptoms

of Atisara

would appear,
prepared
with
in

and then the


their

dietic

gruels (Yavagu)

the admixture of digestive drugs should be given

proper order.
distension
advised.

flatulent

marked by colic and of the abdomen, fasting should


In a
case

be

first

And
salt.

then vomiting should be induced


Pippali

with draughts of water mixed with powdered

and Saindhava
a

light
etc.,

diet

in

the

shape of
then

Khada-yusha, Yavdgu,

prepared with the admixof vomiting.

ture of the drugs of the Pippalyddi group, should

be prescribed

after the cessation

A decocgroup,

tion of the drugs of the Haridrddi,

or

VachMi

should be be taken in the morning where the preceding

remedies would

fail

to

relieve

mucous accumulations
astringent or costive

in the intestines (Ama'tisrira).

No

immature (Ama) stage of the disease should be administered in as much as by obstructing the passage of the Doshas it might bring on an attack of enlarged spleen, chlorosis, distenmedicine
in

the acute

or

sion

of the

abdomen with suppression


(urinary
complaints),
fever,

of

stool

and

urine,

Meha

Kushtha (cutaneous
etc.,)

affections), ascites,

cedematous swellings of the


gland,
diarrhoea,
piles,

limbs,
colic,

Gulma (abdominal

Alasaka and cat:hing pain

at the heart.

16-17.

Purging should be induced with Haritaki in a case marked by constant and scanty motions (of mucus and) attended with griping and pain (5>ula) or by an incarceration of the deranged bodily

Doshas

(in

the intestines).

Emetics should
fesfings

be

first

exhibited

and followed by

and digestive or assimilative (Fachana) remedies

Chap.

XL

UTTARA-TANTRA.
marked by watery and copious motions.

2i;

in a case

Pow-

dered Haritaki and Pippali with tepid water should be


administered for purgative purposes in a case marked

by scanty emissions
pain and colic
prescribed
alternative,
in
(S>ula).

of stool

at
is

times attended with


the
first

Fasting
of

remedy
be

to

be

cases

Ama (acute)
medicinal

Atisara,

or in the
prescribed.

digestive

remedies should

The

recipes of digestive

compounds which
(Amatisara)

are curative in the disease under discussion are described below.


1

19.

Twenty different Recipes for Amatisara


Hingii,
S

(1)
;

Deva-ddru, Vacha, Musta, Ndgara, Ativislid


or of (2) Kalinga {Indra-yava), Ativishd,

and Abliayd

SanvarchalasaXt,

Abhayd
Vilva
;

(D. R^Nagara^, Dhanydka, Musta, Vdlaka or


of
(4)

Vachd and Abhayd, or of (3) and


Parpataka, S'unthi,
Vacha,

Musta,
;

Ativislid and Abhayd or of (5) Abhayd, Ativishd, Hingu, Vachd, and Sauvarchala-sah or of (6) Chitraka, Pippali;

tnula,

Vacha, Katuka-rohini,

or of (7) Pdthd,

Vatsaka(Sunthi),

seeds (Indra-yava), Haritaki and


or of (8)

Mahaushadha

Murvd, Nirdahani, (Chitraka), Pdthd, Tryushana or of (9) Siddhdrthaka, (Tri-katti) and Gaja-pippali
;

Bhadra-ddru, S'atdhvd and Katu-rohini

or of (10) Eld,

Sdvaraka (Lodhra), Kushtha, the two


Kutajasceds (Indra-yava)
or of
;

sorts

of Haridrd,

or of (11) Mesha-s'ringi, Tvak,

Eld, Krimighna (Vidanga) and


(12)

Vrikshaka (Indra-yava)

Brikshddani,

Virataru, the
of

two kinds

of

Vrihati and the two kinds

Sahd (Mudga-parni

and.

or of (13) barks of tiranda, Tinduka, Dddirna, Kutaja and of S'ami; or of (14) Pdtltd, Tejcvati,

Masha-parni)

Musta, Pippali

and

Indra-yava

or

of

(15) Patola,

Dipyaka (Yamani), Vilva, the two kinds of Haridrd and Deva-ddru or of (16) Vidanga, Abhayd, Pdthd,
;

S'ringaveta,

Ghana (Musta) and Vacha

or of (17) Vacha,

?8

2l8

THE SUSHRUTA SAMHITX.

[Chap. XL.

Vatsakaseeis (Indra-yava), Saindhava and Katu-roktnt


dried green Vilva

or of (18) Hingu, Vatsa&asteds (Indra-yava), Vacha and


;

or of (19) Ndgara, Ativishd, Mustd,


;

the two kinds of Pippali and Vatsakaseeds (Indra-yava) or of (20) Mahaushadka, Prati-visJtd and Mustd, are the

tliese

Twenty

different recipes of the remedies

which

are digestive (of the mucous accumulations) in cases of

Ama-Atisara and should be administered

(in

the shape of

powder) with Dhdnydmla (Kanjika), tepid water or wine, or their decoctions in luke-warm state should be
used.

This

is

a detailed

list

of the

best

remedies in

cases of Ama-Atisrfra.

20.
-

compound

of Haritaki,

Ativishd,

Hingu, Sau-

vatchala and Vachd should be taken with tepid water in


cases of Ama-Atisaras.

Similarly a

compound

of Patola,

Yatndni, Vis'va, Vachdfippali, Ndgara, Musta, Vidanga,

and Kushtha, or that of S'unthi and Guduchi should


be taken with tepid water.
21-23.

The
(1)

five

of

all
;

compounds separately composed kinds of officinal salt, Pippali, Vidanga and


following
or of (2)
all

Haritaki

Chitraka, S'ims'apd, Pdthd, S'drn;

gashtd, and

kinds of officinal salt

VrikshaAa-seeds {Indra-yava) and


salt

all

or of (3) Hingu, kinds of officinal

taken

in

equal

parts

or (4) of Ndga-danti
;

and

Pippali,

weighing two Tolas

or (5) of
if

Vachd and
taken with

Guduchi-stzms, would
tepid water.

be found beneficial,

quantity of milk

Twenty Musta, should be boiled in a and thrice as much water. The milk
back after
all

which

is

left

the water

is

evaporated

by

should be used for the relief of the griping (aula) due to the accumulation of mucus (Ama) in the
boiling,
intestines.

24-25.

Clarified

butter

mixed

with

SaindAavasa.lt

and

Yaviakskdra should

be given to a patient of weak


Chap. Xi-J

UTTARA-TANTRA.
pcwer
in

2f$

digestive

a case
its

in

which the Vaya Has not


in "spite

been restored to

normal condition

of the
is

subsidence of the intestinal

Sula (griping) and which

marked by scanty
pain.

(but

repeated) motions passed with

The Ghrita duly cooked with Ndgara, Chdngeri


(Kanjika), or simply the transparent part of clari-

and Kola (Vadara) and with milk*, curd (Dadhi) and

Amla
fied

butter

should

be taken as a
In the

relief for

Atisara
clarified

attended with Sula (pain).


butter

alternative,
of)
oil

mixed with (an equal quantity

and duly

cooked with curd, together with a paste of Tri-katu,


Jdti (flower) and Chitraka, or with thai of Pippali-wula,
Vilva,

Dddima-bark and Kushtha should be given.


the remedies to

All

these are

be employed

in

a type of
;

Atisara due to the action 'of Vata or of Sleshma


all

and
the

the foregoing remedies with the exception of those

of keen

and heat-making potency, may be used


26
27.
first

in

Pittaja type of the disease.

Fasting as already advised should be

observed

and it should be broken with gruels (Yavagu) duly cooked with the two kinds Va/d, or with Ams's-mati, or
S'vadtxmshtrd and
Vrihati, or S'atdvari

mixed with honey.


arid bitter

The soup (Yusha)

of

made cold and Mudga duly


with mild

cooked with the drugs of appetising

virtue, or

drugs of appetising property would cure (the


the

Dosha

in)

acute

stage

(Ama-dosha) of the

stool.

Decoctions

of

Haridrd,

Ativis/td, Pdthd,
;

Vatsa-sezfe

(Indra-yava) and Rasdnjana,

or of Rasdnjatia, the
;

two

kinds of Haridrd and


Patha,

Kutaj'^sceds (Indra-yava

or of

Guducki,

Bhu-nhnba

and Katu-rohini would

We
we

have tba recipe of


find

this

there

Ksbara

in place of

Ghrita in Charaka Sainhita also. But Kthira and that appears to be the better
Ghrita,

reading.

Sec Chapter

XIX,under Changed

Charaka SamhiuL

220

THE SUSHRUTA SAMHITX.


useful
in

tChap.

XL.
the

prove "extremly

correcting (Pachana)

deranged Pitta.

2829.

Six Yogas for PlttaJa-AtlsaVa : Any


one of the six decoctions respectively prepared with Bhu-nimba and Mustd, Kutaja-sneds (Indra-yava.j,

Rasdnjana

or with Ddivi, Durdlabhd, or with


;

Vilva and red

Chandana

Chandana,

Vdlaka, Mustd, Bhu-

nimba, Dur&lavd

or with Mrindla, Chandana,


;

Rodhra,

Ndgara- and Nilotpala

or with Pdthd, Musta, the


;

two

kinds of Haridrd, Pippali and Kutajaseeds


seeds and barks of

or with the

Vatsaka, S'ringavera and

Vachd

mixed with

clarified butter

should be regarded as good


30.

remedies for the Pittaja type of Atisara,

case of Pittaja- Atisara in

its

acute (Ama) stage


Vilya,

would yield to the use of a decoction of (unripe)


lndra-yava,

Ambhoda

(Musta), Vdlaka and Ativishd.

decoction of Yashti-madhu, Utpala, Vilva, Antra, Hrivera,


Us'ira and

Ndgara mixed with honey proves


31

curative in

the case under discussion.

32.

Astringent or constipating (Samstambhana) remedies should be

employed

in

a case of the chronic (Pakva)

marked by dullness of the Grahani, vis, the fire and by constant motions. Any of the four following medicinal compounds, vis., Samangd,
Atisara
digestive
Dhdtaki-fiov/er, Manjisthd,

S'dlmali-veshtaka,

Lodhra and Mustd or 'of Rodhra and the bark of Vrikshaka


;
;

(Kutaja) and of

Dddima

or of the

stone of

Amra,
;

Lodhra, the inner pulp of (unripe) Vilva and Priyangu


or

of

Yashti-madhu,

S'ringavera

and the

bark

of

Dirgha-vrinta (Syonaka)

should be taken with honey


cases

and the washings of


Atisara.
33

rice in

of chronic (Pakva)

34.

The
honey

decoction of
in

Musta alone should be taken with


a

the

case under discussion, or

decoction of

Chap. XL.]

UTTARA-TANTRA.
viz.,

22 1

any

of the nine Ganas,

the Lodhrddi, Amboskffiddi,

or Priytihgvddi groups,

etc. (see

Chapter

XXXVIII,
the
dried

Sutra-Sthana)
decoction of

should

be

employed.

Similarly,

Padmd, Samangd, Yashti-madhu and

Vilva and Jatnbu fruits should be taken with the washings


of rice

mixed with honey.

paste

of the

root

of

Kachchhurd weighing an Udumvara (two Tolas) should


be similarly taken ^with the same vehicles).

case of

Pakvatisara marked by bloody stool or by emission of

blood (from the intestines) would yield to the use of


the decoction
of Payasyd,

Chandana,

Padmd
35

(Bhargi),

Sitd (sugar),

Mustd and

the polens of lotus.

if,

38.

Application Of Ghrita :Clarified


with

butter

Yava-kshdra should be given to a patient with


the- state of

due regard to
being
to be

his

digestive
etc.,

power
be

after

treated
affected

with

fasting,

he

still
if

found

with Sula and dryness and


free

the stool
a
is

would be found to be
Pakvatisara.

from mucus

i.e.,

in

case

of

The

colic (in

a case of Atisara)
butter

relieved

by taking
with)

(a

potion of clarified
Vrihati,
little

duly cooked

Vald,

Ams'u-mati and Kachchhurd-roots

mixed with a
Vilva,

honey and

Yashti-madhu

(as

an

after-throw). Clarified butler duly

cooked with Ddrvi,

Kand

{Pippali),
in

Drdkshd, Katuka and Indra-yava


a
case
of Atisara due
(jointly

would prove curative


action of the Vata,
ately).
(in

to

the

Pitta

and Kapha

or separ-*

draught of milk, honey and

clarified butter

equal parts) mixed

with sugar, Ajamodd, Katvanga

and

Yashti-madhu

(as

an

after-throw)
(in

would

relieve

the griping (Sula) in the intestines

a case of Atisara).

3942.

Putapa'ka

Preparations : A
Atisara

case
stools

of
of

long-standing (chronic)

marked by

various colours and a keen digestion

but unattended

222

f HE StfSHRtfTA SAMHITX.

[Chap. XL.

with any sort of pain or complication should be remedied with medicines prepared
ptfka
in the

preparation

(described

below).

maner of PutaThe barks of


lotus
in

Dirglia-vrinta

(S'yondkd),

and polens of
wrapped
(lotus)

should
of

be

pasted

together

and

up

leaves

Kds'mari or of Padma
with string or thread (D.

with

their

ends tied

R. Kus'a). The

cover should

be then coated with a plaster of clay and duly scorched


in the fire of (smokeless) charcoal (of Khadird).

When

well cooked,

it

should be taken out and the juice, squeez-

ed out of

its

contents.

This juice should be cooled and

administered in combination with honey in a case of


Atisara.

Similar preparations of the drugs


etc.,

known

as
in

Jivanti and Mes/ia-s'ringi,


the

may
a
of
the

also

be used
bird

same way.

The
a

skin

of

Titlira

should
of
the
belly

be peeled off and

paste

drugs
into

Nyagrodhidi group
after
it

should be stuffed

its
it

has been previously drawn.

After this

should
in

be

duly stitched
the above

up

and cooked (scorched)

the

fire in

manner.

The

juice should

then be
cool,

squeezed out therefrom and

administered,

when
in

with the admixture of


of Atisdra.

honey and sugar


as Lodhra,

case

The drugs known

Chandana,
Utpala and

Yashti-madhu, Ddrvi, Pdthd, Sitd (sugar),

the barks of Dirgha-vrinta pasted together

with the
the
fire

washings
in

of rice should be duly scorched in

the above out of

manner
its

(of

a Puta-paka).

The
Atisara

juice

pressed

contents

and

taken with honey,

when
to

cold,

proves curative in cases of


of
the

due

the

action

deranged

Pitta

and Kapha.

Similar preparations
of Vata, etc ., and

may be made of the aerial roots may be advantageously prescribed


,).

with the soup of the flesh of any Jangala bird (such


as Tittira, Kapinjala, etc
43-47.

Chap. XL.]

UTTARA-TANTRA.

223

The

ftutaja-b&rk taken with treacle would cure per-

force the long-standing cases of Atisara

attended with

blood and marked

by the diminished action of the bodily Vayu but a predominant action of the deranged Kapha. The drugs of the Ambashtddi group as well
as those
of the Pippalyddi group
beneficial.

taken with honey

would be similarly

48-49

A
parni,

Peytf duly prepared with the admixture of Pris'ni-

Bald,

Vilva

(D.

R. Vis'va\

Bdlaka,

Utpala,

Dhanydka and Ndgara, should be taken by a


suffering from

patient

Atisara.

case

of Pakvatisara

would
gruel

yield to the curative efficacy of a light medicinal


(

Yavdgu) duly prepared with the admixture of the paste


Yashti-madhu, and tender

of S'yondka-b&rk, Priyangu,

sprouts of

Dddima

pasted together with curd.

case

of Atisara

attended with blood and colic (Sula) would

be readily cured

Dhdtaki, Ndgara and the

by the use of Rasdnjana, Ativishd, bark and seeds of Kutaja


rice.

taken with honey and the washings of

50

52.

Yashti-madhu, (dried) green Vilva-txnit mixed with

honey and sugar, or


rice (administered

particles of S'dli

and Shashtika

with the same drugs) would prove Badari-rooxs pasted with curative in a case of Atisara.

honey should be given to be licked with the same

result.

Barks of Badari, Arjuna, Jambu, Antra, S'allaki and


Vetasa taken with honey and sugar would cure a case of
Atisara.

Gruels (Yavagu),

through a piece of linen)

Mandas (thick gruel squeezed and Yusha (soup) may also be

duly prepared with the admixture of fhese drugs, and

a case marked by excessive thirst, the water for drinking should be prepared by duly boiling these drugs.
in

The
*

cold infusion of * S'dlmalistems kept in

the open

Ponders of

S'rflpali

stem

should

be kept

Immersed

for

whole

224

THE SUSHRUTA

SAMIIITA.

[Chap.

XL.

space for a whole night,


results as

may

be given good with good

drink
53

in

combination with Yast/u-mad/iu

and honey.

54.

Use of Milk
stool

in Atisara

:Milk

should be

given in a case of Atisara marked by the suppression of

and Vayu
Milk

and

attended with

griping (Sula),

constant scanty motions,


thirst.
is

symptoms
itself in

of Rakta-pitta

and

ambrosia

such a case of Atisara

(Dysentery), and in

long-standing cases the milk to be

taken should be duly boiled with thrice as much water.

This would remove the


involved and
in such cases.
is,

remnant,

if

any, of the Dosha

therefore, considered as the best

remedy
of Pichas the

Oily purgatives and application


as well

chila-Vasti

(slimy intestinal injections)

medicated Ghrita

duly

prepared with the expressed


c. g.,

juice of the barks of slimy trees,


etc.,

S'j'ond,

S'dhnali,

are beneficial under the circumstances (in


56.

chronic

or longstanding cases).

Draughts of

clarified butter

duly prepared with the


a

tender sprouts of the Kshiri trees and mixed with honey

and sugar
of Atisara

(as

an after-throw) should be taken


of

in

case

marked with a
the
region

discharge of blood before


stool

or after the passing

pain

(in

the

of the anus).

and with a cutting Draughts of medi-

cated clarified butter duly prepared with the barks of

Deva-ddru, and

with Pippali, S'unthi, Ldkshd, India-

yava, and Bhadra-rohini (Katukaj administered through


the

medium

of

any kind of Peyd, would prove highly


a
case of Tri-doshaja Atisara of severe

efficacious

in

type.
night
in

57-58.

an equal quantity of water.

In the morning the water should


Four-Pala-weight of this water

be passed through a piece of linen.

mixed with a Katsha weight of lYashti-madhu and honey should be


taken.

Chap. XL.]

UTTARA-TANTRA.
is

225

Exhibition of emetics or vomiting

an excellent

remedy
(in

in

case

of

Atisara marked by heaviness,

the abdomen) and the predominance of the deranged,

bodily Kapha.

case

attended with fever, burning

sensation and suppression of stool

and marked by an
with
urine-purifying

aggravation of
Rakta-pitta.

Vayu

should be treated as a case of

Intestinal injections

(Mutra-Sodhana) drugs should be speedily administered


in the

manner

of an Asthapaiia or

AnuV&ana Vasti,

as

the occasion might arise, in a case

marked by an exces-: sive accumulation of the deranged bodily Doshas in the affqeted locality as well as by the suppression (of
stool)

during the mature stage of the disease.


injections

59-60.
clarified

Intestinal

consisting

of

oil

or

butter duly cooked

and prepared with the drugs of sweet and acid tastes should be applied in the manner of an AnUY&'sana Vasti in a case marked by the protrusion of the bowel through violent and excessive straining and by painful obstruction of urine (Mutraghata) and
pain
in

the waist.

Pitta-subduing washes, and injec-

tions prepared with the Pitta-subduing drugs and appli-

ed in the manner of Anuvasana Vasti, are the remedies


in

a case

marked by the suppuration

of the anus due

to the aggravation of Pitta in an injudicious or

intem-

perate

Anuvstaana Vasti charged with oil duly cooked with wine, Viha and Dadhi-tnanda should
patient.

be applied in a case of Atisara marked by the aggravation of the deranged bodily Vayu, and milk duly
boiled

and cooked with the admixture of Kachchurd:


61-63.

roots should be given to drink.

Pichchha'-Vasti should be applied (into the rectum) in a case of Atisara marked by painful and frequent
emission
time,

of

blood, though in

scanty quantities at a

and by an

entire suppression of

Vayu

(flatus).

An

29

226

THE SUSHRUTA
of

SAMHITA".
results

[Chap.

XL.

atonic condition

the anus

from
64-65.

long-

standing attack

of Atisara which should, therefore, be


oil.

remedied by rubbing the part with

Diet :The
Atisara should

diet

of the patient suffering


the

from
Vatta-

be prepared with

admixture of

Kapittha, S'dltnali, Phanji (a

kind of Patha),

Kdrpdsi (D. R. Vata and Karpasi), Dddima, Yuthikd,


Kachchhurd,
parni,
S'elu, S'ana,

Chuchchu,

Dadhi

(curd), S'dla-

Pris'niparni, Vrihati, Kanta-kdrikd, Vald, S'vad-

amstrd, Vilva, Pdthd, Ndgara and


also consists of the pastes of

Dhanydka and may sesamum and Mudga pulse

or of

Mudga
>

soup.

66.

Causes and Symptoms of


Sfifra

Rakta'ti-

The bodily Pitta of a person already suffering


Pittaja- Atisara
is

from an attack of

further deranged

and aggravated,

if

Pitta-generating

eatables are

taken,

and ushers in the discharge of blood with stool accompanied by fever, burning sensation, thirst, gripings (Sula)

and excessive suppuration (inflamation) of the anus (Guda). The above are the characteristics of the
Raktrfti-B&a.
67.

Treatment

'.Draughts of

milk
etc.

duly boiled
(those
includ-

and cooked with the leaves of Vata,


clarified

ed within the Nyagrodhadi group) should be given with


butter,

or with

sugar and honey in

a case
;

marked by a discharge

of blood before or after motions

or the butter prepared by stirring the preceding preparation of milk should be taken
;

and draught of the Takra

(thus prepared) should be taken as an after-potion.

The

discharge of

blood

(in

case

of

Atisara)

may be
to-

stopped by a potion consisting of the barks of Piydla,


S'dltnali,

Plaksha, S'allaki, and of Tinis'a pasted

gether with milk and


result is obtained

mixed with honey.

The same
she-

by administering the milk of a

Chap.

XL]
with a paste

UtfARA-tANtRA.
of

24?

goat

Yashti-madhu, sugar, Lodhra,

Payasyd

(Arkapushpi) and Ddrvi

and
of

mixed with
Manjishthd,

honey, or with a paste (or powder)


S'arivd, Lodhra, Padmaka,

Kumuda, Utpala and Padmd

(Bhargi

68-71.

Sugar, Utpala, Lodhra, Samangd, Yashti-madhu and


Tila
;

or Tila, Mocha-rasa
;

and Utpala

or

and Lodhra or Yashti-madhu Kachchurd and Tila are the ingre;

dients of four recipes which,

if

taken with the she-goat's


in the
stool.

milk and honey, would remove the blood


Pastes of unripe

Vilva

fruits, treacle

and honey taken


a case marked

before the meal would be a remedy by watery motions mixed with blood.

in

case of blood-

dysentry due to

the deranged

blood,

and Pitta and

attended with Sula yields to the use of a compound consisting of

Kos'akdra (a kind of sugar-cane) pulverised


fried in clarified

parched paddy

butter and

mixed

with sugar and honey.


to the action of the

case of blood-dysentery due

deranged blood, and Pitta

may

be

compound of the kernel of a ^unripe) Vilva-iruit mixed with Yashti-madhu and taken with The remedies the washings of rice, honey and sugar.
cured with a

mentioned

in

connection with a

case

of

Guda-paka

(suppuration of anus) should also be employed in these


cases.

Application of Pichohha'-Vasti

is

recommended

in the

type where the pain begins to subside.


of the decoction of Vidanga,

purga-

tive

consisting

Triphald

and Pippali should be given to a patient with good assume* the appetite as soon as the stool would
.

colour of blood.
sisting only

In the alternative, a

purgative con-

of milk

cooked with Eranda-roots (castor

plant) should

be employed and the patient should be


the stool would harden ''mtfft!'

* D.

When

220
given

fHE SUSHRUTA SAMHItX.


Yavdgu prepared
72-78.

[Chap.

XL.

with appetising

and Vayu-

subduing drugs.

Treacle (Phanita) mixed


curd,
oil,

with powdered S'unthi,

case

milk and clarified butter should be given in a marked by good appetite but by frothy motions
all

devoid of
oil

fcecal

matter.

Badara-fruits boiled

with

and

treacle, or cakes

prepared from them and dried

unripe Fi/pa-fruits should be prescribed. Cakes prepared

with boiled Mdsha-pu\se should be prescribed to be


taken with curd followed by a draught of S'vetd (cake-

marked by the absence of fecal The blood-stained flesh of a hare cooked with Samangd, curd and clarified butter should
made) wine
in

the case

matter in the stool.

be taken with well boiled

rice.

79.

A decoction
cooked
in

of Mds/ia-puhe, Kola and


parts of the
oil

barley duly

equal

and

clarified butter

and mixed with curd and the expressed


should be prescribed as diet
of any fecal
in

juice of

the case.

Dddima The absence

matter in the stool (Furisha-Kshaya) would yield to the use of Bit (black salt), dried unripe Vilva fruit and S'untki pasted with any acid juice and mixed with curd-cream and cooked in equal parts
of
oil

and
as-

clarified butter.

Clarified butter duly cooked

with

tringent

and

appetising

'drugs

should be

given in a case of Atisara attended with Sula where


the patient feels a good appetite after the loss of fecal
matter.

8081.

Symptoms
in

of Pravcthikct :The Vdyu


person addicted to the use of
is

the organism of a

unwholesome food,
carries

deranged and aggravated. It down the accumulations of Valasa (mucus) into


off

the lower part of the body, whence, mixed with stools,

they are constantly passed


disease
is

with tenesmus.
diarrhoea).

called PravaTrika"

(mucous

The The

Chap. XL.]

UTTARA-TANTRA.
in

229
the Vataja
in

motions are attended with Sula (pain)


type of
the
disease,

with

burning sensation

the

Fittaja one, with mucus in the

Kaphaja one and with


in the

blood (blood-streaked
origined
type).

mucus)

Baktaja (blood-

Excessive use

of dry (Ruksha) or of

fatty articles

of food

may be
The
its

regarded as the exciting


specific

factor

of

these

cases.

indications

of or

Pravahika as well as

Ama

or acute and

Pakva

mature stage are respectively identical with those of


the several types of Atisara.
82-83.

Treatment I In
other digestive (Pachana)

the

event

of
(cf

fasting

and
they

compounds
in

Pravahika)
cases

producing no beneficial effect


are
oil,

serious

found to readily yield to the use of boiled milk,


Tila (sesamum) or Pichchhila
Vasti.

The green

stems of S'dlmali well covered with green A/a-bIades,


should be scorched in the
fire in

the

manner of Puta-paka.
and powdered
in

The

juice should be

squeezed out thereof and mixed


oil,

with boiled

milk,

clarified

butter

Yashti-madhu, and should be carefully injected into the

rectum in the manner of Vasti application


of Pravahika
urine.

cases

marked with the


injections

retention of stool and

Similar

of a decoction of Das'a^mula

duly cooked in milk and mixed with honey and applied


in

the

manner

of

an Asthapana-Vasti
the

as

well

as

the application of

oil in

manner
86.

of an

Anuva'sana

Vasti would prove highly

efficacious in

cases

marked

with painful tenesmus.

84

Diet
five

Oil

duly cooked with the drugs of the


of) salt

Vayu-subduing (Vidari-gandhadi) group and with (the


officinal

kinds

should

be

used in (the
consist-

preparation of) food and drinking of Lodhra,


Z?*/-salt

compound

pasted with

oil

and dried unripe Vilva-frult and mixed with Tri-katu should be

ajO
given to be
rhcetic

THEi

SUSHRUlA SAMHITX.
The food
(boiled

[Chap. XL.

licked*.

rice) of

a diar-

be taken with honey and curd from which the cream has not been removed or with
patient should
;

milk warmed by a piece of red-hot metal


gold and
silver)

(other than

quantity of honey.

and mixed when cold with a profuse The use of milk duly boiled and

cooked with the admixture of Tri-katu and Viddrtgandkd, with the food would prove curative in a case
attended with Sula.

He

should also be given soups

(Rasa) prepared with the drugs of appetising, astringent


(Grahi)

and Vayu-subduing
the

virtues.

Fish he
oil

may

take

and

his

soup should be prepared with

and

clarified

butter with

admixture of Vayu-subduing drugs.

The

diet in this disease should consist of venison,

mutton

or goat's flesh cooked with the tender sprouts of a Vata


tree or of blood of a fatty goat duly

cooked with curd

(Dadhi),

oil

and

clarified

butter.

He may

take

his

food with an unsalted

soup (Yusha) of a peacock or


prepared curd.

of a Lava bird, or with well

He may
butter

take (with with the

benefit)

well

cooked Mdsha-fulse mixed


clarified

transparent

upper part of

(Ghrita-manda) and with curd, while chewing at intervals (with his


teeth) the
89.

unpowdered Maricha (black

pepper).

87

compound

of milk,

honey and

clarified

butter

mixed with the decoction of


in (a case of

Yas/iti-mad/iu

and Utpala

should be applied in the manner of Vasti-appli cation

Pravahika, marked by) excessive pain and

painful micturation (Mutra-Krichchhra).


tion of this Vasti
*
daily.

The

applica-

would

alleviate the burning sensation,


this

According to some variants

compound should be taken

thrice

+ In place of "^nt"

some read "fw"

Kupya Kurpa which

(any metal other than gold and silver)


is

explained to

mean a kind

of stone.

Chap. XL.]

UTTARA-TANTRA.

3I

allay the the


(in

accompanying fever and remove the blood


Injections of the decoction (of the drugs)

the

stool).

of

Madhura group

(such as Kakoli,

etc.) in

the

manner
be

of an day at daytime or

Anuvasana Vasti, should also be applied every


in

the night,

if

the

patient

feeling

any

pain.

90.
oil

Vasti

applied with the admixture of

would

aggravated bodily Vayu and Pravahika, would be removed with the pacification of the deranged
pacify the

bodily Vayu.
of Pravahika
its

The main
is

treatment, therefore, in a case

to restore

the deranged local


is

Vayu

to

normal condition, (which

identical with a cure). 91.

Medical Treatment : The


as Pdthd, Ajamodd,

drugs

Kutaja- seeds, S'unthi

known and Mdgatesticles

dhikd taken in equal parts, pasted together and dissolved


in tepid

water or milk duly boiled with the

of a goat

and mixed with


in

clarified butter

would prove
butter

efficacious

case of

Pravahika.

Clarified

mixed with oil and duly cooked with S'unthi and Kshavaka would give instantaneous relief, if licked. Yavigu duly prepared with the admixture of Vilva and the expressed juice of Gajds'ana (Sallaki), Kumbhikd and Dddtma and with curd, oil and clarified butter would prove highly beneficial. The use of milk just drawn, would similarly prove beneficial in the
case.

92.

wise and

the foregoing medicinal the complaints of

employ compounds and decotions in the bowels and of the Stomach (Udaraarticles

experienced physician should

maya)

as well as light, appetising and emulsive (Snigdha)

articles of fare

and other

of food

prescribed

before as diet in the cases.

93.

YavagU
in

Yavagu

(gruel) is

always efficacious

cases of fever

and Atisara

in as

much

as

it

allays

232
thirst, is

THE SOSHRUTA SAM HITA.


light

[Chap.

XL.
acts

in

digestion

and appetising, and


94.

as a cleanser of the bladder (diuretic).

General Principle of Treatment :


Drying (Ruksha) measures should be employed in a case due to the excessive use of any oily or emulsive food and emulsive (Snigdha) measures should be
adopted
of
in

a case brought on through an excessive use


article.

any dry (Ruksha)


first

The cause

of

terror

should be
the

removed

in

a case due to

fright,

while

mind should be calmed or consoled in the case due to any grief or bereavement. The treatment in cases (of Atisara) due to piles or worms (in the intestines)
as well as in those due
to the
in effect of poison
(intro-

duced into the system) consits


disease

employing therapeutic
Complications or
thirst,

agents which are simultaneously remedial both to the

and to

its

exciting factors.

distressing concomitants such as vomiting,

faint-

ing

fits, etc.,

should be removed with drugs which are

not incompatible with the main treatment of the disease,

and which do not aggravate the exciting factors. In a case of fever or Atisara marked by the simultaneous aggravation of the deranged bodily Doshas, the deranged
Pitta should be
affections,
it

first

remedied, while

in

all

other

is

the deranged bodily Vrfyu which should

be

first

curbed

down

or corrected.

95

96.

Indications Of Cure : Non-emission


stool

of

at

the time of urination and the free emission of


well as the rousing of the appetite,

flatus (Vayu), as

and

the lightness

of the

abdominal cavity (Koshtha)


in

are the indications of cure


(Diarrhoea,
etc.).*

a case of

Udaramaya

97.

The

printed edition

of Dallana's

commentary says

that

these

are

the

symptoms of cases of aggravated

Atisara.

Chap. XL.

UTTARA-TANTRA.

233

Static or
to the

Dynamic causes

eases and Treatment

Some diseases are due


may

of Dis-

the present or any prior existence), and

dynamics of Karaas (deeds done by a man in some are due to


in

the effects of deranged bodily Doshas, while there

be others which have their origin both


of

the dynamics

Karma and the necessary physiological (Doshaja) causes. Of these a Karma-origined disease may come
on without any apparent exciting factor and appears with the extinction of its (Karma's)
effected
it

dis-

result
(e. g.

by means
etc.)

of

any
is

remedial

measure

penance,

other than medical treatment, whereas as

a Dosha-origined disease

conquered as soon as the

involved deranged Doshas of the


their

body are

restored

to

normal condition.

Cases due to a slight derangea

ment of the bodily Doshas but attended with


deal of troubles as well
as

good

those due to the excessive

aggravation of the Doshas but attended with only slight


troubles should be attributed

both to the physiological


of

causes and to the dynamics

cured only

when both

of these

causes

Karma, and these are viz., Karma and


98.
(lit.

aggravated Doshas arc removed.

Grahani :The
affected
appetite.

Grahani

the uppermost
is

extremity or the receiving ducts of the intestines)

by

the

causes which produce


fire

dulncss
is

of

The
if,

digestive
after *

of a patient

again deattack of
still

ranged, even
Atisara,

the subsidence of an

with the dulness of appetite, he be

in-

temperate and injudicious in matters of food and drink.

Hence the regimen of


Atisara should be as laid

diet

and conduct
in

in a case of

down

connection with the

The
is

use of "^ffi(" in

the

text

shows, say the commentators, that

Grahani

possible even without a previous attack of Atisira.

234
sequel

TH E SUSHRUTA SAMH1TA.

[Chap.

XL

of any purgative course (Virechana), until the


res-

deranged Doshas of the body would be completely


health and strength in their

tored to their normal condition, bringing in the natural


train.

The

sixth Kala
(Pitta-

which has been described as the Pitta-dhara Kala


containing
sheath)
is

situated
?) is

between
called
is

Pakvas'aya

and Amaa'aya (duodenum


digestive
fire

strength of the organ of Grahani

Grahani. The dependent on the


is

(Agni) and

the latter

situate

in the
fire

former.

Hence anything that impairs the


of one

digestive

(Agni) necessarily affects the Grahani.

99-102.

The aggravation
the -food taken
fecal matter, or
is

or

all

the bodily Doshas


into which

leads to the derangement

of the Grahani

passed off in the


is

shape of undigested

if it

digested,

it

sometimes produces

constipation of the bowels and sometimes liquid motions

accompained

(in
is

both cases) by pain and

fetid

smell.
?)

The

disease

called

Grahani
103.

(chronic diarrhoea

by

experienced Physicians.

Premonitory Symptoms
digestion,
lassitude

'.incomplete
langour,

or

sense

of physical

laziness, thirst, a sense of exhaustion, weakness, aversion

to

food, cough, ringing in

the ears (Karna-Kheda) and

rumbling sound in the intestines are the symptoms which

mark the premonitory


:

stage of the disease.

104.

Symptoms Swelling
and of the
thirst,

or cedema of the hands

feet,

emaciation, pain at the joints, greediness,

vomiting, fever, aversion to food, burning sensa-

tion, eructations of bitter, acid or

fermented

taste,

or of

those smelling of blood or smoke, water-brash, bad taste

mouth and non-relish for food, as attack of Tamaka-Svasa (variety of asthma)


in

the

well

an

are the

indications

of
105,

the developed

stage

of

the disease

(Grahani),

Chap. XL.J

UTTARA-T ANTRA.

2$$

Specific

Symptoms
is

of GrahanI :
(Hridaya),
sides,
is

case of the Vrftaja type

accompained by a severe
thorax
the Pittaja type

aching pain at the

anus,

abdomen and the head. A case of marked by a burning sensation in


one of Kaphaja origin
heaviness in the limbs.
exhibits
is

the body, while the

characterised

by a sense of

case of Tri-Doshaja
to
all

Graham

symptoms belonging
cases (Vataja,

the three

Pittaja

symptoms of and Kaphaja types).


the
in

The deranged bodily Dosha involved


its

a case impartseyes,

characteristic

colour to the

finger-nails,

face
it

and excreta
furnishes

(stool

and urine) of the patient.


clue to

Thus

satisfactory

the diagnosis of
at

the

disease, which, if neglected or

unchecked

the outset,

may
piles

usher in

an attack of Hrid-roga (disease of the


(chlorosis),

heart),

Pandu

Udara

(ascites,

etc.),

Gulma,
emetics

and enlargement of spleen.

106.

Treatment and Diet ".Appropriate

and purgatives should be exhibted (for cleansing the upper and lower parts of the body) in accordance
with the aggravation of the Dosha or Doshas involved,

and Peyas
in

(gruels)

and other

articles

of diet duly pre-

pared with appetising


their

drugs should

then he prescribed

due

order.

Therapeutic agents possessed of

digestive, astringent

and appetising virtue should then


Surd,

be employed through the vehicles of


(wine),

Arishta

Sneha

(oil

or clarified butter), cow's urine, tepid

water, or Takra.
is

The

use

of Takra

in

the morning

in itself

an excellent cure

for the disease

(Grahani).

Remedies mentioned
of

in connection

with the treatment


ascites or
piles

worms

in the intestines,

Gulma,
in

may
uuder

also

be adopted
or the

with benefit

the disease
as

dfecussion.
churtta,

The compound known


medicated

the

Hingvddu

clarified butter

described as

236
remedial

THE SUSHRUTA SAMHIT X.

[Chap. XL.

in a case of enlarged spleen, or the one cooked with the expressed juice of C/idngeri and with the drugs of the Mdgadhddi (Pippalyddi) group

duly

as

Kalka may be likewise prescribed with


Clarified

beneficial

results.

butter duly cooked

with four times

as

much curd (Dad hi) may


is

also be used

with benefit.
etc.)

Whatever

appetising (medicines, drugs and diet,


in cases of

would be beneficial
(Upadrava) such as

Graham".

Complications

fever, etc.

should be subdued with

drugs not incomptible with the main treatment of nor


in

any way aggravative of the main


Thus ends
the fortieth chapter of the

disease.

107

Uttara-Tantra in the Sus'ruta


medical
treatment of

SamhiU which
Atisira.

deals

with the (symptoms) and

CHAPTER
Now we
shall

XLI.
on the (symptoms and)
I.

discourse

medical treatment of Phthisis (^osha-Pratishedha).

Nomenclature
ciation
in

Wasting or a general
A

ema-

frame marks the sequel of and comes as a premonitory symptom of an organic disease.
of the
cachectic

Any
a

condition
fever
is

of the body accompanied


called

by
dis-

low

lingering

Kshaya.

correct

diagnosis and
cussion disease

a radical cure

of the disease a
skilful

under

has baffled
is

many

physician.

The

nameds Sosha from the

fact

of

its

consuming

or drying up (Sosha

withering)

the vital principles of


It is

the body such as Rasa

serum,

etc.
is

called

Kshaya

(wasting) since a wasting process


all

found to accompany

the

functional

attack. Since the

body during its Moon-god, the king of the Brahmanas,


activities

of the

was the
also

first

to

fall

victim to
(king's

its

attack,
-f

it

is

called

Raja-yakshm&
2.

disease)

by some

authorities.

Some
body.
*

say that the

disease

is

produced

separate action of the three fundamental


It

by the Doshas of the


all

being usually found to be attended with


:

The mythological origin of dosha (Phthisis) is The Moon-god married 27 daughters of Daksha
Daksha entered the Moon-god
in

attached to Rohini in the extreme.


father-in-law,

of whom he was Thereupon the personated wrath of his


the

shape of Phthisis,

whereby the body of the Moon-god began to emaciate. The Moon-god became penitent and the wrath of his father-in-law having been subdued
at

the intervention
Phthisis

of the other
to

gods,

he managed to send
possession

down

the

personated
in

earth

to

take

of

men

indulging

any kind of excess and more particularly sexual 6XCSBS. The moon-god was then medically treated and radically cured by the celestial
physicians, the twin As'wins.
'

Cf. Scrofula

which

is

now known

as>

the "King's disease."

238
the eleven

THE SUSHRUTA SAMHITX


distressing

[Chap. XLI.

symptoms which

are manifested

simultaneously with the ushering in of the disease, and

being the only instance in the science of therapeutics


in

the

which the treatment does not vary according to variation of symptoms. This disease, Soeha, is
said
all

more properly
aggravation of

to

originate

in

the

simultaneous

symptoms

of the
3.

the three Doshas, and it is the most predominant Dosha only that

are manifested.

yCtlology
The
process of
pression of

and general symptoms :


in

any wasting disease

the system, re-

any

physical urging or propulsion, over-fatigu-

ing physical exercise and irregular diet

are the causes

which, by aggravating the bodily Doshas and propelling

them

all

over the organism, give

rise

to the disease.

The aggravated Doshas with Kapha

as the

most predo-

minant factor having obstructed the lymphatic channels, or the semen of a person having been exhausted by
sexual
excesses

consequently produce a loss

of

the

other Doshas or the principal elements of the organism,

thereby producing a cachectic condition

of the

body,

and the following symptoms,


ing six in
all

vis,

aversion to food, fever,*

asthma, cough, emission of blood, loss of voice, numberare found in cases of Raja-yakshma.

6.

Specific
mark
disease

Symptoms: The symptoms which


bodily Vaytl in the
of the
sides

the action of the deranged

are loss of voice (hoarseness), aching pain (in


contraction

the chest),

and stoop at the


are

shoulders (Ams'a),

while

those which

exhibited
fever,

through the action of the deranged Pitta are

burning sensation, Atisara and expectoration of blood,

and the
deranged

features

which

indicate

the action of the


of fullness in

Kapha

in the disease are a sense

the head, aversion to food, cough and a sense of the

Chap.

XLL]

UTTARA-TANTRA.
lump or plug
7.

239

presence of a
is

in the throat (as if

something
eye

rising up).

Prognosis
his

A
all

physician having an

to

professional reputation or

good name should not

take in hand the treatment of a case of Sosha (Phthisis)

whether marked by

the

preceding eleven kinds of


vis.

symptoms

or

attended
at

with six of them


loss

cough,

Atisara, pain

the

sides,

of voice,

aversion to
three
8.

food and fever, or accompanied

by only

symp-

toms,

viz. fever,

cough and blood-spitting,


excess,
toils

Symptoms Sexual
>

Other causes of &>sha and their


grief,

old age, overfasting,

fatiguing
ulcers

physical

exercise,

of journey,

and ulceration of the Urah


authorities within

(lungs) are included

by
this

certain

the

exciting

factors

of

disease,
is

Sosha.

case of Sosha
all

due to sexual
to
loss

excess
of

attended with
is

the

symptoms due

semen and

marked by palour or yellowness of


organic principles beginning

the complexion, the vital

with semen being wasted up in succession in their inverse


order of enumeration.

Constant
of the

brooding

over
all

the the

departed person, looseness

limbs and

symptoms

of sexual excess

other than the actual disgrief.

charge of semen mark a case due to


cachectic condition of the
lity

A general

body accompanied by imbeci-

of the mind, diminution of bodily strength, impaired

functions of the sense-organs, laboured or difficult breath-

ing (D. R. shivering of the limbs), aversion to food, a

gong-like voice, expectorations


of

marked by the absence


limbs), a general

mucus (A. R. heaviness of the


concerns of
ears,
life

to the

from the

apathy and (constant mucus) secretions nose, eyes and mouth are the symptoms
i

which indicate the origin of the disease

in the

natural

and spontaneous waste of an extreme old age.

9-12.

240

THE SUSHRUTA SAMHITA.

[Chap.

XLL

A
such

case due to the toils of journey or travel develops

symptoms as

looseness

of the limbs, flabbiness of


of complexion, a

the muscles, scorched

or burntness look, a

haggard and cadaverous


limbs, the absence

gone-feeling

in

the

of natural

gloss of the

body and
These

dryness of the mouth, throat and of the Kloma.

symptoms

in

addition to those of the ulcerated lungs

(Urah-Kshata) without actual ulceration, characterise the


type due to over-fatiguing physical exercise.
If

13-14

a case of ulcer

is

attended by
it

loss

of blood, pain

and

difficulty in eating,
is

is

turned to a case of Sosha

and

pre-eminently the most uncurable type of the

desease.

Rupture or ulceration
is

in

the

lungs (Urah-

kshata)

caused by physical exercises,

lifting

up heavy

loads, excessive

and loud reading, a hurt or a blow,


congress and
co-operation

or excessive sexual
require

such other acts as


entail

the active
of

and

excessive
dis-

straining

the chest fUrah).

They

ultimately

charge blood and pusy secretions.


purple coloured blood
is

Yellowish, black

or

expectorated or hawked
is

out the

by coughing.
and
in

burning sensation

felt

inside

region of the chest.


the breath.

fetid smell

is

felt

in the

The complexion
is

of the

mouth body and


suffers

the tone of the voice

changed

and

the patient

becomes
from.

senseless

from the excessive pain he


cases the

In certain

symptoms vary according


exciting factors, and
all

to the varied natures of their

the specific

symptoms are not fully exhibited. Nevertheless these diseases also go under the denomination of Kshaya (consumption) owing to the fundamental vital principles of the body being equally consumed
or withered
their

up

in

them, and
already

the

specific

mode

of

treatment has

been explained before


15-17.

(Chapter

XV,

Sutra-Sthana).


Chap.

XU]

UTTARA-TANTRA.

2+1

Premonitory Symptoms: Laboured


difficult breathing,

or
a.

a gone-feeling

in

the limbs and

sense of physical

lassitude, secretion of

mucus, dryness

of the palate, vomiting,


fainting
fits,

dulness of appetite, vertigo or

nasal catarrh, cough, somnolence, whiteness

of the eyes, desire for meat, and increased sexual propcn*


sities

are the

symptoms which mark the advent of the

dreadful

Sosha. The patient dreams that he has been borne on the wings of a crow or a parrot or a vulture or a pea-cock or has been riding a porcupine or
disease

a lizard or a

monkey

or sees in

dreams river-beds dried


8,

up and

trees dried

up or fanned by gales of wind or


fire.
J

surrounded by flames or fumes of

Prognosis

gradual wasting of the body


of Atisara (diarrhcea)

inspite of sufficient food, presence

and swelling of the abdomen and scrotum are the symptoms of a comsumptive patient who should be given
up.

The

treatment, however, of a

patient temperate

in his habits

and

strictly

conforming to the instructions


in

of the physician and possessed of a

and not much reduced

good digestive fire body may be taken in hand


15-20.

provided the disease be an acute one.

Treatment
first

The

patient

should

be made from

to use the medicated clarified butter prepared

the milk of a

ewe or a she-goat and duly cooked


emetics
the
the

with the drugs of the Sthirddi (Vidari-gandhadi) group,

and then mild


injections
after

and
of

purgatives.

Intestinal

manner
preceding

an Asthapana Vasti
measures and
be applied.

should follow

medicinal should

hcad-purgativc (Siro-vircka)
diet

The

should then be given consisting of (cooked) wheat,


Construc-

barley S'd/t-rice together with meat-essence.


tive tonics or tissue-builders

(Vrimhana) should be given to a patient with a gqod digestion and relieved of


.3*

242

THE SUSHRUTA SAMHITX.


symptoms
or concomitants.

[Chap,

XU.

all -distressing

Complicaexcess,

tions

peculiar to the action

of

the deranged bodily


to

Vayu

generally

mark
virtue
22.

case

due

sexual

wherein

constructive

tonics

Vayu-subduing
efficacious.

and remedial agents of would be found to be extremely

21

Diet meat, etc.

The

flesh of a

crow or an

owl or a mungoose or a cat or a Gandupada (earth-

worm) or a cormorant or a beast of prey (Vyala) or of any animal of the Viles'aya or Jangala class mixed
with Saindhava
salt

and

fried in

mustard

oil,

should be

prescribed in various
Phthisis.

ways

for

a patient laid up with

The

diet

may

also consist of

Mudga-soup or
well

of Arf/iaki-soup or of the flesh of an ass, camel, elephant,

mule or horse variously prepared and

cooked.

Meat in combination with any Arishta as mixed with Mddhvika may also be given. Various articles of food made of
with Arka and Amritd
Clarified

well as
23.

wine

barley-grains

previously soaked in the alkaline water duly prepared

may
off

likewise

be

prescribed.

butter

skimmed

from the milk of a ewe

or a she-goat,

may

be given with gruel at the meal-time

to .an extremely emaciated patient.


sisting of

Tri-katu,

Chavya and Vidanga

compound conmade into a

paste with honey and clarified butter should be given to

be licked up by a patient suffering from Phthisis.

The

use of a medicated clarified butter duly cooked with the

essence of

any carnivorous animal and mixed with Pippali and honey as an after-throw proves
the
flesh

of

remedial

in a case

of Phthisis.

lambative consisting

of Drdks&d, sugar and

Mdgadhikd pasted together with


to

honey and

oil

proves efficacious as a cure for Phthisis.


the use of a lambative

A, case of Phthisis would yield

consisting of Tila, Mdsfia-pulse

and A/vgandAd ground

Chap. XLl.]

UTTARA-TANTRA.
honey and

243
clarified

to a fine paste with the addition of

butter
sugar,

skimmed out

of the

milk of a she-goat, or of
the addition of honey and

As'vagandhd and Pippali pounded together and


into a fine paste with

made

clarified butter.

Milk duly cooked with the admixture of


be prescribed as a constructive
tonic.

As'vagandhd
Butter

may

skimmed out of the preceding preparation of milk and mixed with copious quantity of sugar should
be taken, as an alternative, every morning and
should be then followed by a draught of milk.
24.

this

As'vagandhd, Punarnavd and


in

Yava should be used


Clariof)

rubbing (Utsadana) the body of the patient.


butter duly

fied

cooked with (the decoction


tree
its

the

whole of a Vdsaka

(vis., its

roots, leaves,

branches

and barks) and with

flower (as

Kalka) and mixed

with an adequate quantity of honey* should be taken

by

consumptive patient
diet.

strictly

conforming to the
attack
of Phthisis

regimen of

Thus a

virulent

accompanied with cough, asthma and chlorosis would


be speedily conquered.
25-26.

wise physician should take equal parts of clarified


milk, decoctions

butter,

of

Murvd, Haridrd
and

and of

Kfiadira and the expressed liquid of the dungs of a cow,

a horse, an

elephant,

she-goat

a ewe.

Ten

equal parts of the above ten articles should


boiled and cooked together with the
Tri-katu, Tri-phald,

be duly

Kalka

of

powdered
butter

Devaddru and the drugs of the sweet

(Kakolyadi) group.

This medicated
in

clarified

would be found highly beneficial


(Yakshma).
27.

the cure of Phthisis

Six Patra measures of the duly prepared decoction of

Das'a-mula Vatuna, Karanja', Bhalldtaka, Vilva,


x

the'

two

different language

This preparation is also found in the Charaka Samhjta under the treatment of Rakta-pltta.

though in

244

the siiskRUTA

SAtitiirA.

tcUp.

xt.i.

kinds of Punarnavd,

Yava, Kulattha, Badara, Bkdrgi,

Pdthd, Chitraka and


with a Patra measure

Mahi-Kadamba

should be cooked

of clarified butter

and with (the

Vyosha (Tri-katu), the milk of Mahd-vriksha (Snuhi), Abftayd, Chavya, Devaddru and Saindhava salt
of)

Kalka

(D. R. Pippali).

The medicated

clarified butter thus pre-

pared proves efficacious

in cases of Phthisis, Ascites

and

Vataja-Prameha.

Clarified butter duly

cooked with the

milk, blood, meat-essence

and the expressed liquid of and a she-camel and with

the dungs of a cow, a mare, a ewe, a she-goat, a cowelephant, a hind, a


she-ass

the Kalka of Drdkshd, As'vagandkd,

Magadhd and

sugar

proves extremely beneficial in cases of Phthisis. 28-29.

EleTdi-mantha I A
fied butter

Prastha measure of

clari-

should be duly cooked with the decoction of

Eld, Ajamodd, Amalaka, Abhayd, Akslia, Gdyatri, Ariskta,

As ana,

S'dlasdra, Vidanga, Bhalldtaka, Chitraka, Ugrd*,

Ambfwda and Surd s/itraja-ea.rth. When duly cooked it should be taken down from the oven and
Tri-katu,

thirty

Pala

weight of candied sugar, six-Pala-weight


(Vams'a-lochana)

of

Tugd-kshira

and
it

two-Prastha-

measure of honey should be added to


with a laddie.
followed by a
licked

and

stirred

Pala weight of

this

preparation

draught of milk should be given to be


a
Phthisical
patient.

every morning to
is

present elixir

possessed

of ambrosial sanctity.

The The

extent of

its

therapeutic application

embraces such
fistula-in-

diseases of the

body as
of
spleen,

Phthisis,

chlorosis,

ano, asthma,
heart, enlarged
indigestion.

loss

voice, cough,

troubles

of

the

Gulma and

chronic diarrhea or
it,

It

imparts longevity to a person using


faculties

leads to the expansion of his intellectual

and

Ckkrad*tt doe* not

read

Ugri

in the

list.

Chap. XLi.]

UTTARA-f ANTRA.
It is

24
the best of
all

tends to invigorate his eye-sight

rejuvenating preparations cf our pharmacopea and no strict regimen of diet and conduct is required to be

followed while

it is

used.

30.

The medicated

clarified butter

mentioned under the

treatment of Plihodara (dropsy of the abdomen owing


to the enlargement of spleen

Chapter XIII, Chikitsitaothers mentioned


in in

sthana) as well as the three

that

connection

may

be also used with advantage

the

disease under discussion.

The accompanying symptoms


etc.

or complications such as hoarseness of voice,

should

be remedied with appropriate medicines presented for


those diseases
in

the Sastras.

The

patient should be
urine,

made

to

use regularly the

milk, butter,

blood,

meat and the (expressed liquid of the) dung of a goat as his bath or in any other way possible (e.g., in drinking) and to live in a goat-shed (in the company of goats) whereby he would be cured of his Phthisis in a month. A Phthisical patient should likewise be made to take Rasona (garlic) or Ndga-vald or Mdgadhikd or Sfil&jatu with milk, in the prescribed manner (laid down in
connection with the medical

treatment of Maha-vatashould not allow any


equilibrium of

Vyadhi).

31-34.

Rules Of COndUCt : He
grief,

anger or jealousy to disturb the


life

his

mind, should lead a

of strict

continence, deal

in the discussion of

sublime subjects and conform to the


advisers or physicians.

injunctions of his medical

He
from

should pay respects to the gods, superiors&nd Brahmanas

and

listen to the discussions of the spiritual truths


35.

the lips of Brahmans.


Thus ends the
forty-first

chapter of the Uttara Tantra in the Sus'ruta

Samhita which deals with the (symptoms and) treatment of Phthisis.

CHAPTER
Now we
with the
shall discourse

XLII.

on the chapter which deals


of

symptoms and) medical treatment


i.

Gulma

(Gulma-Pratisheda).
Definition

and number of Gulmas :


the cavity of

The fundamental principles of the body, deranged and aggravated by their respective or specific exciting
causes and factors tend to accumulate in

abdomen (Koshtha) and help the formations of balllike tumours or Gulmas (Internal tumours inculsive of those known as the phantom tumours) somewhere inside the body lying between the extreme confine of the regions of the heart and of the bladder (Vasti). The Gulma is of five kinds and found to be round or
the
spheroid in shape and
shifting)
in

be either fixed or mobile (lit. their character and subject to variations in


size.
2.

may

their

mass and

Localisation
They have
vis.

and nomenclature :
the abdominal
of
cavity,

five locations inside


sides,

the two

the

region

the

heart,

the

bladder

(Vasti)

and

the "region

of the
their

umbilicus).

The Gulmas
be exactly

are so

named because
owing
to

root

or

base

cannot be exactly localised as well as their cause cannot


ascertained
in

the

fact

of

their

having their origin


local

the

aggravated condition of the

bodily Vayu, or

because of their being but a


in the

agglomeration of the deranged bodily Doshas


affected locality

of the

surface

(Gulma-shrub).

and the shrub-like large converse outline Since a Gulma, like a

bubble of water,

is a self-ccntained agglomeration of the deranged bodily Doshas and freely moves about in the cavity of its growth, it is not marked by the advent of

Chap. XLII.]

UTTARA-TANTRA.
its

247

any suppurative process in Gulmas are the products of

mass or body.
several
in

The

either the

or con-

certed actions of the three" Doshas, while

females a

separate class of tumours (such as the ovarian or uterine

tumours) intimately connected


vitiated condition of the

with the deranged or


fluid, etc
)

blood (catamenial

is

also recognised.

5.

Primonitory
lassitude,
intestines,

Symptoms
of stool,
to

: A

sense

of

dulness

of appetite, pain

suppression

urine
full,

and rumbling in the and flatus, inaversion to food,

capacity to take

food

the

and an upward coursing of the internal Vayu are the indications which may be set down as the premonitory

symptoms

of Gulma.

6.

Specific

Symptoms
and
all

: Pain

(Sula)

in the

region of the heart and

the belly (Kukshi), dryness of

the throat and of the mouth, suppression of


irregularity of digestion
specifically indicate the

Vayu

(flatus),

other symptoms which deranged condition of the bodily


of the Vrftaja-Gulma.

Vayu

are the

characteristics

Fever, perspiration, defective digestion, burning sensation, thirst, redness of the in the

body (Anga-raga), bitter taste mouth and all other specific symptoms of the deranged Pitta mark the Fittaja type of the disease.

sensation of wetness

all

over the body, an aversion to


taste in the

food, lassitude, vomiting, water-brash, sweet

mouth and

all

other specific indications of the deranged

Kapha are exhibited in the Kaphaja type of the disease. The Tri-doshaja type exhibits the symptoms specifically
belonging to each of the preceding ones and should be regarded as incurable. 7 9.

Symptoms
bodily

of Raktaja-Culma :The
The
delivered of a child as

symptoms of Raktaja-Gulma are mentioned below.

Vayu

of a

woman newly

248

THE SUSHRUTA SAMHITA.

{Chap. XLII.

well as that of a

woman who
courses
is

has recently miscarried, or

of a

woman

in her

deranged by the use of


regimen of con-

unwholesome or
duct),

injudicious food (and

and by supressing the discharge of the blood (lochia) it gives rise to Gulma attended with pain and
burning sensation.

Gulma

of

this

type

is

easily
all

mistaken for a case of conception, which exhibits


peculiar to the
of the

the symptoms of pregnancy as well as those which are


state

Pittaja

type, with the

abdomen does not enlarge and there is no movement (in the womb).' The medical treatment of a Gulma of the present type should be
exception that
the

taken in hand after the lapse of the natural term of


gestation

and

this

is

known

as the Raktaja-Gulma *
10.

by the experienced

physician.

General Treatment :A

person suffering

from an attack of Vrftaja Gulma should be duly treated with a Sneha, purged with any fatty purgative and
then treated in the proper time
with

Nirudha and

Anuvasana
clarified

Vastis.

In

a case of Pittaja type of the

disease, the

patient should

be treated (rubbed) with

and cooked with the Kdkoly&di group and then being properly drugs of the
butter duly prepared

purged with the compounds


Vastis.

of sweet drugs (of the

Aragvadhadi group) he should be treated with Nirudha


In a
first

case of the

Kaphaja

type, the patient

should be

anointed with a medicated Ghrita duly


a

cooked and prepared with the drugs of the Pippalyddi


group, then purged with
strong (Tikshna) purgative
the

and then treated with Nirudha Vastis of


*

same

This Raktaja Gulma

is

peculiar (o the females only.

But some

authorities ate of opinion that a kind of Roktaja (blood-origined)

Gulma

doe to the

vitiated blood of the

organism may be possible both in the

males and females.

Chap. XLII.]

UTTARA-TANTRA.

249

character. In a Tri-doshaji type,

measures held to be

remedial for each of the Dosha s should be

adopted or

employed.

Measures

laid

down

in

connection with the


as well

Pittaja type of the disease should be


in cases of

employed
in

Raktaja (blood-origined) Gulma


hear

female

patients.

Now

me

describe the recipes of the medi-

cines

which would particularly lead to the disintegration


blood
(in

of the
butter

cases of Raktaja

Gulma).
with
the

Clarified

duly cooked and

prepared

alkaline

preparation of Palas'a

wood (water charged with


be
clarified butter

the

burnt ashas of Palas'a) should


tered,

internally adminis-

and the medicated

known

as

the

Pippalyadi Ghrita should be employed after the manner


of an Uttara-vasti.
(of blood) should

In the alternative, the

discharge

be induced with the help of the drugs


(e.g
,

of heat-making (Ushna) potency

Pippalyadi group)

and measures
has fairly

laid

down

in

connection with menorrafter

hagia (Asrigdara) should


set in.
11.

be adopted

the

flow

Anuvasatia : The
oil,

use of curd, clarified butter,

marrow of Anupa (such as boar buffalo, etc.) and Audaka (aquatic) animals, boiled together and applied after the manner of an Anuvsteanalard

(Vasa) and

vasti,

proves beneficial

in

case

of Va'taja-Gulma.

The

application of similar Vastis charged

with a solu-

tion of clarified butter

and the lard of animals of the


groups proves
efficacious
in

Jangala and Eka-s'apha

the Pittaja type of the disease, while the application


of these

containing solutions of
will
1

oil

and the marrow of


in

any Jangala animal


the
*

prove beneficial

a case of

Kpahaja

type*.

2-1 5. the use


of
in

Dallana recommendj

Vayu subduing, Pitta-subduing


the

and Kapha-subduing drugs as Kalka


Vastis respectively.

preparation of these three

25

THE &USHRUTA

SAMHITXi,

[Chap. XLil.

In a case of the Vrftaja type of Gulma, the

patient

should be

made

to

use the

medicated Ghrita duly

cooked with the expressed juice of Amalaka and with


the

Kalka of the six drugs * and with the admixture of sugar and Saindhava (as an after-throw). 1 5.

Chltraka Ghrita : Clarified


cooked with
curd,

butter

duly

fermented rice-boilings
of

(Kanjika)

as well as with the decoction


pressed juice of
Tri-katu,

Vadara and the exof Chitraka,

Mulaka and with the Kalka


Prithvikd,
Aj'dji,

Saindhava,

Chavya,

Dddima,

Dipyaka, Granthika,

Habushd and Dhanydka


of

taken

in equal parts,
(colic),
'

proves curative in cases of Vitaja


distention
16.

Gulma, Sula

the

abdomen and

dulness of appetite.

Hingva'di Ghrita : Clarified


ed with Hingu, Sauvarchala-salt, Ajdji,
Dipyaka,

butter duly cookVit-salt,

Dddima,

Pushkara,

Vyoska, Dhanydka,

Amla-vetasa,
,

Yava-kshdra, Chitraka, S'athi,

Vachd, Ajagandhd, Eld

and Surasa
Gulma,

as

Kalka and with the admixture of curd


in

(Dadhi) as liquid, proves efficacious


colic-pain

a case of Vataja

and suppression of Dddima,

stool

and

urine.' 17.

Dgfdhlka Ghrita
cooked with
Vit-salt,

'.Clarified

butter

duly

Saindhava, Chitraka,

Vyosha, Jiraka, Hingu,

Sauvarchala-salt,

Yava-Kshdra,

vetasa

and AmlaKalka and with the expressed juice of Vija-pura and with curd weighing four times as much as of Ghrita, proves curative in cases of Gulma, enlargeRushtha, S'unthi,
as

Vrikshdmla (turmerie)

ment of
prepared

spleen
is

and

Sula.

The

clarified
18.

butter thus

called Defdhika-Ghrita.

RaSOna Ghrita :Clarified butter duly

cooked

with the admixture of the expressed juice of Rasona


* The six drags to be used as Kalka are Pippali, Pippali-rnula, Chavya, Chitraka, Nagara and Yavn-kshara taken one Fala ol each.

Chap. XLII.]

UTTAKA-TANTIU.

25!

and with the decoction of (major) Pancha-tnula as well as with wine (Sura), Aranala (fermented rice-boilings),
curd,

and the expressed

juice of

Mulaka, with the Kalka

of Vyosha, Dddima, Vrikshdmla, Yamdni, Chavya, Sain-

dhava, Hingu, Amla-vetasa,

Ajdji and Dipyaka (Aja-

moda) taken
of
its

in

equal parts, includes within the range


efficacy

curative

such diseases of the body as


diarrhoea), piles,

Gulma, Grahani (chronic


sanity,

asthma,

in-

consumption, fever, cough, epilepsy

(Apasmara\
and
(a

dulness of appetite, enlargement

of spleen, colic,
19.

the derangements of the bodily Vayu.

An Adhaka
kind of Kanjika),

measure each of curd, Sauviraka


clarified butter

and the decoctions of Mudga and Kulattha pulse should be cooked with the
admixture of two Pala weight of each of the following
drugs,
viz.,

Sauvarchala, Sarjikd, Devaddru and Sain-

dhava.

The medicated Ghrita thus prepared proves curative in cases of Vataja Guhna and acts as a good
20.

appetiser.

Chritas in Pittaja and Raktaja ClllmaS : Clarified butter duly cooked with the
Kalka of the drugs or the Jivaniyi (Kakolyadi) group and with the decoction of the component members of the Trina-panclia-mula, or of the Nyagrodhddi or of the
Utpalddi group, would
cases'of Pittaja and

undoubtedly prove curative


21.

in

Raktaja Gulma.

Chritas in Kaphaja
of the

Gulma : A
yielof to- the

Gulma
use of

Kaphaja type would surely

medicated Ghritas duly cocked with the drugs of the Dipaniya (Pippalyadi) group as Kalka with the admixture (as liquid) of the decoction of the

component memthe
alkaline

bers

of either the

Aragvadhidi group,

(Mushkakadi) group or the Kragvadhddi Gana, or with the officinal group of (animal) urines. 22.

2$2

THE SUSHRUTA SAMHITX.

[Chap. 3tLll.

Gulma

of

the

Srfnnipsftika type (due

to

the

concerted action

of

all

the

three fundamental Doshas

of the body) should

dominance

of

be treated according to the preany specific deranged bodily Dosha

involved therein.
at the proper time

The

patient should be

made

to

take
in)

(?>,as soon as the disease sets

the pulverised
or

compound known as the Hingvddi-churna the medicated Ghrita known as Tilvaka-Sarpih or the
(w's.

one

Shatpalaka Ghrita) which has been described


enlargement of the spleen, as these
in

as curative of the

would prove curative

a case of Gulma.

23

24.

Internal USe Of KshcCra : Alkaline


paration should be duly
vis.,

pre-

made with
stems

the following drugs,


Ti/a,
)

the allies

<>i

(dried

of)

IksJmraka,

Sarshapa and Vavn and of (the barks of


of

Palds'a and

Mulaka with the

urines (weighing four time^ as

much)
This

of a cow, she-goat,

ewe, she-ass and she-buffalo.


then be cooked
in

alkaline preparation should


vessel

an iron

and on a slow

fire

with one Pala weight of each


drugs, vis, Kushtha, Sain-

of the following pulverised


d/iava,

Vidanga and Ajamodd and with ten Pala weight of Sdmudra-salt thereto added
Yashti-madhu, Ndgara,
the

and, should be taken in

form of a lambative with

one or the other of clarified butter, curd, wine, fermented rice-boilings (Dhanyamla), warm water or the soup
of Kulattlia.

The

alkaline

undoubtedly proves curative


the derangements of

compound, thus prepared, cases of Gulma and in the bodily Vayu. Compounds
in

consisting of Sarjikd-Kshdra,

Ketaki taken with

oil*,

or

of Sarjikd-Kshdra,

Kushtha and the ashes of Kushtha

According
nil

to Dallana,
1st

Sarjikfi-KshiSra,

Kushtha and YavaKshira


the

with

would foim the

compound and

KetakaVKshara with

oil

would form a separate compound,

'

Chap.

XLIt

UTTARA-t ANTRA.

253

and Saidhava taken with tepid water, would subdue an


attack of the deranged bodily Vayu.

25-26.

VriSChlrarishta : The
Vris'chira,

drugs

known
two kinds

as

Uruvuka,

Varshdbhu, the

of

Vrihati and

Chitraka should

be duly boiled together

with a Drona-measure of water and taken down


the

from

oven

after three-fourths of the


It

water are evaporated


into

by

boiling.

should then be poured

an earthen

pitcher of which the interior has been previously coated

with pastes of Mdgadhi, Chitraka and honey.


of

One

Seer

powdered Pathyd and four Seers of honey shonld be


to
its

subsequently added

contents
in

and the pitcher


contents
of his
pre-

should be then kept buried


days, after which
it

a heap of husks for ten


its

should be taken out and


aftei

should be given to the patient


daily
food.

the digestion

The Arishta (fermented wine) thus


in

pared proves curative

cases

of

Gulma, indigestion

and aversion

to food.

27.

Powders of Pdthd, Nikumbka, Rafani,


phald, Agnika
{Chitraka), Saindhava-saXt
vija (Indra-yava) in

Tri-katu, Tri-

and Vrikshaor the

equal parts should

be taken with
;

matured treacle of their

combin d weight
the

powders of the above drugs with pulverised


(weighing a fourth part only of
other

Pathyd
powders
urine

taken

together) should

be

cooked with

cow's

(weighing four times) to a thick consistency and


into pills

made

which should be taken


patient).

in

an empty

stomach

(by

the

These medicines? would radically

cure the

cases of

Gulma, enlarged

spleen,

indigestion,

heart-disease,
chlorosis.
28.

chronic diarrhoea

and violent forms of

BlOOd-Ietting : Blood-letting
tion of leeches or

case of

by the applicaby venesection should be effected in a elevated and immobile (unshifting) Gulma

2$4
characterised

THE SUSHRUTA
by

SANtitlTA.

[Chap. XLlt.

Sula, burning
29.

sensation,

inflamation

and piercing pain.

Diet and Sveda :Drinks composed


meat-essence of an animal of the
fusely salted with

of

the

Jangala group, proclarified

Saindhava and mixed with

butter
for

and

Tri-katu

Gulma-patients.

lukewarm are good Peytfs prepared with the Vayuand


taken

subduing drugs and the soup of Kulatt/ia-pulsc cooked


with a Sneha as well as the Khada-yueha prepared with

Pancha-mula also
a case of

are

likewise

efficacious

as

Diet.
in

Draughts of milk with Ardraka should be prescribed

Gulma attended with

the

suppression of stool

and

Fomentation (Sveda) after the manner of Kumbhika, Pinda and Ishtaka (see Chapter XXXII)
flatus.

Chikitsita Sthana) are also efficacious.

30

32.

Purgatives preceded by the application of fomentation should be exhibited to

a Gulma-patient, since

it is

extremely
of the

difficult

to

purge him.

Vilepana (massage

Gulma), application of unguents and poultices,

after

Samdahana (cauterisation) as well as tepid fomentation the manner of S>alvana-Sveda and the like are
applicable.
in

likewise

Medicated Ghritas, powders and


connection with the treatment of

Vartis mentioned

Udara as well as medicated salts? mentioned under the head Udaramaya* are likewise applicable in the present
disease.

33-34.
of

Medicated Flags or Vartis made

Sdmudra

f,

* Udaramaya
(Vata-vyadbi)
ferable since
is

may mean
are

cither

indigestion or

ascites.
is
t.

Anilamaya

a variant addopted by Dallana and


several

undoubtedly preg.,

there
in

medicated salts

Palra-Lavann,

Kanda-Lavana,
rita

the treatment of Vata-Vyidhi.

Sec Chap. IV, Chikit-

Sthana.
it

t According to some 'Sumudra' means Samudra-salt and others,

mean* Samudra-Phena.

Chap. XLII.]

UTTARA-TANTRA.

2$5

Ardraka, Sarshapa (mustard) and a profuse quantity of

Markka
rectum
in

pasted together should

be inserted into the


case of

suppression of stool and flatus in a

Gulma, Arishtas made with Danti -roots, Chitraka-roots, Vayu-subduing drugs according to the or with the

manner

laid

down

in the

Sutra-sthana should be pres-

cribed, or the patient should be


fried tender sprouts

made

to

use the duly-

of Putika

and Nripa-Vrikska.

Gulma Vayu should not be treated with Nirudha-Vasti. 35 37. Compounds of Trivit and S'unthi or of treacle and

patient with the upward coursing

of his bodily

powdered Haritaki* as well ab of Guggulu, Trivit, Danti, Dravanti, Saindhava and Vacha should be administered through milk, wine or the expressed juice of
grapes, according to the strength (of the

disease and of
j>nd

the patient).
the addition
taken.

Pilu

made

into ,a

paste

salted with

of Saindhava

should also

be similarly
Pippali-roots,

Wine

surcharged

with Pippali,

Chavya, Chiftaka and Saindhava and taken at an opportune

moment

(/. e.,

when attended with


in a

tympanities,

etc.)

would prove readily curative


Gulma-patient
afflicted

case of Gulma.

with a suppression of stool and

of flatus should

take barley with milk or Kulmdsha


salt

(Masha-cakes) profusely saturated with


butter.

and

clarified

38-39.

Supervening Symptoms
is

its

supervening

:if s'uia which symptom anyhow appears whereupon

the patient suffers a kind of digging ajid piercing pain

resembling that arising from the piercing of a dart,


there will also appear the
following distressing

con-

comitants according to the Dosha or Doshas involved,


* According to

some commentators the


.

first

two compounds should be

taken with water.

856

THE SUSHRUTA
supression of stool

SAMHITA".

[Chap. XIAI.

vis,,

and

urine, difficult respiration,

and numbness or
aggravated Vdya),

stiffness
thirst,

of the limbs (in cases cf


in-

burning sensation, vertigo,


colic

digestion of food, and excess of the

pain

(in cases

of aggravated Pitta), and goose-flesh, aversion to food,

vomiting, increase of pain

after the taking of food

and
such

a sense of lassitude in the limbs (in cases of aggravated-

Kapha)-

The

course of

medical

treatment

in

cases should be determined

by the nature and number


lying
at the
40.
viz.,

of the deranged bodily Doshas specifically


root and should be as follows.

The

following three compounds,

(r)

PathyA,

the three kinds of salt (Saindhava, Sauvarchala and Vit)

Yava-Kshdra,
Satdvari,

Hingu,

Tumburu, Pushkara,
;

Yamdni,
Triphald,

Harid'd, Vidanga and Amla-vetasa


S'ringdta,

(2) Viddri,

Guda-s arkard

(Gangeri-phala),

Kds'mari-phala,
dal

Yashtld-madliu, Patusliaka, Hinia (san-

wood) and

(3)

Shad-granthd (Vacha), Ativislid, Dcva-

Markka, Vrikshaka, Pippali-mula, Ckavya, Ndgara, Kshdra (Yava-ksh&ra) and Ckitraka should be respectively given in the VAtaja, Fittaja and Kaphaja types of the disease. The: medium through which these compounds should be given would be tepid Amladdru, Pathyd,

Kdnjika, luke-warm milk and

tepid

water respectively.
be jointly

The

preceding

three

compounds should
any
case.

administered in sets of two or three when two or three

Doshas are involved


Sprinkling

in

41.

(of water),

baths,

plaster (Pradcha)

un-

guent? and dietetic treatment should be similarly applied


in

Vataja cases.

Contacts with vessels


in

filled

with cold
use

water should be applied


of emetics,

Pittaja cases, while the

rubbing, fomentation (Svcda), fasting and

other Kapha-subduing remedies should be


in

recommended

Kaphaja

types.

Applications of Sneha and su:h-like

Chap. XLII ]

UTTARA-TANTRA.
are
specifically

257

remedial

measures

recommended
'

in

the disease, according to the


in

Dosha

or Doshas involved

each case.

42.

Prohibited articles : A
meat),

person suffering

from Gulma, should refrain from taking Vallura (dried

Mulaka
fruit.

(radish), fish, dried pot-herbs,

tion of pease, Aluka, (potato of

any preparaany kind) and any kind

of sweet

43.

Causes and symptoms of ula :Now


I

shall deal

with the causes, the characteristic symptoms


in

and the treatment of Sala occurring


locality of a

any
of

specific

Gulma even without

its

actual presence or
flatus

formation therein.
(Vita), stool

voluntary retention

or urine, over-eating, indigestion, eating


of previous food, over-exertion, use

before the digestion

of articles of food which are incompatible in their combination, drinking water


grains, dry food or

when hungry,

use of germinated

cakes of dry meat, as well as the use

of other such-like articles of fare, derange and aggravate

the bodily Vayu, which produces a violent cutting and

spasmodic pain
(Koshtha).

(>ula) in

the main cavity of the trunk


if

with a

The patient complains of as Samku (spear) in the inside and


fact

being pierced

of a feeling of

suffocation under the influence of that excruciating pain,

which
(lit.

has determined the nomenclature of Sala

spear).

44

Vsftaja Sula: The


whenever
in

45.

patient

experiences

violent colic

an empty stomach and he

feels

a difficulty of respiration.

The limbs seem

to be

numbed

or stuffed and the flatus, stool and urine arc evacuated

with the greatest difficulty

these

are

the

symptoms

which mark the Vrftaja type of the disease. 46. PIttaJa llla :Thirst and a bifrning sensation
in the

body attended with an excruciating pain,


33

giddi-

258

THE SUSIIRUTA
loss

SAMIIITX.

[Chap. XLIl.

n6ss,

of consciousness,

desire

for

cold things

and
are

amelioration on application

of cooling

measures,
47.

the specific features of the Pittaja type.

Kaphaja and Sa'nnipa'tika ulas :


An
agonising pain attended with nausea, excessive
full-

ness of the stomach and

a sense of heaviness in the

limbs are the indications which distinguish the Kaphaja

type of the disease.


action of the three

The type due

to the

concerted

simultaneously deranged

Doshas of

body (Sa'nnipa'tika Sula) exhibits all the series of symptoms which respectively mark the preceding types,
the

and hence

it is

said to be incurable.

48-49.

General treatment : The


been described.

Now

hear

me describe
bodily

symptoms have the mode of mediin

cal treatment (to

be generally pursued

curing a case

of Sula). Since the deranged


principal

Vayu

(which
is

is

the

and immediately exciting


hence
it

factor,

very active

in its operation,

should be speedily subdued.

Fomentations with Pdyasa, Kris'ard or cooked meat


saturated with any Sneha (clarified butter,
etc.)

should
a

be resorted cooked

to.

Fomentation naturally gives

relief to

patient suffering from Sula.

The

patient

should take
his

7m/nV-leavcs

(as

pot-herbs)

with

mea's
;

cooked with a Sneha


with

(clarified butter)

and served hot


flesh

or he should eat the tender sprouts of Chiravilva fried


oil,

or drink the meat-essence

of the

of

any

birds of the Jangala group charged with a Sneha, or take

the meat of any animal of the Viles'aya group.

50.

Treatment of Vtaja 3ula : Surd,


raka (fermented
rice boilings), S'ukta, the

Sauvi-

cream of curd

and ^das'vit
salt *
*

(half-diluted

Takra) saturated with Kdla-

should be taken in a case of Vtftaja Sula.


'Vit-salt',

The

Pal'nnn,

Kala Lavana generally means it means \Sauvarchala-saH'.

but

here,

according to

Chap.

XLIL]

UTTARA-TANTRA.

2 $9

articles (e. g.

soup of Kuluttha with an adequate quantity of the acid pomegranate, etc.) and cooked with the

soup of Ldta bird salted with Saindhava and seasoned with pepper, exercise a curative efficacy in a case of
the

Vayu-origined type.

The compound

of Vidanga,

S'igru, Kampilla,

Pathyd, S'y&ma, Amla-vetasa, Surasd,

As'va-karna and SauvarcJiala should be taken with wine


in

an attack of the Vayu-origined type of Sula. 5152.

A
Ajdji,

pulverised

compound
Yavdni,

consisting

of

Prithvikd,
Pippali,

Chavikd,

Vyoska,

Chitraka,

Pippala-mula and Saindhava pounded together should be

taken with milk or Kdmbalika or Madhvdsava (wine of

honey) or Chukra or Surd (wine) or with Sauviraka


(fermented
pulverised
rice-boilings)

as

alternatives.

The above
in

compound should be soaked

the

ex-

pressed juice of Mdtulunga and

with the decoction of

Badara

several

saturation,

times after the manner of Bhavana and the compound should be taken with a
of Hingtt,

profuse quantity

and with

sugar.

Varti
of)

made Dddima wood mixed together should be


treacle or

of the same powders and pulverised (pith

licked with

honey

or taken with

wine

in cases
53.

of Vataja

Sula as giving an instantaneous

relief,

In a case of Sula due to hunger, light


diet

and sparing

should be given with lukewarm

milk,
butter.

Yavdgu or
Emulsive

meat-soup
diet

charged

with

clarified

should

be given in a case of Vataja Sula to a

patient of dry or parched organism, use of well seasoned

Ghrita-puras being specially recommended.

The
he

patient

should also take Varum' wine wherefrom


relief.

will

get

54 55.

*
treat-

Treatment of Pittaja ula : The

ment of Vataja Sula has been described above. Now I shall narrate the therapeutic agents and remedies in


i6o

THE

fatJSHRtJTA

SAMHITX.

[Chap.

XLIL

respect of Pittftja-ala.

person afflicted with an


of the disease, should be
effort

attack of the

present type

made
to

to vomit without

any violent

by drinking

(a stomachful of) cold water.

He

should have recourse


all

cooling

measures and avoid


silver,

heat-making ones.
stones and cooling

Vessels of copper,

or precious

gems and

filled

up to the brim with water, should be


of, clarified

placed upon the seat of affection (Sula) in his body.


Treacle, barley, S'a'li rice, milk, (draughts
butter,

purgatives, the

flesh of

any Jdngala animals


All

these should be prescribed in cases of Tittaja Sula.

Pitta-generating articles should be avoided and those which soothe the Pitta should be used. The soup of the

meat of Jangala animals may be taken with sugar as an Parushaka, grapes, dates and aquatic fruits alternative.
such as S'ringa'taka,
etc.,

should alto be taken with


56.
fit

sugar as they tend to relieve Pittaja Sula.

Treatment of Kapha ja ula : a


Sula due to the action of the deranged
vated just after
in

of

Kapha

is

aggra-

eating.

Vomiting should be induced


draughts of the decoction of
,

such a case with

Pippali*.

Dry fomentations and

other heating measures

should be likewise resorted to and the patient should be

made
cases

to take Pippali

and S'unthi

of Kaphaja

Sula.

any shape) in Pdthd, Vachd, Tri-katu, and


"(in

Katuka-rohini should
Chitraka, or the

be used with the decoction of


(of

soup

any S'ula-subduing

article)

should be taken with an equal part of Arjaka.

57-58.

Seeds and roots of Eranda, Goks/iura-roots, S'dlaparni, Pris'ni-parni, Brihati, Kantakdri, S'rigdlfrvinnd (a

ki#d of

Pris'ni-parni), Sa//adevd,

Ma/idsa/id (Misha.ipa.mi),

* Sonic commentators, according seeds of Madana-phala.

to

Dallarm,

take [rippali

to

mean

Chap. XLil.]

UTTARA-TANTRA.

26l

Kshudra-saha (Mudga-parni) and Ikshuraka-roots should be duly boiled with a Drona measure (sixty-four seers)
of water and should be boiled
part.
till

reduced to a quarter

This decoction should be used with the admix*. By this compound attacks of Kaphaja and Tri-doehaja types of Sula

ture of Yava-ksh&ra

Vataja, Pittaja,

would be thrown off just as the floating clouds are Yava, shattered and driven by the wind. Pippali, Chitraka, U/tra and Sarjikd-kshdta should be burnt together and reduced to ashes. Taken with tepid
water, this

compound proves
59-60.

curative

in

an attack of
de-

Kaphaja
ranged

Sula.

Symptoms
Kapha
in

Of Prs'va-3llla :The
the
regions of the
Pars'va

(sides)

arrests the course

of local

Vayu which

thus

irritated

causes an immediate distention of the

abdomen and a
is

rumbling

in the intestines.

pricking pain
if

felt

in

the affected part, which seems as

being pierced with

needles, and the patient complains of insomnia

nc

relish for
difficult.

food and his respiration

and has becomes painful


(side-

and

The

disease

is

named P&s'va-Sala

and is brought on by the action of the deranged Vayu and Kapha. 6r.
colic)

Treatment of Pa>s'va-S*ula : A
verised

pul-

compound

of Pushkara'roois, Hittgu, Sauvar-

chain, Vit-salt, Saindhava,

Tumburu and Pathyd should

be taken with a decoction of barley in a case of (colic) pain at the sides, at the region of the heart and at the
region of the bladder.
in
*

The medicated 'Ghrita mentioned

connection with abdominal dropsy due to the enThe


total

weight of the

drugs should be 8 seers, according to


it

Dallana.

According to others, however,


in

should be 12 seers.

The

preparation should be used


e,

any shape both internally and externally

g. a bath,

washings, etc.

i62

THE SUSHRUTA SAMHITX.


butter

fChap- XLtt.

larged spleen, or clarified

mixed with Hingu


Vija-

should be as well administered in such cases.

puraka-Sdra* duly cooked


of castor
oil

in

milk as well as draughts


or meat-soup

mixed with wine, Mastu, milk

(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 Jangala animals. 62.

Symptoms
of digestion

of Kukshi-ula :The
in

defire

ranged and aggravated bodily Vayu, affecting the

and incarcerated

the region

of the

Kukshi
in

(loins) interferes

with the digestion of the food


stiff"

previously

taken which remains

and undigested

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
is

whatever, whether sitting or lying.

The

disease

called

due to indigestion incidental to the action of the deranged bodily Vayu. 63.
is

Kukshi-Sula, and

Treatment

of

Kukshi-^ula: Vomiting
Acid
the

should be induced and fasting should be prescribed in


the case according to the strength of the patient.

and appetising drugs should


alleviation

of the Doshas

be employed (Vayu and Ama).

for

decoc-

tion
Vit,

of Ndgara, Dipyaka, Chavya, Hingu, Sauvarchala,

j and

the seeds of

Mdtulunga, S'ydmd,

Uruvuka,

Brihati and of Kantakdri, should be taken for the relief


of the pain (Sula).

Ativiskd,

Vachd, Sauvarchala, Hingu, Kushtha Abhayd and JCutajasceds taken together would
relieve

instantaneously
administered,

Sula.

Purgatives should

be

and Sneha-Vastis

and

Nirudha-Vastis
of the deranged
fruit

should be applied for the amelioration


* Vijapuraka-sdra,
I>urka,

according to

Dallana, meani the


is,

of Vija-

VijaUa-iiira (the pith of Vijaka)

however, a variant.
us,ed at

Hingu, Souvarchala and Vit-salt should bo

an aftei-throw.

Chap. XLII.]

UTTARA-TANTRA.

263

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

Symptoms and treatment of HrlchChhllla


by the
Pitta
:

The

deranged bodily
(chyle)

Vayu aggravated

and incarcerated in the region of the heart through the action of the deranged
vitiated

Rasa

and Kapha, produces Sula (pain)


rise to

in

the heart

and gives
which
is

difficulty

of respiration.

This disease

Hrich-chhula (cardiac colic) is ushered in through the action of the deranged Vayu and Rasa of the body. Remedial measures mentioned in connection
called

with the treatment of the diseases of the heart should be


as well

employed

in

the present malady.

67-68.

Symptoms of Vastf-S'ulaand MutraSlila


:

The

local

Vayu aggravated by

the suppres-

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
sion of stool

further suppression

of the

stool,

urine

and

flatus.

The
due

disease
to

is

called Vasti-Sula (bladder colic)

and

is

the action

of the deranged

bodily Viyu.

cutting pain

experienced in the genital, the intestines

and the

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-Sala.

The

disease

should

be likewise attributed
69-70.

to

the

action of the

deranged bodily Vayu

Symptoms
etc., affects

Of V!t-S*Ula : The
fire

bodily

Vayu deranged and aggravated by


the evacuation

the use of dry food,

or impairs the digestive of


feces

and obstructs
in

accumulated

the bowels

and gives

rise to

an excruciating pain

in the locality

by

264
stuffing or

THE SUSHRUTA SAMIUTA.


choking the channels of the

[Chap.

XLIL

intestines.

The

pain
left

is first

experienced in the region of the right or


(loin),

Kukshi

but

it

soon extends over the whole


therein.

abdomen with rumbling sounds


train,

Thirst becomes
fits

unquenchable and vertigo and epileptic

follow in

its

and the patient

finds

no

relief

even after the


bowels.

evacuation of the bladder and


disease
is

of the

This

called Vit-Sala
>

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.
in connection with

Medicinal measures mentioned

the treatment of Udavarta should


72.

be likewise employed with advantage.

Symptoms
cious eating in

of

Annaja
state

S*ula :A
of
digestive

vorafire,

an impaired
local

aggravate

the

taken remain

stiffed

Vayu which makes in the Koshtha. The

the

food

food thus
colic,

undigested in the Koshtha causes an intolerable

which brings on a distension of the abdomen, epileptic and an attack of Vilambika. fits, eructation, nausea

The
and

patient shivers, vomits, or passes stool, and even

loses consciousness. Anti-colic (pain-killing) pills,

powders

medicinal Ksharas are recommended in the case.


cases

All the medical remedies applicable in

of

Gulma

should likewise be applied in cases of Sula.


Thus .ends

73

74.

the forty-second chapter of lhe Uttara-Tantra in the Sus'ruta

Samhit which deals with the medical treatment of Gulma.

CHAPTER
Now we
disease
shall discourse

XLIII.

on the chapter which deals


medical treatment of
the

with the (symptoms and)


of

the

heart

(H rid roga- Prat Ishede-

dha). i. Etiology

and Nomenclature :The

ranged Doshas of the body, aggravated by such causes as voluntary repression of any natural urging (of stool,
urine, etc.), external blow or hurt, use of extremely dry (Ruksha) and heat-making articles of fare in inordinate quantities or of such articles as are indigestable or are

incompatible in combination or are uncongenial to the system as well as taking food before digestion, con-

taminate the bodily Rasa

(lymph
as

chyle)

and

find

lodgement
in

in

the heart, producing the characteristic pain


is

the organ, which


heart).

known

Hridr.Oga (the disease


divided
into
five

of the

The

disease

may be

distinct types, of

Vataja, Pittaja,
is

which four are Dosha-origined, (w/>. Kaphaja, Sannipatika) and the fifth

due

to the presence of
first

worms

(Krimi).

The

difFerent

symptoms should be
treatment thereof.

described and then the medical

2-3.

Specific
a pain
if

symptoms

: in

the Vitaja type,

is felt

in the region of the heart

which seems as

being drawn and crushed, pierced and cracked, pricked and split. Thirst with a burning sensation, a gone-feeling and a sucking pain
piration,
in the
heart;; epileptic
fit,

pers-

fumy eructation and dryness of the mouth, are the symptoms which characterise the Pittaja type. A sense of heaviness in the chest, secretion of mucus
(from the nose
feeling

and the mouth), an aversion to food, of numness (in the body), dulness of appetite and
34

266

THE SUSHRUTA SAMHITX.


mouth

[Chap. XLIII.

a sweet taste in the


the

are the features which


4-6.

mark

Kaphaja type of the

heart-disease.

Krlmlja
(spitting),

Hrldroga : Nausea,

salivation

piercing and cutting pain (in the heart), dark

vision,

an aversion to food, a dull yellow hue of the eyes,


of the body
to
"(D.

as well as emaciation

R.

swelling) are

the indications which point

the

presence of
factor

worms
of the

(Krimija Hridroga)
disease
7.
1

as

the

exciting

Supervening symptoms :Vertigo


a sense of
exhaustion

and
of

attended with

feeling

physical lassitude and emaciation of the

body exhibit
in
all

themselves as the distressing


cases,

concomitants

the

while the supervening

symptoms

of

Kaphaja
Hridroga

worms
also.

exhibit themselves in case of Krimija


8.

Medical treatment of the Vataja type In a case of the Vrftaja type, the patient
'

should be

first

treated with a

Sneha and then made


with
salt

to

vomit (out the contents of his stomach) with a draught


of the decoction of Dasd-mula mixed

and a
to

Sneha.
a

After being purged he shouid be

made

take
Eld,

pulverised

compound

consisting

of Pippali,

Vachd, Hingu, Yava-kshdra, Saindhavb-saXt, Sauvarchala,


S'uthin and

Ajamodd through the medium


fermented

of the juice

of (acid)

fruits,

rice-boilings, decoction

of

Kulattha, curd, wine, Asava or with

any kind of Sneha.


his

The
S'dU
with

patient should be
rice,

made

to

have

meal of matured

with the soup of any

Jangala
a

clarified butter.

Oil duly cooked with the


as

meat cooked VayuVasti


in

subduing drugs should bs applied


adequate.quantity in the case.
9.

an

Treatment of Plttaja type : in a case of


Pittaja-Hridroga, vomiting should be induced with the

Chap. XLill.

UTTARA-TANTKA.
Yashti-madhu and
sugar.

267

decoction
(D. R.

of S'ri-pari-hmt,

Utpala

treacle)
duly
should

mixed with honey and

Clarified

butter

cooked with the drugs of the Madhura


efficacious
in

group, as well as the decoction


fever,

Pittaja-

be internally administered.

The food

of

the patient should be prescribed with the soup of the


flesh

of the principal
clarified

animals of the Jdngala group


butter,

cooked with
treated

and he should then be


oil

a Vasti, charged with honey and duly cooked with Yashti-madhu. 10.

with

Treatment of Kaphaja type : in


Kaphaja type
the pulverised
of

the

the

disease,

vomiting should be

induced with the decoction of Vachd or of


medicinal

Nimba and
patient

compound

prescribed for the

Vataja type,

should

be

adminstcred.
clarified

The

should also be advised to take


food.

butter with his

A decoction

of

Tri-phald or of the drugs of the

Phalddi (Madana-phaladi Sutra, Ch.


Mustdd'i (Su\.m, Ch.

XXXIX)

or the

XXXVIII)
mixed

group, should be pres-

cribed for internal use, or the

patient

should be purged

with clarified butter

with

powdered S'ydmd

(Vriddha-daraka) and Trivrit. A physician skilled in the art of applying Vasti should prescribe a Vasti charged with Vala-oil under the circumstances. 1 1.

Treatment of Krimija type: in


type

the of

(Krimija)

characterised

by

the

persence

worms, the patient should be first treated with a Sneha. A meat-diet with curd or (fried and) powdered sesamun should then be given to the patient fpr three days in
succession after

compound
*

of Ajdji

which he should be purged with the and sugar mixed with the saltpurgative

predominating*

preparation

(see

Sutra,

Some read "Su-pala-lair-jogaih" in place of 'Salava-nair-jogaih'. It would mean that the compound ahould be mixed with fried and powdered
sesamum.

268

THE StfSHRUTA SAMHlTX.

[dhap.

XLllt

XLIV.) and mixed with the scented drugs (mentioned in the Sutra-sthina, Ch. XLIV). - An adequate quantity of fermented-ricc boilings (Dhanyamla) with a profuse
quantity of Vidanga should then be internally administered,

whereby the

worms would be

dislodged from

the hearts (and expelled through the lower orfices of the body).

diet consisting

of cooked

barley grains

saturated with powdered Vidanga


to-the patient.
Thus ends
12.

should then be given

the forty-third chapter of the Uttara Tnntra in


treats of the
(

the Sus'ruta

Samhili which

symptoms and) treatment

of Hridroga.

CHAPTEE
Now we
etc.

XL1V.

shall discourse

on the chapter which deals


i.

with the (symptoms and) medical treatment of Jaundice,

(Pa'ndu-roga Pratlshedha). Etiology and Nomenclature : The

deranged bodily Doshas of a person addicted to sexual


excesses* or to eating clay or salts or articles of keen

potency and of acid


in

or saline taste or to strong liquors


in

excessive quantities or to sleeping

the day, con-

taminate the blood and


colour of the skin.
is

produce a yellowish (Pandu)


is

This

known

as

Pandu-roga and
action
of the

divided into four distinct types


originated
Pitta,

according as they

are severally

through the

deranged Vata,

or

Kapha, the fourth being the

one incidental to their concerted action. The disease has got the name of Ptfada-roga from the fact that a

deep yellow (Pandu) colour

is

imparted to the skin of


2

the patient suffering therefrom.

Premonitory symptoms : Cracking


the skin, salivation
(spitting) a sense

of
in

of lassitude

the limbs, (desire for) eating clay, swelling of the


lids,

eye-

and indigestion arc the premonitory symptoms which usher in an attack


yellow colour of stool
urine,

and

of Pandu-roga.

The diseases known Pandu (popularly called Kamala),


*

as

Kamala-Palaki-

Kumbha-Kamala,
(physical exercise) in the

MiMhava

in his

Nidina reads "Vyayama"

"Vyaviya" "sexual enjoyment." Charaka, however, includes both "Vyavayi" and Vyayama" in the long list of the causes of Pandu-roga.
place of

variant reads that Pndu-roga

is

of

eight kinds.

In that case (he

four different varieties of

added
is

to

Pandu, separately mentioned below should be the four kinds mentioned here. Charaka says that Pandu-roga

of five different tvpes

: by

separating and adding the one


,

due

to the

eating of clay to the four kinds enumerated here.

2?0

THIS

SUSHRUTA SAMHITA.

[Chap.

XLlV.

Ligharaka and Alasa (otherwise known as Halimaka)


are
all

included within

Jaundice

(Pamdu-roga),

the

characteristic

symptoms
3-4.

of which are fully enumerated

in succession below.

Specific
the

Symptoms
of the skin

: A

black-

colour of

eyes and

marked by the prominent

appearance of black-coloured vein (on the surface), black colour of the stool and of the urine, blackness of the face

and of the

finger-nails

as

well

as

other

symptoms
are mani-

characteristic of the deranged

bodily

Vayu

fested in the VtCtaja type

of Pandu.

Yellowness of the

eyes and of the skin marked by the appearance of veins


(Sira) of the

same colour (on

its

surface), yellowness of the

stool

and of the urine, yellowness of the face and fingernails and other specific symptoms of the deranged Pitta, mark the Pittaja type of the disease. Whiteness of the eyes and of the skin, marked by the appearance of veins of the same colour (on its surface), whiteness of the stool and urine, whiteness of the face and of the finger-nails and other specific symptoms of the deranged Kapha

Kaphaja type of the disease. All symptoms are exhibited in a case of the Ssfaniptfta type. Now I shall describe the symptoms which mark the disease known as Kamala. 5 -8. The Pitta of a patient suffering from any disease
case of the

mark a

the preceding

by the use of any, and imparts a his to complexion yellow tint and produces (deep) physical weakness as well as all the specific symptoms
not radically cured gets deranged
acid,

or unwholesome

food

or

drink,

(of

Pandu-roga)
as

described

above.
it

This

disease

is

known
pain

accompanied by a general swelling (edema) of the body and a crushing

Kimali.

When

is

in
it

the joints,

is

called

when

developes in

its

course such

Kumbha-Ka'mali, which, symptoms as fever,

Chap, xliy.]

UTTARWANTRA.
in

271
physical

aching, pain

the limbs,

vertigo,

langour,
as

drowsiness

and emaciation comes to

be

known

Lflgharaka. This, in its turn, when marked by an excessive preponderance of the deranged Vayu and
Pitta
is

called

Alasa, otherwise

known
its

as

Halimaka,
9-1 2.

by those who are conversant with

nature.

Supervening'

Symptoms

: Aversion
fits,

to

food, thirst, vomiting, fever, headache, dulncss of appetite,

swelling about the neck, weakness, epileptic


tion

exhaus-

and a pain

in the region of

the heart arc included

their distressing concomitants.

13.
:

General Treatment
the
curable

Having
the

ascertained

nature

of an

attack

of Pandu-roga, the

patient

should

be treated with

clarified butter*.

He

should then be purged and vomited with


containing

compounds

powdered Haritaki mixed with a copious


Clarified butter

quantity of honey and clarified butter.

duly cooked
phala-Ghriita

with turmeric

as well as
also

known as Traithe one known as Tailvakaor the one

Ghrita

may

be used for the purpose.


clarified butter

Drugs
butter

possessed
in

of purgative

properties should also be taken


(or
clarified

combination with

duly cooked with purgative drugs should be

prescribed).

Half a Pala (four Tolas) of Nikwnbha duly cooked in an adequate quantity (eight Palas) of the urine of a
she-buffalo

should be

daily

used.

Similarly

half a

Kudava measure
*

of treacle

mixed

(D. R. duly cooked)

Some

say

that

the

Sneha used should be the Kalyanaka-Ghrita


clarified butter should

(Ch. LXII. ).
used.

Others says that simply matured

be

t Traiphala-Ghrita

may mean

either

the Ghrita duly cooked wilh


in.

Tri-phaU or the one known as Traiphala-Ghrita mentioned

X Similarly Tailvaka-Ghrita may mean the Ghrita of that name mentioned in Chap. V. Chiki{sit'a-slh.ana or Ihp one duly cooked with Tilvaka.

272

THE SUSHRUTA SAMUItA.


should

tChap. XLIV.

with pulverised Hantaki


patient.

be

taken

by

the

A decoction
may
be

of the drugs of the Aragvadhddi

group,

likewise

prescribed

for

internal

use.

Powdered (dead) iron mixed with pulverised Vyosha and Vidanga, or powdered Haridrd* and Tri-p)iald should be licked up with honey and clarified butter, f Any other
medicinal compound mentioned anywhere as remedial
to
4. Gulma should also be administered. The aggravated Doshas should be gradually eliminated from the system in as much as an quick and ex1

cessive

elimination

of the

Doshas under the circumthe patient.

stances might produce swelling in

Either

the expresed

juice

of Dhdtri or of sugar-cane, or a

Mantha

should be taken with honey by a patient and


diet.
1

he should take wholesome


Clarified

516.

butter duly cooked with the

Kalka and

decoction of the two kinds of Vrikati, Rajani, S'ukdkhyd


{S'ukti-s'imbi), Kdkddani, Kdkamdchi, Addri-vimbi and Kadamba-pushpi (Bhwmi-Kadambd) should be taken as a remedy for Ptfndu-roga. Pippalt'-pov/der dissolved in milk should also be taken according to the condition

of the

appetite.

The

use

of a decoction of

Yashti-

mad/iu,

or

of

powdered
likewise

Yashti-wadhu
efficacious.
text.

honey would

prove
in the

mixed with Powdered


take

* Here we have followed Dallana mean Daru-Haridra.

Some
we

Haridra to

+ According to Charaka's

recipe,

however,
into

find

that

the two
find

compounds here have been combined


definite

one and there we

the

mention

of

Dirvi

(Diru-baridri).

In our practice also

we

follow Chsraka in this case.

Mantha

is

prepared by mixing powdered grains of barley with

clari-

fied butter

and a copious quantity of water. Some commentators, however,

on the authority of other medical works, are of opinion that in cases of Pandu (jaundice) the word "Mantha" is technically used for the preparation of the

powdered grains of barley mixed with the expressed juice of

A'malaki and of sugar-cane and with honey.

Cha P .XLIV.j

UTTARA-TANTRA.

273
"

frequently taken as an electuary


cow's urine.
pearl,

lcnvs of Tri-phald and powdered (dead) Iron should be in combination with

compound composed
conch-shell,

of powdered coral,

antimony and

or

powdered

Girt-

mrittikd (ferrugnious earth)

should

be

similarly used

by the patient. 17-18. A compound consisting of half a seer of powdered goat's dung together with a Pala weight of each of the drugs known as FVV-salt, Haridrd and Saindhava-saXt, should be licked with honey by a patient living on
wholesome diet. A compound of Mandure (iron-rust), Agni (Chitraka), Vidanga, Pathyd, Tri-katu all taken in equal parts with Tdpya (Svarna-makshika) equal to their
combined weight should be duly soaked in cow's urine and formed into a lambative with the addition of honey, the same being prescribed for an immediate cure of a
serious type of Pandu-roga.
VibJiitaka,

19-20.

Mandura
of a
this

(iron-rust),

Ndgara and

Tila

should be pounded together and


the addition

made

into a paste with


Pills

profuse

quantity of treacle.

prepaicd

from

compound should be administered


Pills

through the medium of Takra whereby a violent attack


of jaundice

would be defeated.

of the

Kalaya

weight of each of Sanvarchala, Hingu and Kirdta-tikta


pasted together, should

be taken with tepid water.

As

an alternative,
dried

lambative

compound

of

Murvd,

Haridrd and Amalaka pounded together and alternately and soaked in cow's urine for a week, should be
21^-22.

given to be licked by the patient.

patient suffering from Pandu-roga

should observe

a proper regimen of diet and take two-Tola-weight of the compound of the powders of Vald and Chitraka
(with cow's urine or tepid
water).

The compound
35

of

Saind/iava salt and powdered S'igru-seeds taken in equal

2/4

T,1E

SUSHKUTA SAM1IITX.

tChnp.

XLIV.

parts should be

taken with tepid water, followed by a


rice

meal of cooked

with milk.

The

decoction of the

drugs of the Nyctgrodhddi group should be taken,


cold,

when

with honey and sugar followed by a proper regimen

Powders of the drugs included within the S'dlasdrddi group or of Amalaka should be formed into a
of diet.

lambative with the addition of honey and given to be


licked

by the

patient.

33-26.
of

The

pulverised

compound

Vidanga, Musta, Tri-

phald, Ajnmodd, Parushaka,

Vfos/ia

well as clarified butter, honey, sugar

and Chitraka as and treacle should

be

dftly

cooked

in

the decoction
till

of the drugs of the

S'dla-sdrddi group

reduced to

the consistency of a

lambative.
inside

It

should then be taken


vessel

covered

down and preserved prepared of Mokshaka (Mushproves


general
curative
in

kaka).

This lambative
a

cases

of
in

PAndu attended (with

edema
27.

as well as

cases of the violent types of

KamalA.

Treatment of
taken with treacle,
is

Ka'mala', etc iTtibhandi


Gavdkshi or S'unthi
butter
beneficial to a patient suffering

(Trivrit) taken with sugar as well as

from an attack
cooked with
as an after-throw

of

KAmala.

Clarified

duly

JCdkya-wood and mixed


is

with turmeric

also efficacious.

In the alternative

the patient should take Srotdnjana


cow's urine in
(rust of iron)

and

S'ildjatu with

case of Kumbb.a-Ka'mala'.
in

Manduia
be

kept immerged

cow's

urine should

likewise

taken with

Saind/iava-sa.\t
in

continually for a
fire

month. Mandura should be burnt

the

of Vibhitaka-

wood and

cooled with cow's urine.


in

The

process should

be repeated eight times


thus tempered

succession.

The

iron-rust

should

be

subsequently
it

reduced to
as a speedy

powders.

Licked with honey

would

act

cure in cases of

Kumbha-Kimala.

28-30.

Chap. XLIV.]

UTTARA-TAKf RA.

275

SiUttd/tavasaXi once
fire

made

red-hot

by heating

(in

the

of

Vibkitaka-viooA) should be cooled in cow's urine.

Iron-rust

(Mandura) should be successively heated


cow's urine
as directed

in fire

and cooled with


(Saindhava and
parts)

above, the
substances

process being repeated

many

times.

The two
(five

iron-rust) thus prepared, (taken in equal

and made into a paste with


ignition.

times of) cow's

urine, should

be cooked on an oven, care being taken to

guard against their


Udas'vit (a

When

dried, the

com-

pound should be reduced to powder and taken with


kind
of Takra).

The medicine

acts as a

good appetiser and proves curative in cases of Pandu. The patient using it should ^take his diet with Takra
after the assimilation of the medicine.

Clarified butter

duly

cooked

with

the

expressed juice

of Drdkshd,
in

Guduchi and

Atnalaki
31.

proves

curative

cases

of

Lagharaka.

Articles Of

Diet

\Arishtas

and

Asanas

prepared with treacle or with honey or with sugar or with cow's urine or with Kshdra (alkali) as well as the
essence of

meat of any Jangala animal saturated with and mixed with the expressed juice of Amalaka or of Kola should be prescribed and meals of
clarified butter

cooked barley grains or of S'Ali


tions prescribed in

rice

and the preparabe from an attack of

cases of swelling (Sopha) should

daily

taken by a patient suffering


32.

Pandu-roga.

Treatment of supervening Symptoms The supervening symptoms such as difficulty


>

of breathing, diarrhoea, aversion to food, cough, epileptic


fits,

thirst,

vomiting, colic pain, fever, swelling (^opha),


in

burning sensation

the body, indigestion, hoarseness,

lassitude, etc. should

be remedied on

the principles laid


the nature

down

in

the Sastras w.ith due regard to

and

276

THE SUSilRUTA SAMHITX.

[Chap.

XL1V.

intensity of the deranged bodily Dosbas, severally lying


at their roots.
33.

Prognosis : If

a patient afflicted with

Pandu

have an cdematious swelling

of the extremities with


vice versa

an emaciation of the abdominal region and


or
if

he have a swelling of the scrotum or of the


anus or
if

genitals or about the

he be suffering from

fever or diarrhea or be lying in a sub-comatose state, he

should be given up and should not be attended


physician caring anything for his fame.
Thus ends
Pandu-roga,

by a

34.

the forty-fourth chapler of the Ultara-Tanlra in the Sus'ruta

Samhit which deals

with

iho
r

(symploms and) medical treatment of

CHAPTER XLV.
Now we
with the
shall discourse

on the Chapter which deals


of

symptoms and) medical treatment

Hemorrhr.

age

(Rakta- Pitta- Pratishedha).


in grief, fright

Cause and Pathology : Excessive


gence
exposure to the sun and
acid, saline
fire,

indul-

or anger, excessive physical labour,

constant use of pungent,


or,

and alkaline food,


in

of articles of fare which

arc

keen or heat-making
digestion

potency, or incompatible

in their

combination, or are followed by deficient gastric


arc the
factors

or intestinal

which tend to
aggravates

aggravate the Rasa (chyle), which,


the Pitta.

in its turn,

The aggravated
leads to
its

Pitta thus imperfectly assimi-

lated affects or invades in virtue

of

its

own

essence the
finds

blood

(lit,

imperfect digestion) which

an outlet through the upper or the lower channels of the

body or through the both. The deranged blood accumulated in the Amas'aya (stomach) finds out an upward
outlet, while
it

flows out through


its

the lower orifices

in

the event

of

continuing

in

a similar state in

the

Pakv&s'aya (in tcstincs). and it escapes through both the upward and downward orifices in the event of its being deranged and accumulated in both the Amas'aya and the
Pakvas'aya.

According
disease

to several authorities, the ejected

blood
liver.

in
2.

the

comes from the spleen and the

Prognosis
body
is

case

of

Rakta-pitta

in

which

the blood finds outlet through an upward channel of the

amenable, while palliation

is all

that

is

possible

in a case in

which
body.

it

flowes out

through a downward

orifice of the

case

marked by the emission of

ty%

THE

Stf

SHKUTA SAMHITA

[Chp.

XLV.

blood through both these outlets, upward and downward,


should be regarded as incurable.
3.

Premonitory Symptoms : A
lassitude in the limbs, desire
for cooling things,

sense

of

a sense
fetoi

as

if

fumes are
in

rising in the throat,

vomiting and

of blood
in

the breath are the

an attack of Rakta-pitta.

symtoms which The number of the

usher
cases

of Rakta-pitta as well as the aggravation of the different

Doshas involved in each case should be ascertained from the colour and nature of the ejected blood (as
described before in Chap. XlV-Sutra-sthana).
4-5.

Supervening
laboured breathing,
aberration
(lit
:

Symptoms
cough,
like
fever,

:Weakness,
yellowness

vomiting, mental

a state

intoxication),

of complexion, burning sensation in the body, epileptic


fits,

acidity of the stomach.restlessness, extreme

pain in
R.

the

region

of the heart, thirst, loss

of voice (D.

loose stool), heat in the head, fetid sion to food, indigestion

expectoration, aver-

(D. R. bending of the

and absence of sexual desire body after sexual act) are the
6.

usual complications in a case of Rakta-pitta.

Symptoms

of

Incurable Types:

In a case of Rakta-pitta the emitted matter resembling

the washings of meat or drug-decoction, or turbid water


or fat or pus, or being
liver-coloured

or dark-black or

blood-red in colour or looking like a ripey<z///#-fruit or


blackish blue
or variously

coloured like

a rain-bow or

having a

very fetid smell as well as the presence of the

above mentioned supervening symptoms


indications which

these are the


:

show that the case should be given up

as incurable

7.

General Principles of Treatment


It
is

improper to arrest the emission of blood immethe outset of the disease


if

diately at

the

patient

be a

Chap.

XLV.]

UTTAKA-TANTRA.
man,
in as

279
such a procedure Graham*,

sufficiently strong

much

as

may

bring on an

attack,

of *

P&ndu-roga,

Kushtha (cutaneous diseases), Gulma, or fever or enlargement of the spleen. An attack in which the blood makes a downward course should be arrested with
emetic medicines, while purgatives should be exhibited
in a case in

which the blood

finds

an upward course.

But weak patient, under the circumstances, should be both cases with soothing remedies. Fasting should be first enjoined in the case of an excessive emistreated
in

sion

"*

of blood in respect of a strong

patient with an

unimpaired digestion and an unemaciated frame.

Pcya prepared with a small quantity of


given to the patient after fasting
\.

rice

should be

Tarpana measures,

decoctions of digestive drugs, as well as a variety of

medicinal lambatives and Ghritas should be the proper


applications in the disease under discussion.

Purgation
Drdks/id,

should be induced with the


Yashti-tnadhu,

compound

of

Kds'marya and

sugar, while

vomiting
consisting

should be induced with an emetic


of Yashti-tnadhu

compound

Articles

mixed with honey. 8 rr. of Fare:The use of


g.

milk,

the

drugs of cold-producing potency (e

the drugs of the

Utpal&di group), essence of the meat of an animal of the

Jdngala group, soup of Satina

(cerials), S'dh'-ricc,

Shash-

tf&i-grains, leaves of Patola, S'elu,

Sunishanna,

Yuthikd
'',

Both Chakrapani and Vrinda read "raqT<3ir?'tft etc"


it

they say

that

may

bring on an attack of heart-disease also.

<*

Both Chakrapani' and Vrinda read "gjj nOT^TO)"

i.e.

in cases of
*

upward emission.
cases of excessive
vitiated

There

is

also

another variant
or in

"<3ft[

HSf^faw"

' ,e-

upward emission

cases

where a good deal of the

Doshas takes an upward course.


t

% Additional Text

Meat-essence (Rasa)

and soup (Yusha) seasoned

with clarified butter prepared from cow's milk.

2oO

THE SUSHkUTA SAMIUtX.


)

[Chnp.

XLV.

and Sindhuvdra (Nirgundi


of Vata and

as well as the tender sprouts

Atimuktd fTinduka) as pot-herbs and cooked

with clarified butter are recommended as diets.

Soup of

the meat of pigeons, S'amk/ia (conch) and tortoise as


well as the

gruels

mentioned before mixed with the

expressed juice of Dhdtri and


profuse quantity of clarified
the patient as diet.

pomegranate and with a


should be given to

butter

Milk should

be duly cooked

in

combination with the drugs of the Utpalddi group, and


the cream therefrom should

be likewise prescribed with

a copious quantity of honey and sugar.

Cold Pradehas,
are
said

honey,

sugar,

and

clarified

butter
1

to

be

beneficial in cases of Rakta-pitta.

3.

An

experienced physician should prescribe any one

of the four

lambativcs composed of the powders of


of

the flowers

Madhnka, S'obhdnjana, Koviddra


Rakta-pitta.

or

of

Priyangu, mixed with honey to be licked up by a patient


suffering

from

Similarly

lambatives of

Durbd, or the tender leaves of Vata, or of white Karnika


pasted
licked

together with the honey should be given to be

up by the

patient*.

Dates and other


14

friuts

of

the same therapeutic virtue, taken

with honey, would

prove efficacious

in

the disease.

15.

Medicinal compounds mentioned

in

connection with

the treatment of Raktatisara (blood-dysentery)


well

may be

as

employed with advantage


immersed

in

the present instance.


its

piece

of sugar-cane devoid of
in cold

skin

and crushed
in

should be kept

water contained
its lid

new earthen
be kept
dered
*

pitcher.

The

picther with
for a

off should

in

an open
in

place

night.

Its

contents

duly strained

the morning should be given with pow-

Utpala and

honey to a patient

suffering

from
coiu-

Dallana takes only Durba and Vata under one

rttffe.

Some

pnentators

would prescribe

all

these together under one recipe,

Chap.

XLV.]

UTTARA-TANTRA.

28

Rakta-pitta.

cold infusion

of

Jdmbu>

Amra and
alterna-

Arjuna should be taken with honey.


tive,

As an
fruit

the expressed juice


16

of

Udumbara

should be

taken (with honey).

A.
paste (Kaika)
of

The best six Yogas : a


be taken (with the same vehicles).
sisting of
in

Trapusi-roo\s in combination with honey and

washings
con-

of rice or two Tolas of the pasted Yashti-madhu should

compound

Chandana, Yashti-madhu, and Rodhra taken equal parts or Karanfa-seeds made into a paste with
In a similar

sugar and honey should be similarly used


should be taken.

way, the pith of Ingudi together with Yashti-madhu

As an alternative, salt (Saindhava) and KaranjastsAs* turned into a paste with curd-cream should be taken lukeworm for three days in succession
suffering

by a person

from an attack

of Rakta-pitta.
act as excellent
16.

The

six preceding medicinal

compounds

cures for the disease under discussion.

Pathyd should be employed as an errhine after the manner of Avapida-Nasya in the event of the blood
passing through the
nostrils.

In

case

of

excessive

haemorrhage (in the disease) the patient should drink blood in combination with honey, or eat a goat's raw
liver

with the

bile.

17.

Clarified

butter duly cooked

with

the admixture
juice

of an adequate quantity of the expressed

of (the

bark of) Palds'a trees should be taken, when cool, in combination with honey, or clarified butter prepared

by churning the milk duly cooked with>


juice

/the

expressed

of (the bark of) the Vanaspati-treea (Vata, etc.)

should be used with sugar.

Pala weight of each of

sugar should be kept water during the (whole) night This cold infusion would cure a case of Rakta-pitta. A

Drdkshd, Us'ira,

Paimaka and

immersed

in cold

36

Z%2

THE SUSHRUTA SAMHITA.

[Chap.

XLV.
also

draught of milk with an equal quantity of water

is

recommended

for

patient comforming to
18.

proper

regimen of diet and conduct.

The watery
native,

secretion of the

dung

of a horse or a bull

should be taken with honey and sugar.

In

the alter(of

powders of the seeds of Vdstuka or


of Laja

the

roots, of Tanduliyaka-'p\&n.ts should

be licked with honey.

lambative formed

(parched paddy) and

Anjana * mixed with honey, or powdered Tugd-kshiri

mixed with honey and sugar should be


suffering

licked.

patient

from an attack of Rakta-pitta should take a


of Drdkshd, Tikta-rohini, Yashti-madhu and

compound

sugar with cold water, or lick a compound of pulverised

Pathyd, Ahinsrd and Rajani with clarified butter,

ir.

The compound
(red
earth),

of (blue), Utpala Sourdshtra mrithikd

Priyattgu,

Lodhara,

polcns

of lotus

and

sugar mixed together and

taken with honey and a


Similarly a

decoction of Vdsaka would speedily stop the emission in


a virulant type of Rakta-pitta.
consisting of flowers of Khadira,

compound

Jambu, Arjuna, (red)


S'dlmali and S'igru,

Koviddra, S'irisha, Lodhra, Asana,

pounded together and mixed with honey should be 20 2r. licked by the patient in a case of Rakta-pitta.

The

alkaline water

prepared

with the ashes of

lndivara and taken with honey, powdered Karanja-seeds

taken with honey and

clarified butter

and the decoction


three

of Jambu, Arjuna and

Am/a these

compounds

prove curative in cases of Rakta-pitta. 22

paste

made

of

the roots and flowers of Mdtulunga should

also be taken

with the washings of


* Kal anjana
is

rice.

23.

a variant, in place of Laja and Anjana.

For Kalanjana

Dallana reads Souviranjana.


there
is

This should be the proper reading because


there will be only one

a word in the receipe which shows that

thing and not two.

Chap, XLV.]

UTTARA-TANTRA.

283

solution of milk

or water saturated with sugar


nostrils
in

should be applied into the


bleeding from the nose.
clarified butter

the event of

The

expressed juice of grapes,

prepared by churning milk or the express-

ed juice of sugar-cane should be taken cold (through


the nostrils) in combination with

sugar

*.

All

cooling
in the

measures and sweet-drugs should be employed


present disease

24

25.

Asthapana and Anuva'sna : The


plication

ap-

of an

Asthapana-Vasti
the

charged

with

milk

duly cooked with

drugs of the

Viddri-gandhddi
butter, sugar

group and mixed with honey, and Dr&kshd, proves extremely


under discussion.
ded with equal

clarified

efficacious in the disease

The
benefit.

application

of

an Anuvasnabe attendas

Vasti charged with clarified butter * would

The

drugs

known

Pri-

yangu, Lodhra, Souvirdnjana, Gairika, Utpala, Suvarnagairika, Kdliyaka,

conch-shell,

Chandana, sugar, As'va-

gand/id,

Ambuda,

Yashti-madhu, Mrindla and Sougan-

dhika, taken in equal parts, should be

pounded together

and mixed with copious quantities of milk, honey and


clarified butter.

This solution should be injected into the

rectum after the manner of Nirudha-Vasti,


should be sprinkled

The

patient

with

cold water

and given his diet

with milk after which clarified butter duly cooked with

Yashti-madhu should be injected into the rectum of


the patient after the

manner of Anuvasana-Vasti.
beneficial
in

This
of

measure
dysentery.

proves

extremely

cases

down-coursing Rakta-pitta and violent types of


In

blood*-

the case of an

excessive discharge of

S'rikantha Dalla, the commentator of Vrinda, would

mix

sugar wllh

the juice of sugar-cane only and not with the other two.

All these should

be applied into the

nostrils.

284

THE SUSHRtfTA SAMHITX

[Chap.

XLV.

blood, if the patient be strong enough, vomiting should be

induced after the cessation of the blood-discharge. 26-27.


Urethral-injections

composed of the aforesaid drugs

should be applied (after the

manner of Uttara-vasti)
Measures

in

the event of bleeding from the bladder.

laid

down

in

connection with the treatment of Rakta-pitta


In cases

should be resorted to in cases of bleeding-piles.


of menorrhagia as well as in cases of excessive
incidental to
(of the

bleeding

any

surgical operation,

the above measures

medical treatment) should be adopted by an exphysician.

perienced
cases
of the

The subsequent treatment of the should be determined by the nature and intensity
deranged bodily Doshas as well as of the blood
28-29.

involved therein,

Thus ends
Rakta-pilta.

the forty-fifth chapter

of the

Uttara-Tantra in the Sus'ruta

Samhili which deals wiih (the symptoms and) the medical treatment of

CHAPTER
Now we
ing
fits

XLVI.

shall discourse

on the chapter which deals

with (the symptoms and) the medical treatment of faint-

(Murchchha-Pratishedha).
:

r.

Oefi nation

The

deranged and

aggravated

Doshas of the body of a person who is emaciated or accustomed to the use of incompatible articles of food or -who has become very weak on account of a sudden suppression of his natural urgings or of any external
blows or
injur)-

give rise to fainting

bodily Vayu,

etc.

fits. The deranged choking up the sense-carrying nerves

of the body, produces that giddy state in a patient in which the world seems to vanish from the eyes of the
afflicted

person and the

perception of the

pleasure or
patient,
in

pain

is

suspended for the time being.


of the
insensible as a log of

The

consequence of this suspension


drops
is

sense-perception
this
It

down

wood and
types

disease

called

Marchchha' or
due to
the

Moha
or

(fainting).

admits of

being divided into six kinds


attack
is

according as an

action
of blood,

of

separately or to that

the deranged Doshas wine or poisOB, but a

all

predominance of the deranged Pitta may be detected in forms of the diseases due to any cause whatever. 2.

Premonitory Symptoms : Pain


pression of the heart, yawning,
lassitude,
loss

or op-

of cons-

ciousness

and of strength arc the

symptoms which
its

usher in an attack of the


to the nature of the
root.
3.

disease (Murchchha) according

deranged bodily Dosha lying at

The

natural elements, water (Ap) and earth (Kshiti)


(

abound with the attribute of Tamas


smell of blood also contains the

insensibility
attribute,

).

same

Tamas,

286

THE SUSHRUTA SAMH1TX.

tChap.

XLVL

It is therefore that

persons generally lose their consciousSeveral authorities hold that

ness at the smell of blood.

the loss of consciousness in these instances happens in


virtue of the natural properties of the

thing

itself,

viz.,

blood, wine

and poison which also possess these proand


it is

perties in a greater degree

therefore that an

use

of cither of these

substances
4-5.

suspends animation and

produces

Moha

(fainting).

Symptoms: A case of Murchchha


sciousness)
terised

(fit

of unconis

due to the

effects of (deranged)

blood

charac-

by

stiffened condition

of the limbs

and by the
breathing.

fixedness of the eyes (Drishti) and by deep

Delirious talks, mental aberration and the state of the

patient convulsively lying flat on the earth until the wine


is

perfectly assimilated into the system are the

symptoms
;

of a case of
shivering,

Murchchha due

to the effects of

wine

while

drowsiness, thirst and

numbness of the body)


of poisoning form

attended with the specific


the general
of poison.

symptoms

characterstics of the
6.

type due to the effect

General Treatment :Constant


of water over the
water, contact of cold
plasters

sprinkling
cold cold

body (water-spray) plunge-bath in gems and garlands of flowers,


(cold) breeze

and compresses,

and fanning, cold


in general

and perfumed drinks and cooling measures


are
efficacious
in
all

cases

of

the

desease

under

discussion. Cordials prepared with the expressed juice of

Ikshu, Piydla and

expressed juice of

Drdkshd and with sugar or with the Drdkshd and Madhuka ( Maula ) or those prepared by boiling Kds'marya and Kliatjura or
clarified

butter

duly cooked with the drugs of the

Jivaniya group with the d "ugs of the


the essence of Jangala

Madhura group,

or

expressed juice

meat in combination with the of pomegranate should be taken in a

Chap.

XLVI]

UTTARA-TANTRA.

287

case c Murchchha.

The

diet

should consist of cooked


7

red S'dli-rice or barley grains or Satiua-puhc*

8.

Specific Treatment : A compound


sisting of

con-

Ndg.i-kes'ara, Marietta,
(lotus

Us'ira, the

kernal of
(lotus-

Kola as well as Visa


stem) taken
in

stock)

and Mrindla
cold
water).

equal

parts

should

be taken with the


Pippali

decoction of Satina (D. R.

with

with honey or Pathyd with sugar should also be taken.

The mouth and


during a
fit

the

nostrils

should

be pressed close

and the breast-milk should be given to the


9.

patient to be drunk.

Strong medicinal orrhine should be administered and


strong emetics should be as well
repeated attacks of the
fit.

employed

in

cases

of

Clarified butter duly

cooked

and prepared with the decoction of Haritaki or with


expressed juice of Anialaki should be prescribed.
decoction remedial to Piltaju-fevcr should be given
cold
state,

The
in

mixed with Drdks/id,


and

sugar, parched paddy,

Nilotpala

Padtna and well


10.

perfumed with any


lying in

good-smelling scent.

Sannyasa
comatous
state

The case

of a patient

and incapable of being roused up or the circumstances owing -o the aggravato under brought
ted

nature of the delusion (unconsciousness) due to an


bodily Dosha

extensive preponderance of the deranged


(involved therein) should be

looked upon

by an
This

intelliis

gent physicion as extremely hard to cure.


to be a case of Sannya'sa (Epilepsy
clay,
?).

said

Just as a

lump of

when thrown

into water, should be

instantaneously

taken up before

it is

being finally desolved therein, so a


of suspended

patient lying unconscious under an attack

* Chakrapani and Vrinda both-read


diet.

Mudga

also in

the

list

of the

288
animation
(

THE SUSHRUTA SAMHITX.


Sannyisa
)

[Chap.

XLVL

should be speedily restored to

consciousness with the help of medecinal remedies before


the process of final dissolution
( lit.

death

sets in his

body.

12.

Treatment : The
by pricking needles

patient should

be

tried

to

be roused up with the applic-ition of strong eye-salves


(Anjana), unguents and inhalation of
into his finger-nails or

sweet words and music in his

smoke (Dhuma) or by discoursing hearing or by shaking his


with the fruits of
present disease

limbs roughly or by rubbing

his skin

Atma-gupta creepers.

An

attack of the

not amenable to the above remedies but attended with,


salivation,

laboured breathing, retention

of stool

and

urine and distension of the

abdomen should be given up


of

as irremediable.

Strong emetics and purgatives should


consciousness
of fare.
etc.

be exhibited after the return


diet should

and
be

consist of light articles

S'ildjatu*

mixed with
employed
a month.
particular.
in

Tri-phald,

Chitraka, S'unthi,

should

combination with sugar and continued for


clarified

Matured

butter should

be used

in

Medicinal compounds remedial to any case

of fever originated by the


well prescribed in

any

;ase of

Dosha in the case may be as Murchchha and a case


;

due to the action of poisom should be remedied with


the

antitoxine

remedies

(mentioned

in

the

Kalpa

Sthana).

1314.
forty-sixth chapter of the Uttara-Tantra in

Thus ends the

the

Sus'ruta

Samhita which deals with the (symptoms and) treatment of Murchchha.

* According to Dallana S'ilajatu

should be

prepared

with the said

drags after the manner of BhaVana' saturation and then be applied with
sugar.

CHAPTER XL VII.
Now
shall discourse

treatment of alcoholism

on the (symptoms and) medical and its kindred maladies

(PsCnsCtyaya-Pratishedha). i. Properties and actions of


Wine
is

Wine :
in
its

heat-making
in

in its potency,
its

keen or sharp
acts

properties, subtile

essence,

as a

soaker or
is

cleanser of moisture and albuminous matter (Vis'ada),


dry,

and instantaneous
It

in

its

action (As'ukara), stimula-

ting or exhilarating in
sive (Vikas'i).

its effect

(Vyavayi) and
shivering
all
It

is

.diffu-

destroy cold and

by
its

virtue

of

its

heat-making potency.
enters
into
its
)

suspends

cognitive

process (lit.-intellectual motions) on account of


ness or sharpness,

keen-

every limb and


subtlety
(

member
),

of the body by reason of


destroys

Sukshmatva

Kapha
its

phlegm
(

and semen
and

in virtue of

its

Vais'adya,

enrages or aggravates the bodily

Vayu on

account of
in its

dryness

Rukshmtva
its
its

),

is

instantaneous
It is exhila-

action

by reason of
account
all

As'ukaritva.

rating

on
is

of

Vyavayitva
is

and
its

diffusive

(coursing swiftly

through the body) for


taste,

Vikas'itva.

Wine
sence

acid

in

its

light

and appetising, and

produces fresh relish for food.

Others assume the pre-

of all the
rice,

tastes except the saline


in

Wine taken
boiled

one in it. 3 4. combination with cooked meat and


other articles of food
(clarified butter,
etc.)

or any
a

profusely

saturated with

Sneha
in

the longevity, muscular strength and corpulency

adds to of a

person (using

it

moderate quantities) and to the exhifortitude,

larated state of

mind accompanied with beauty,


This

vigour and valour and these benefits one

may
37

derive

frpm the proper use of wine.

fiery liquid in

com-


290

THE SUSHRUTA SAMHITX.


fire
(

[Chap. XLVII.

bination with the aggravated bodily

Kaya-Agni
it

produces the symptoms of intoxication and unconciousness, etc. (


food, or

Mada
5..

in a foolish person taking


in

without

in

an empty stomach and

an inordinate

quantity.

Evil
creeps into
all

effects

Of

Drinking:Excessive

-drinking produces incidental

nescience which gradually and clouds the sense-perceptions, destroying


self

power of

control (control over the sense-organs)


(in

and giving publicity to the innermost thoughts

the

mind) of the intoxicated person.

6.

Three stages of Alcoholic Intoxication


the
:

There arc

three

stages

of intoxication

viz.,

first,

the second or intermidatc and the third or

last.
)

The

first

or preliminary stage

of

intoxication

is

marked by an exhilarated state of mind with increased


valour,

and

conviviality

as well

as

satisfaction

and
is

talkativeness, etc.

The second

or intermediate stage

indicated

by incoherent

speech,

exhilaration and
acts.

the

performance of proper and improper


or last stage the

In the third

man
7.

lies

all powers of action, of

down unconscious, bereft of memory and of judging the ethic


taking fatty food or in
in

effects of his acts.

A
whom
there

man who
is

is

in the habit of

Sleshma predominates, or
only a
little

whose

constitution,

of Pitta,

is

not so easily affected by

the action of wine, which, however, proves distressing in

a person of contrary nature. Wine,


food by a
distressing

if

taken daily without


rise to

man

in

an empty stomach, gives


in his

many

and dangerous diseases

organism and
8-9.

leads to the ultimate dissolution of his body.

Cases where wine Is prohibited .Wine should not be taken by a person under the
fluence of anger, grief, fright, thirst or hunger.

:
in-

The use

Chap. XLVII.j

UTTARA-TANTRA.
prohibited

2QI
after

of wine

is

immediately

a fatiguing

journey, physical exercise or an act of load-carrying, dr


after

the repressing of any physical urging, or after the


excessively acid food, (D. R. excessive water and

use of

food) to
or

the

full,

or before the proper digestion of food

of heat. a

by a weak person, or by one suffering from the effects In the above cases, wine undoubtedly proves
of

source

host of bodily derangements such

as

Panatyaya, Paramada, PanAjima and the violent Panavibhrama the characterstic symptoms of which I shall
presently describe.
10.

Specific

symptoms of

Pa'na'tyaya

The Va'taja type of Pa'na'tyaya is marked by such symptoms as numbness and aching pain in the limbs,
palpitation,

catching and pricking pain in the region

of

the

heart

and headache.

Perspiration,

delirium,

dryness of the mouth, burning sensation and fainting


fits

(loss

of consciousness)

>nd

yellowness of the face

and eyes arc the features which distinguish the Pittaja type (of Panatyaya). Vomiting, shivering and waterbrash are the indications which mark the

Kaphaja

type,

The symptoms
three deranged

of

all

the three proceeding types

being
of the

exhibited in the one due to the concerted action

bodily

DoshasTri-Doshaja

type

of

Panatyaya.

1 1

Symptoms
s.-nse

of Para- mad a : Heat and


the

of heaviness in the body, bad taste in of

mouth,

excessive accumulation

Sleshma
of stool
in

in

the body, an
urine,
thirst,

aversion to food, supression

and

headache

and a crushing pah:

the joints are the

symptoms which the learned physicion sets down to Para-mada (reactionary effects of the abuse of wine). ii Pa'ria'Jirna and Pa'na-Vibhrama : Distension of the abdomen (tympanites), acid or sour

igi
taste (in

THE SUSHRUTA SAMHITX.


the

[Chap. XLVII.

mouth), vomiting, deficient gastric diges-

tion are the

symptoms which

are exhibited in a Ptfatf-

jirna type (alcoholic indigestion).

Aggravation of the

deranged Pitta should be regarded by a physicion as


the exciting factor of the disease.
exhibits such

The malady which


pain
in

symptoms as
fever,

piercing
a

the heart

and limbs, vomiting,


a burning sensation
all sorts

sensation of the rising of


fits,

fumes into the throat, salivation, epileptic


in

headache,

the throat and an aversion to

of food and wine (in connection with an abuse


is

of wine)

called

Pana-Vibhrama.
:

13-14.

Prognosis
as protuded upper

A patient suffering from the effects


exhibiting

of excessive drinking and


lip,

such symptoms
or burning

excessive shivering
face,

sensation and

clamminess of the

black or blue

colour of the tongue, lips

or teeth and

yellowness or
as incurable-

blood-colour of the eyes should be givin

up

Hiccough,

fever,

vomiting, shivering, tremor, cramp of

the sides, cough and vertigo are the supervening symp-

toms ( Upadrava ) which are found Panatyaya (alcoholism). 15.

in

all

forms of

Treatment of
me
describe the
said

Va'taja type : Now


remedies, for
all

hear

medicinal

the above

maladies.

Wine

saturated

with the mixture of

pulverised Chukra, Maricha, Adraka, Dipya (Yamani),

Kushtha and Souvarchala should be given


of the Va'taja type of Panatyaya,
or one

for the relief

mixed with
Shadavas or

Pritkvikd, Dipyaka, Mahousfiadhi and Hingu, or with

Souvarchala should be taken for comfort.


cardials

made

of Amrdtaka, AmrorfruitSi
for relief. In

Dddima and
i.i.

Mdtulunga should be given


.

the alternative,
tor-

thfc

cooked

flesh of

an animal of Anupa group


16.

toise, etc.

should be seasoned with the expressed juice of

above

fruits

and be taken.

Chap. XLVII.]

UTTARA-TANTRA.

293
the

Treatment
tion of the

of

PIttaJa type: in

Fittaja-type of Panatyaya, wine mixed with the decoc-

drugs of the Madltura group and saturated and flavoured with the admixture of sugar and scented drugs should be taken, or wine profusely mixed with the
expressed juice of sugar-cane should be taken and fully

vomited out, a short while thereafter.

Meat-juice (Rasa)
acid, or
clarified

Ena and Mudga soup should


of Ldva,
butter.
17.

Tittira

unmixed with any

be taken with sugar and

Treatment of Kaphaja and TriDoshaja type, etc. :-In the Kaphaja type of
Panatyaya, the mucus should be eliminated by taking

mixed with the expressed juice or decoction of Vimibi and Vidula (Vetasa). Meat-juice
a potion of wine of

any

fatty

Jdngala

animal

and pungent

articles as also

mixed with bitter and the Mudga-soup made bitter


beneficial to the patient.

and pungent should be taken as

The

diet should consist

of preparations of barley, flesh

o{ Jdngala animals and also the Kapha-subduing articles,


as well as

those

calculated as

remedial to the present


of medicines and
the

type of Panityaya.

The above kinds


applied
in

diet should be combinedly

one due to

the

concerted

action of the three


in

(Tri-Doshaja type), while


treatment should

Doshas of the body the Dvi-Doshaja types, the

be according to the nature of the


18

predominant Doshas.

19.

Now

shall describe the medicinal

tend to relieve the delirious

stale of

compounds which mind and may be

of all forms of Panatyaya in powder of Ndga-pushpa, Mdgadhikd, Eld, Madhuka, Dhdnya, Ajdji and Marietta taken in equal parts mixed copiously with the expressed juice of Kapittha, water and Raruskaka should be duly taken

employed
general.

for the

relief

The

fine

294
in
all

THE SUSHRUTA SAMHItX.

[Chap. XLVli.

forms of Panatyaya after the mixture


piece of cloth.

is

strain-

ed through a

The body

of the patient

should be anointed with a paste of Haridrd,


Paripelava,

Padma,
clear

Karavira, Padmaka, drugs of the Sdt ivddi

group and acquatic flower pasted togather, and

and cold water should be sprinkled over the body of the patient in a case of Madatyaya. 2021.

PsfliakS
Chocha,

Ptfoak prepared with Tvak, Patra,


Eld,

Marietta,

Ndga-pushpa and flowers of

S'leshm&taka ground together into a paste and mixed

with treacle and Drdkshd, should be

filtered

and

per-

fumed and given to a person suffering from an attack of Panatyaya. The patient would find relief by the frequent
use of a Pa'naka (draughts) composed
of

Yashti-madhu,

Katurohini,
roots,
in

Drdkshd and Trapusha-roots, or of KdrpdsaNdga-vald and Suvarchald (Surjavarta) all taken


22

equal parts.

23.

Treatment of Para-mada : A
(

Pa'naka

cordial

made
Vit,

of

the fruits of

Dddima,

Pippali,

Kdshmarya, Ddru, Drdkshd pasted together and


in

disolvcd in water and

taken

combination with the


relief

expressed juice of Vijapuraka, instantly gives


discomforts due to

in

an abuse

of

wine

(Para-mada).

Panakas made of sugar, Drdkshd, Madhuka, Jiraka, Dhdnya, Krtshnd (Y'\p\>a.\i)3iud Trivrit, or of Souvarckala, the meat-soup (Rasa) of any fatty Jdugala animal and

Phaldmla should be taken.

Cold infusion of Bhdrgi


74

would be found beneficial in sprinkling.

25.

Treatment of
should
rgava, Brikskaka

Pa'na'Jirna

sVomiting

be induced with an Anjali measure of milk-

duly cooked with the admixture of Ikshvdku, Dhdtnd-

and two kinds of Udutnvarikd


case

after
in

which the patient should be advised to take wine


the evening in
a

of indigestion due to an abuse

Chap. XLVII.]

UTTARA-TANTRA.
Phaldmla
in

295

of winfi (Psfadijirna).

combination with

Tvak, Pippali, Ndga-pushpa,


Eld, or a

Vid, Hingu,

Maricha and
and S'unthi

compouud

consisting of Saindhava, vid, Tvak,


Pippali,
in

Chabya, Eld, Hingu,

Pippali-roots

pounded and desolved

The food of the


the
tance.
27.

patient

warm water should be taken. should be made palatable with


in

admixture of Khada-jusha *

the

present

ins-

Treatment of
Panaka composed
lunga,
etc.)

PsCna-vibhrama:A
Kapittha, Phala

( Matuand Dddhna sweetened with profuse quantity

of DrAkskd,

of sugar and honey, as well as

the one

made with

the

expressed juice of Kola and Amrdtaka sweetened in the

vibhrama.

same manner would prove curative in a case of PtfnaA compound consisting of Kharjura, Vetra, Karira, Parushaka, Drdkshd and 1'rivrit pounded
together and
disolved
in

cold

water should be taken,


in

sweetened with sugar, or the same should be taken

combination

with S'ri-parni.

In

the alternative, the

tender sprouts of Kshiri-trees,

Visa (Mrinala), Jiraka,

Ndgapushpa, Patra, Elavdlu, Sita-sdrivd, Padtnaka,


rdtaka, Bhavj'a,
F/z/ra-fruits,
all

Am-

Karamarda, Kapittha, Kola, Vrikshdmla, Jiraka, Dddhna, Yas/iti-mad/iu and Utpala,


as Maricha, Jiraka, Ndga-pushpa,

pounded together and mixed with the cold infusion


Tvak,

of such drugs

Patra, Vis'va, Chavikd and

Eld

filtered

through a piece

of thin linen duly perfumed with the addition of scented

drugs would be found curative in the seven types of distempers which have their origin in drinking excesses. 28.
Objects which are pleasing to the five sense-organs
of

man and

gratifying to the

mind and

heart, as well as

* Dallana in his coramentatory says that some read

"^"

in place of

"liif and others read

"q$? in

place of "qrJ:".


296
light

THE SUSITRUTA SAMHITA.


wine should be always prescribed

[Chap.

XLVH.

in

a case of

Panitayaya and the patient should be enlivened with the embrace of handsome and youthful damsels exceedingly
attached to the gratification of the senses with splendid
hips and thighs with their slender waists drooping under

the weight of the exuberance of their breasts.

29.

Potions
Ajdji,

prepared

with

powders of Ndga-pushpa,
in

Krishnd and Moricha taken


sugar,
in

equal parts mixed

with

Madhuka and
the
taken.

Tri-sugandhi

and

then

disolved

expressed juice of

should be

Kushmdnda fruits, The drugs known as Varshdbhu,


Tvak, tender sprouts of

Yashtydhva, Madhuka, Ldkshd,

Karvudara, Jiraka,

Drdkshd,

Krishnd

and
30

Kes'ara

should be given mixed with tepid milk.

31.

person

afflicted
etc.

with diseases due to the excess

of Sura, Asava,

should be treated with the same


etc.)

wines (Sura, Asava,

duly administered otherwise

he

will

be ruined,

in the

has incurred the king's


courting the royal

same manner as a person who displeasure, should be saved by

favour.

An

inveterate
is

drunkard
with the

giving up his habit of drinking

afflicted

symptom*

of Panatyaya

if

he suddenly revert to his


33.

former pernicious habit.

32

The Agneya and Vayaviya


produce a dryness
body, hence thirst
in
is

virtues of

wine tend to

the water carrying

channels of the

experienced by a drunkard person.

cold infusion of Patola, flowers

and bulbs oi'Utpala,


thirst),

and

Mudga-pami mixed with Mdgadhika' should be


or
clarifiied

taken under the circumstances (reactionary


oil,

butter,

Vasa

(lard)

and marrow (D. R.

milk) should be duly cooked with curd (four times), expressed juice of Bhringa-ra'ja (four times), and the decoction of Vilva

and

of the drugs

Yava (four times) with the Kalkas known as the Sarva-gandhd should be

Chap. XLVII.]

UTTARA-TANTRA.

397

applied

.as

(Seka) with the cold decoction*.


cold,

an Abhyanga. The body should be sprinkled Palatable foods and

pleasing

and scented

cordials

should

be

pres-

cribed

according to the nature and intensity

of the

deranged bodily Doshas underlying the disease,

34 -35,

The

heat generated
Pitta

by bodily
feeling

by drinking being aggravated and blood of an intoxicated person,


the
surface
of the
(DaTia)

escapes through
of intense

skin and causes a

burning

which should

be

remedied with measures and

therapeutic

agents pres36.

cribed in connection with the aggravation of Pitta.

Remedies for Dstha : Now


the cooling

shall describe

measures which

should be

employed

for

alleviating the burning sensation (DaTia) in the case of


rich patient.

The body of such a

patient under the

circumstances should be smeared


v

at

the

outest with

Chandana white sandal wood) pastes made cooler by the contact of cold beams of the moon, pearl-necklaces and
the
laid

water produced from

melted

ice.

He

should be
sparkling

down with dew drops

in a bed of full-blown lotus flowers

or of lotus-leaves

sprinkled

with spray

of translucent water,

and youthful damsels decked with necklace and bangles of lotus-stems cooler even than cold water, should be asked to touch him. He should

try to alleviate the burning feeling

by
soft,

strolling

banks of a tank in a garden


breeze bearing

in the

cool

on
lotus

its

Kalhdra

(red)

wings the soft and water-moss dancing

on the and sweet perfume of


in

the

adjoining tank.

Water cooled and charged with Ufira,

Vdlaka and (white) sandal paste should be sprinkled


over his body, or he should be
cleansed
*

made

to

sport in a

tank

filled

with freshly

collected

water era-

Decoction of the drugs of Madhura-gana and of the drugs of cold

virtues.

38

"3gS

THE SUSHRUTA SAMHITX.


full-blown

[Chap.

XLVII.

balmcd with
scents
(e.

ved and blue lotus-flowers

and

g,

sandal

pastes) after

being smeared with

sandal

paste and with the hairs of his

body standing

on

their roots

with the magnetic touch of beloved female


his

hands.

Here he should take

bath with young, gay

and beautiful damsels

skilful in

aquatic sports refreshing


cold hands, thighs
breasts and

him with the lotus-like touch of their and mouth and hard (t.e. full-grown)
t

with

their sweet words.

37- A.

He

should

lie

down, when

tired,

in a

cool

chamber

cooled with watery breeze, fitted

with fountains and

made dusky
floor of the

with the misty

jets

(vapours, of water.

The

chamber should be sprinkled

over with

scented water

with pastes of sandal wood,

and flowers and the walls thickly coated Teja-fatra and Vdlaka.

The chamber should be scented and decorated with Mdnst, Tamdla, Musta, Kumkuma, /Wwa-leaves, Jdtiflower,

Utpala (blue-lotus), Priyangu, Kes'ara (Bakula),

and Pmdarika (red-lotus), Punndga, Niga-Kes'ara, and Karavira and there in the room with garlands of
flowers

gently swinging in the


lie

sweet and lazy wind,


listen

the patient should


discourses about the

down and

to the sweet

Hemanta, the Vindhya, the Malaya

or -the

leaves of Kadali or of

Himalaya mountains as well as about cold water, any other evergreen tree or plant

and about the receptacles of full-blown blue or red lotus, as well as about topics of moon-rise, or any other subject which may be calculated to be agreeable to his

mind under the circumstances. Young and beautiful damsels with their full and thick-set breasts and thighs
anointed with sandal pastes, being clad in wet clothes
(adhering to and advantageously showing the splendid
contours of their limbs,
etc.,)

and with

their

necklaces
.

and

girdles

loosely

sliding

down

their

bosoms and

diap.

XLVH.]

UTTARA-TANtRA.

29$

slendef waists should He there with

embrace.
secret

These damsels should


coolness would

refresh

him in their firm him with their


and by means of
to over-

charms in that lonely chamber

their bodily

be able to alleviate the

burning sensation of aggravated Pitta due drinking.


3;.

These are the measures in general which should be

employed also

in

the

cases

of burning sensation

due

to the aggravated condition of blood,

Now

hear

me

Pitta and thirst. discourse on the measures which are to be

specifically
in the

employed in the case of a burning sensation body under different circumstances. 38 A.

Symptoms

of

Raktaja Drfha : The

blood coursing through the whole body when aggravated

by any cause whatsoever becomes heated and imparts a copper colour to the skin, complexion and the eyeballs of the patient.
It

produces a blcody smell in the


patient feels a burning
is

mouth and the body, and the


contracting sensation as
if

and
38.

he

surrounded by
should

fire.

Treatment

Fasting

be

prescribed

and then the diet should be regulated conformably to the nature and intensity of the deranged bodily Dosha involved therein. If such
at the outset in such a case

burning sensation

(in

the body) be

still

unrelieved, the

patient should be treated with a diet largely composed


of the soup of Jdngala flesh

and venesection
in

in

the ex-

tremeties should then be resorted to duly in

conformity

with the rules


Sthana).

(prescribed

Chapter VIII

Jsarira

Cases of burning sensation due to the aggrava-

tion of Pitta

would produce the symptoms of


for
39.

Pittaja
in

fever

and remedies

Pittaja

fever should

such

cases be resorted to.

Symptoms and treatment of Da'ha due to thirst : The watery part dried up in
is

jOO

THE SUSIIRUTA

SAMIIITX.

[Chap. XLVtl.

the event of an unslaked thirst, thus generating a heat


in

the organism.
lip,

This produces an extreme dryness

of the
(Djflia)

throat

and palate and a burning sensation


and inside the organism of the
body.

both

in the skin

patient followed

by the coming out of the tongue and

the trembling

of the whole

The medical

treat-

ment under such circumstances

consists in alleviating the

heat and adding to the watery component of the body.

A large draught of

cold water

or cooled milk saturated

with a copious quantity of sugar, or of the expressed


juice of sugar-cane or of

Mantha should be given


sensation in the

to

the

patient to his satiety under the circumstances.

40-41.
is

An

intense burning

body

caused

by the presence of accumulated blood in the abdomen (Koshtha), the symptoms and therapeutics of which are
those mentioned in the chapter
II

on Sadyo-vrana (Chap.

Chikitsita-Sthana)
fits,

burning sensation of the body

incidental to

the waste (Kshaya) of

any of
brings

its

fundathirst,

mental organic principles (Dhatus)


fainting

on

feebleness

of voice,

suspension of physical

and mental
in its train

weakness and lassitude which should be remedied with measures laid


Rakta-pitta.

faculties or functions,

down under

Emulsive and Vayu-subduing


42-43.

remedies are likewise applicable therein.

severe internal burning sensation in the

body may
any
kind.

also be produced

by

(the aggravation of)

blood due to

(the breach of the rules of) diet

and to

grief of

The symptoms in such cases are thirst, fainting fits and delirium. The remedy should consist in giving the
patient the wished-for objects,

and the diet under the


meatin

circumstances should largely consist of milk and


essence to be partaken of in

company with

friends

the manner described before.


|h'c

burning sensation in
to

body

incidental to

a hurt or

a blow on

any of

Chap. XLVII.]

UtTARA-TANTKA.
is

Jot

its
its

vulnerable or tender parts (Marma)

the

seventh of
All kinds

kind and should be deemed as incurable.

body with a coolness of its surface are incurable. Emetics and purgatives should be exhibited according to the Dosha involved even after
of burning sensation in the

the subsidence of the supervening


in wine.

symptoms

of excess

44-46.
half
its

Wine mixed with

quantity of water and

scented with Jiraka, Sauvarchala, Ardraka and S'unthi

becomes palatable and immediately


taken with meal and with

allays thirst.

Wine,

cooked

meat by a person
bad
off

besmeared with sandal paste and wearing wet clothes

and garlands of
after-effects

flowers, does not

produce any of

its

nor brings

on intoxication

which

in its

turn would throw the


their balance.

mind and mental

faculties

47-48.

Thus ends the

forty-seventh chapter of the Uttara-Tantra in the Sus'ruta

Samhita which deals with the (symptoms and)


alcoholism.

medical treatment of

CHAPTER
Now we
shall discourse

XLVIIL.

on the chapter which deals


thirst
i.

with the (symptoms and) medical treatment of

(Trlshna'-Pratlshedha Adhyaya).
He who
is

not satisfied even with the constant

drinking of water but craves for more and more water


should be regarded as afflicted with the disease
as thirst (morbid desire for water).
2.

known

EtlOlOflfy :The Pitta and Vayu of the body become extremely aggravated by such factors as (excessive) exercise, grief (or any violent mental agitation), fatigue, drinking, use of any extremely dry, acid,
hot
or

pungent

fares,
in

or

of

those which

cause a

parched condition
vital

the

organism, or

waste of any
the water-

organic principle (Dhatu) of the body, fasting or


affect

exposure to the sun, and combinedly


carrying channels
of the

body (diminish

the liquid

portion of the bodily lymph-chyle).

The
.

water-carrying

channels thus affected give


disease
is

rise' to

violent thirst.
3.

The

divided into seven types.

Classification :The
the action
of the deranged

first three are due to Doshas (Vayu, Pitta and

Kapha).
to

The

fourth and fifth!are respectively incidental


to the waste of

any

ulcer

and

organic principles.

The

sixth

is

any of its fundamental due to the presence of


(lit.

undigested fecal matter in the intestines


the seventh
is

mucus) and
hear

due to errors

in diet.

Now
4.

me

describe their specific

symptoms and

the therapeutic

agents to be employed in curing them.

Premonitory Symptoms : An
dryness of

extreme
palate,

and

a,

burning

sensation

in

the

Chip. XLV11I.]

UTTARA-TANTRA.
heat, vertigo,
loss

303
of

throat, lips

and mouth, external


delirium

consciousness, and

are the general premoni-

tory symtoms which usher in an attack of the disease. The specific symptoms are given below. 5.

Symptoms
head (D. R.
are the

of VsCtaja,

Pittaja

and

Kaphaja Thirst :Dryness

of the

mouth with a
and the

tingling sensation in the regions of the temples,

throat), obstruction

of the (water-carrying)

channels of the body and a bad taste in the mouth,

symptoms which

specifically

mark a

case of the

Vtftaja type in which the drinking of cold


to a distinct aggravation

water leads

of the disease
fits),

(thirst).

Loss

of consciousness
food, dryness

(epileptic

delirium, an aversion to

of the

mouth, yellowness
in the

of the

eyes,

extreme burning sensation


coldness, a bitter taste in

whole body, desire for mouth and a fumid sensathe

tion

(in

the throat) are the features which specifically

mark

the Pittaja

type of the disease.

The vapours
and

produced by the

fire

of digestion being enveloped

obstructed in their course

by the layer of accumulated Kapha, the heat (pent up in the body tends to dry up
its

the moisture of

water-carrying channels and) produces

a kind of thirst which is characterised by somnolence,

a sense of heaviness

in the limbs, a

sweet taste in the


vomiting, an
skin are the

mouth, extreme emaciation,

cold-fever,
in

aversion to food and suppuration

the

symptoms of Kaphaja
drinking water.

type.

And

where such symptoms


for

are present, the patient has

no excessive desire

8.

Kshataja and Kshayaja Thirsts :


case of thirst which

pain in
is

engendered in consequence of or discharge of blood from, any cut in the body


is

the fourth type and


in

is

known

as

Kshataja

thirst.

The
un-

days of the patient

such a case

pass with great

304
easiness even

THE SUSHRUTA SAMHITX.


if

[Chap. XLVIII,

he drinks water.

In the type due to the

waste of the fundamental organic fluid

(Rasa) which

is

known

as

Kshayaja
still

thirstj

the patient constantly drinks


in

water in large quantity both


night but
finds

the day and


is

in the

no

relief.

This type

attributed

by

several

authorities to

the concerted
all

action of the

three deranged Doshas and

the specifice

symptoms

due to the waste of the

vital

organic principle (Rasa)

described before are expected there.

10.

Amaja and Annaja Thirst:The symptoms of


all

the three (aggravated) Doshas in addition to

pain in the heart, spitting and a sense of lassitude in the


limbs are present in the type which
is is

due to indigestion
produced by using
fare, as well

(Amaja).

The

case of thirst which

extremely fatty and saline articles of


those which are hard to digest
is
1

as

due to

errors in diet

(and

is

known

as

Annaja

thirst).

1 12.
exthirst

Prognosis
who
suffers

patient
in

who has become


lies

tremely weak and deaf

consequence of

and

from a mental stupour and

with his

tongue protruded and hung

down should not be taken


1 3.

charge of (by a physician) for treatment.


of powdered

General Treatment : Vomiting


induced with a solution
case of thirst
in which the stomach

should be
in

Pippali of the

patient

A plaster composed fully loaded (with water). Dddima, Amrdtaka and Mdtulunga is also beneficial. Drugs which are cooling in their virtue and potency
becomes
of

should be applied in the three cases of thirst (due to the


three Doshas).

gargle composed

of a

solution of

powdered Amalaka with any acid drug (Matulunga, etc.) should be retained in the mouth for removing the bad taste in the mouth under the circumstances. Water made hot by immersing bits of heated gold, silver, etc

Chap. XLVHI.]

UTTARA-T ANTRA.
stone
or baked

305
clay in
it

as well as pieces of heated

and taken in a tepid state, or cold water charged with


sugar and honey,
thirst.
is

possessed of the efficacy of allaying

14

16.

Specific

Treatment : A

patient

suffering

from Vritaja thirst would find relief by taking lukewarm and in a little quantity at a time the water boiled with
the drugs of any of * the five Pancha-mula groups
or

with the drugs


gana).

of the

first

group

(Vidari-gandhadiPitta-subduing

A
f

decoction of the drugs of the

groups
addition

subsequently
of

cooled

and

taken

with the

honey and sugar, or milk duly boiled with the admixture of the drugs of the Jivaniya group (Kakolyadi

Gana) would
boiled

allay

case

Water duly
case of

with

Vilva,
%

of Pittaja Adhaki, the

thirst.

drugs

of the Kantaka-Pancha-mula

and

Darbha

allays a

Kaphaja

thirst.

Vomiting induced with the help


iVwfa-leaves

of a draught of the infusion of tender

taken lukewarm would likewise prove curative in such


a case.
17

19.

The

Pitta-subduing remedies and measures should, in


all

the alternative, be applied in

types of thirst which


juice or a

cannot otherwise be allayed.


decoction
of
ripe

The expressed

Udumvara

should be taken with

minor Paucha-mula,

The five Pancha-mula groups are (1) The major pancha-mula, (2) The (3) The Valli Pancha-mula, (4) The Kantaka-Panchamula, (5) The Trina-Pancha-mula. See Chap. XXXVIII, Sutra sthana. t The Pitta-sulxluing groups are Utpalacli, 4rivadi and Kakolyadi
*

groups.

In

place of

"qr^rq*^,

etc.

',

some read

"^Kq^fq"

as

group known "TOftl," vu Pippali, Pippali-mula, Chavya, Chitraka and Nagara. The commentator Kartika Kundu supports this: Dallana. For Kantaka
etc., i.e.

Kantaka (Gokshura) and the drugs included


-

in the

Pancha-mula, see Chap.

XXXVIJJ Sutra-Sthana.
39

306

THE SUSHRUTA SAMHITX.

[Chap. XLVIII.

sugar under the circumstances.


should
likewise drink

thirst-afflicted patient

the water duly boiled with the

drugs of the Sdrivddi group sufficiently cooled down


for the purpose.

2021.

Water duly boiled with Kas'eru, S'ringdtaka, Padtna, Mocha (plantain-flower) and Vis'a is efficacious in allaying thirst incidental to hurt (Kshataja). Water containing Nilotpala, Us'ira and red Chandana should be kept
an open space during the night and a physician should give this well-scented water mixed with sugar and honey
in

and with a large quantity of Drdkshd


afflicted

to

the thirstfor

patients on

the

following

morning

their

benefit.

Cold infusions of the drugs of any of the

Trina-

pancha-mula, Utpalddi and


i.e.,

Madhura
as that

(D. R. the

first

group
of the
in

Vidarigandhadi) groups mixed with the drugs of the


of the

Sdrivddi group as well

drugs

Madhuka-pushpddi groups should be prepared


preceding manner and
cordials (Panaka)
prescribed.

the
of

The

six kinds

separately prepared (in the preceding


of)

manner) with the (four kinds


Kapitana are also beneficial
gether (and
dissolved
beneficial.
is

Rdjddana, Kshiri or
such cases. Fruits of

in

Tundikeri (wild Kirpasa) and of Kdrpdsa pasted toin

water) and taken internally


case of thirst incidental to

would prove

any

ulcer (Kshataja)

allayed with the stoppage or

removal of the pain or by taking meat-soup or the


blood (of deer, goat,
etc.).

22

26.

case of thirst due to the waste (Kshiyaja) of

any

fundamental

organic

fluid

(Rasa)

is

removed

by

taking draughts of clarified butter churned from milk *

In places
(

of

>'^\x&t"

"ntW

and

"n*fc#' some
Masha

read

"^IW?" m ilk
tpqgptf (honey

mixed with watei),

"^nf^"

(soup of

pulse) and

mixed with water)

respectively.


Chap. XLVIII.
]

UTfARA-TANTR.A.

307

as

well'

as those of meat-soup

and infusion of Yashtito

madhu.

Thirst which

is

incidental

the

presence of

mucus and undigested fecal matter in the intestines (Amaja) should be remedied with the decoction of Vilva, Vachd and the drugs of the Dipaniya (Pippalyadi)
group or with the decoction of the drugs of the Dipaniya group mixed with Amrdtaka, Bhalldtaka and Vald.

The type which has


indigestible fares
all

its

origin in the

use

of heavy and as well as

or due to

errors in

diet

other types of thirst with the


is

exception of the one

which

incidental

to

the

waste of any fundamental


cured

organic principle should be


ing.

by inducing vomit-

27

28.

Solution

of

common
in

treacle

or

Mautha
which

or
is

meat-

soup

is

efficacious

allaying

thirst

due to

physical fatigue.

Warm
a thirst
meal.

would alleviate
the participated

Yavdgus or cold Manthas * caused by the obstruction of

A man
The

should drink

warm
drunkis

water

in cases of thirst

due to an excessive taking of any


thirst of a habitual effects

fatty substance (Sncha).

ard which
allayed
heat,

is

due to the reactionary


of half-diluted

of wine

by draughts

wine.

Thirst due to

may

be allayed with
or

draughts of cold water

surcharged with sugar


suger-cane.

with the expressed juice of

29

$3.

General Treatment : Vomiting


induced
in

should be

these cases with the decoction of such drugs

as are remedial to the deranged bodily Doshas involved


in

each case

prescribed in
in

and the digestive (Pacnana) remedies as cases of fever should also be prescribed

these

cases.

Use

of cooling plasters and of cold

Warm

Yavagu should be

prescribed

ponderates and cold

Mantha

in caaea

in cases where Vayu where Pitta preponderates.

pre.

30$

f HE SUSHRUTA SAMHITX.
in cold

[Chap. XLVIit.

baths and spray, residence


of emetics and
clarified butter

chambers, exhibition

purgatives,

use of milk, meat-essence,

and sweet and cooling Iambatives would


all

be likewise prescribed in

cases of thirst.

34

35.

Thus ends the

forty-eighth chapter of the Uttara-Tantra in the Sus'ruta

Samhit which deals with the (symptoms and) treatment of thirst.

CHAPTER
Now we
shall discourse

XLIX.

on the chapter which deals

with the (symptoms and) medical treatment of vomiting,

(Chhardi-Pratishcdha).

Causes and Nomenclature : The


ly

bodi-

Doshas are deranged and aggravated per force by the use of extremely liquid, emollient, unpalatable or
oversalted
or in
to the

food

or

of one taken at an

improper time
is

an inordinate quantity or which


physical

incongenial
as well
as

temperament
of

of

ts

user,

by over-fatiguing physical
tion,
indigestion, presence

exercise,

fear,
(in

mental agitathe intestines),

worms

or quick eating or owing to


ting or loathsome
causes.

pregnancy or any disgusthe Doshas


after

Thus deranged,
force

rush
of
it

up to the mouth and

covering the whole

come out with


in

great

and with an aching

pain

the limbs.
2.

This

is.

therefore, called

Vomiting

(Chhardi).

The
in
in

vital

Vayu known

as the

Udana-Vayu coming

combination with the one known as the Vyana-Vayu


a

man

addicted to incompatible food and drink leads

to the

up

to

derangement of the bodily Doshas and rushes the upper part of his body (which causes vomit3-

ing).

Premonitory Symptoms :Nausea,


pression of eructations, thin

sup-

and

saline

water-brash and

an aversion to food and drink are the premonitory symp-

toms of vomiting.

4.

Specific
frothy

Symptoms

: Scanty

ejections of

matter of strong astringent taste accompanied


sidfes

with a loud sound and cramps at the back and the

3 to

THE SUSIIKUTA SAMHITA

[Chap.

XLtX.

produce a sense of exhaustion or fatigue and increase


after

the

digestion
to

of

meal and

this

should be

ascribed

the

action

of the deranged bodily Vrfyu.

Vomiting of yellow, greenish or blood-streaked matter with an excessively acid, pungent or bitter taste in the

mouth and attended with such complications


dryness of mouth, fainting
fits

as fever,

and burning and sucking


Excessively cold,
attended

(Chosha) sensations in the body, should be ascribed to


the action of the deranged
white,
sweet,
thick

Pitta.

and mucous vomiting


the
all

with horripilation, an aversion to food, heaviness of the


limbs and
lassitude should be ascribed to

Kaphaja
the three
the
*

type of vomiting.

The
all

specific features of
in

preceding types are


concerted action of

present

the type due to


5

the three Doshas.

8.

Traumatic Cases :The


ing due
to

five cases of

vomitto

any disgusting or loathsome cause or


indigestion,

pregnancy,

presence
of

of

worms

(in

the

bowels) or the taking

uncongenial food and drink,

should be duly classified according to the Dosha aggravated in each case. types of vomiting.
first

The stomach
Violent

is

irritated

in

all

Fasting should, therefore, be the

remedy

in these cases.

cramps and nausea


arc the

as well as

the

symptoms of Krimija-llridruga
of vomiting
in the bowels.
skilful

special characteristics of a case

due to the
not

presence of

worms

10.

Prognosis : A

physician

shall

take in hand the medical treatment of a patient afflicted with vomiting, where the patient is emaciated and
is.

distressed

with the supervening symptoms* and in


ejected

which

the

matter"

is

mixed with

pus and

The supervening symptoms


thirst,

ate

: Cough,

asthma,

fever,

hic-

cough,

mental dejection, heart-disease and Tamaka-S'vasa,

Chap. XIJX.J

UTTARA-TANTRA.

311

blood, and resembles the variegated colour of a peacock's

plume and where vomiting


ing
(or

is

almost constant.

II.

General Treatment : In

a case of

vomit-

marked by an excessive preponderance of any Dosha by the presence of all the three Doshas), emetics
be administered with a due regard
intensity

or purgatives should
to

the nature and


In
cases

of the

Dosha

or Doshas action
of

involved.

due to the

concerted

any two of the deranged bodily Doshas the medical


treatment should be determined
relative

according

to

their

order of preponderance.
consist
is

Diet
articles

in

these cases

should
patient

of dry and
to.

light

and what the


should

accustomed

Febrifuge decoctions

be administered accord ing to the nature and intensity of

<he deranged bodily Doshas involved


of clarified of

in

each case.

1 2.

Treatment of Vataja Type :Draught


butter

churned from milk, * or the soup


taken with
(

Mudga and Amalaka

clarified butter

and

Saindhava-*s\\., or gruels

Yavdgii

prepared with the

drugs of Pancha-mula and

taken with honey, would

prove curative
use of the
(e.g.

in

the Vtftaja type of vomiting.

The

essence of any bird of the

Vishkira group
quantity of salt
efficacious.

chicken, etc.)

taken with a

little

and

juice of acid-fruits

would likewise prove

"Lukewarm oily purgtives recommended in such cases

mixed with
13.

salt

are also

Pittaja
Pitta-subduing

Type :Cold
virtue

drinks and decoctions of


relieve

would

vomiting

due to

the derangement of Pitta.

Emetics or purgatives com-

posed of the drugs of the Madkura-drugs and mixed

"?ftT?t?"

' las

been explained by
butter.

some commentators as milk


teads

mixed with

clarified

Chakradatta

""^t^j"

milk and

water in place of ''^jkvtf",

312

THE SUSHRUTA SAMH1TA.

fChap.

*UX.

with the expressed juice of Drdkskd majj likewise be

employed

in

the present type.

In violent' attacks of
butter

vomiting the

medicated

clarified

known

as

Tailvaka-ghrita should also be prescribed.

i\.

Treatment of Kaphaja Type : A


coction
of the

de-

drugs of the Aragvadhdd\-%xowp or of

Das'a-mula should

be given with honey in a case of

vomiting due to the aggravation of Kapha.


infusion

cold

would

(Hima-Kashaya) of Guduchi mixed with honey prove an excellent remedy in all the three
15

preceding types of vomiting.

16.
)

Vomiting due
or loathsome
things,

to

the use or sight of

any disgusting

thing

should be treated with .agreeable


peculiar
to

while that

pregnancy should be
due to the
administrato

relieved

by giving

to the enceinte the things she longs for.

Traumatic Types : Vomiting


relieved with fasting, vomiting or with

use of any unaccustomed or incongenial food should be


the

tion of habituated

or

congenial food.
in

Vomiting due

the presence of

worms

the bowels (Krimija) should

be treated with remedies applicable in a case of Krimija


Hrid-roga (heart-disease of parasitic origin).

The measures

and remedies prescribed before should be employed with


a due regard to the nature and intensity of the deranged
bodily

Dosha

or Doshas involved in each case.


is

17.

General Treatment : Vomiting


by frequently
with the
licking a lambative

relieved

of Pippali, honey and the expressed juice of Kapittha-ixwX.. MadJmrasd *

made

washings of
for

rice

and with honey may be

likewise taken

Tarpana (soothing) measure with the admixture of honey would be benethe purpose.

VMadhurasd" may mean


pi (4) Yashti-madhu.

(I)

Drak'sM

(2)

Gambhiri

fruit (3)

Murv

The

practice is to prescribe

PnSksM.

C^ap. XLIX.]

UTTARA-TANTRA.

313

ficial

iti

all

the three cases (due to the aggravation of the

Doshas).*
seeds and

potion composed of powdered Attna-guptd-

Yashti-madhu mixed with a copious quantity


with honey as well
as
gruels

of

rice-washing and

prepared^ with the admixture of Karanja-\ea.ves should

be administered.
salt

also

Kustumburu pasted and mixed with and acid would also be bcnificial. Kapittha should be taken with Tri-k tu, and rice-washing. 18 A.

The excreta

of

flies

should be licked with sugar,

honey and sandal in hot milk and


given
to

paste.
this

A
milk,
to

lizard should

be immersed
should

when
drink.

cooled,

be

the

patient

Powdered

fried

paddy mixed with honey and


honey, sugar

clarified butter

should

be given to drink or pulverised Pippali

mixed with
be licked.

and

clarified

butter

should

Sandal-paste * with the expressed juice of Amalaka^ox the decoction of the leaves of

Mudga f
marrow

as well as a of Kola
(viz.,

lambative

composed

of

the

and
Eld,

Amalaka

spiced with the

Tri-sugandhi drugs

Patra and Tvak) powdered together should be prescribed.


Gruels of fried S'dli paddy mixed with honey should
also

be prescribed.

agreeable both to
is

The use of perfumes which are the mind and to the organ of smell,
18-B.

also recomended.

Diet
palatable

The

cordials

meat of any Jangala animal and and victuals of various plates should
all cases.

be likewise taken with care in


Thus ends the

18.

forty-ninth chapter of the

Uttara-Tantra in the Sus'tuta

Samhita which deals with the (symptoms and) treatment of Vomiting.


*
I

The

practice is to take white Sandal in this case.

Viigbhata'prescribes the decoclion alone as a separate remedy.

40

CHAPTER
Now we
cough
shall discourse

L.

on

the chapter which deals


hic-

with the (symptoms and)

medical treatment of
i.

(HIccst-Pratishedha).
!

Causes

Hiccough,

result of using those articles

cough and asthma are the of fare which are heavy, dry,
which are followed by an

or secreting (Abhishyandi) or

acid reaction or which remain long in an undigested state


(in the

stomach} as well as of cold drinks, residence

in

cold places, exposure to cold or dust or

smoke or
physical

fire

or

wind, over-fatiguing physical exercises,


tion,

exer-

load-carrying,

toils

of journey,

voluntary repres-

sion of (physical urgings), fasting (Apatarpana),


lation

accumu-

of

Ama-dosha (mucus

in

the intestines), blow


cxccssc,

or hurt, emaciation

(weakness) due to sexual

concomitant distress or agony of any existing or continuing


physical
ailment,
irregular diet,

eating before
applica-

the digestion of a previous meal or of a


tion of
:

wrong

Sams'amana remedies.
of the

2.

Derivation :The Vayu


mouth with
a were, the spleen, the liver and

(wind)

constantly

belches out
it

report shaking, as
intestines.

the

The

physicians have bestowed the

name Hkctf on

the disease
the vital

owing to
spark
in

fact ,of

its

speedily

extinguishing

man (from Sanskrit root Ilins to kill). 3. Classification : Hicca is divided into
which
arc
styled
all

five

kinds

Annaja,

Yamala,

Kshudra
unison

Gambhira and Mahati,

of which

are the effects of


acting in

the derangement of the bodily

Vayu

with the deranged Kapha.

4.

Premonitory Symptoms : An

astrigent

Chap, t,J

UTTARA-TANTRA.
the moulh, an aversion to
all sorts

jlj
of pursuits,

taste

in

heaviness about the throat and

cardiac region and a

rumbling sound

in the

abdomen

(Jathara) arc

the preof
hic-

monitory
cough.
5.

symptoms which

usher in

fit

Symptoms

: The

bodily

Vayu

being suddenly

deranged by taking too much food and drink, is pushed upward and belched out in gusts which are known as, Annaja' Hicca. The hiccough which occurs in double
strokes and at long intervals shaking the head and

the
rises

neck

is

called

Yamaltf.

The

hic-cough

which

with a mild force and at long intervals from the root*


of the clavicles (Jatru)
is

called Kshudrika'.

The

violent

hiccough which

rises

from the region of the umbilicus


free

accompanied by a deep sound and interfering with


respiration,

causing dryness of the

lips,

throat,

tongue
.

and of the mouth and producing pain at the sides and


complicated with
called

many

other distressing

symptoms,

is

Gambhira'

The hiccough which produces


as
it

feeling of crushing pain

were, at the vulnerable


in full,

parts

(Marmans) and stretches out the body


force

shak-

ing

all

the limbs and which occurs frequently and with

considerable

accompanied by a
is

report,

and

produces a severe thirst

called Maha-Hicca'.

id.

Prognosis
is

hiccough-patient
fit,

whose body

stretched out in

full

during a

with his eyes turned

upward and fixed


from weakness,

in

a gaze as well as the one suffering

frequent sneezing (D. R. cough) or an aversion to food as well as those suffering from the
last

two cases of Hicca

vis.,

Gambhira and Mahati


11

should be given up as incurable.

By

the

word "Mula"

('.

tool) of the Jatru (clavicles)

GayaiWa

understands the regions of the heart, Kloma, throat, etc.Dallana.

316

THE SUSHRUTA
:

SAMiilTX.

[Chap.

Treatment
fusion

Practice of Pranayama (control of


frightening

breath-wind), tickling,

and producing coneffectively


re-

by pricking with needles may be

sorted to in a case of (simple) hiccough.

Yashti-madku
sugar, or a

mixed with honey, or Pippali mixed with


lnkewarm compound of milk,
the
clarified

butter and the

expressed juice of sugar-cane* should be employed after

manner

of

an

Avapida-Nasya.
into

Vomiting and
extremely
paste with the

purging

may

be induced in a patient not


a

weak.

Red sandal-wood made

lukewarm clarified butter mixed with Saindhava salt, or powdered Saindhava dissolved in
breast-milk, or

water
snuff.

is

beneficial,

if

administered

as

medicinal

12.

Gummy

exudation of

S'dla trees, Mana/i-Ji/d, or

cow's horn, or cow's hairs and skin, charged with clarified


butter, should be used in fumigation (Dhupana).

As an
patient

alternative,

the

seats

of

hiccough

(viz.,

umbilical

region,

etc.)

should be
to

duly fomented.
use

The

should be

advised

lambative composed of

Svartia-Gairika or the ashes of the bones of


tic

any domes-f-,

animal

pasted

with honey.

Hairs of Svavidh

a sheep, a

cow or

of Sallaki should be burnt in a covered

pot and given to be licked

with honey.

Plumes of a
bark
of)

peacock or the

fruit

of

Uditmvara

or (the

Lodhra should be similarly burnt and the ashes thus


prepared should be licked by the patient
in

combination

with honey and

clarified butter.

Sarjikd-kshdra licked

with the expressed juice of Vijapura and with honey

Tepid

Iliilk,

tepid clarified butter and expressed juice of sugar-cane

are also separately used as snuff,

t S'vavidb and S'allaki are the two

different kinds of porcupine.

Chap. L.]

Uf TARA-TANTRA.

317

would- also give instataneous relief in a paraxysm of hic-

cough,

13.

Lukewarm
a
case

gruels (Yavagu) saturated with

clarified

butter as well as

lukewarm Payasa prove curative

in

of hiccough.

The

milk-

of

she-goat duly

cooked with S'unthi and water *

(in the

manner

of

Kshira-paka) and mixed with sugar could

be as well

taken with benefit.

The

urine of a she-goat and of a


fit

ewe taken
infusion

to satiety

would readily cure a

of hiccough.
in

Similarly the smell of Puti-keeta


of radish,

duly soaked

the

Vachd and Hingu \ after the manner of Bhavana saturation would have the same result. 14.

Ndgakes'ara mixed with sugar and honey should be taken with a copious quantity of) the expressed juice
of sugar-cane and
of

Madhuka

flowers.

Pala weight

of Saind/iava salt should be used with two-Pala weight


of clarified butter,

Haritaki should be

first

taken and

then a draught of tepid water.

Clarified butter should

be taken with milk and honey.

Pichu (two Tolas)

weight of the expressed juice of Kapittha should be


taken with honey and powdered Pippali for the
(of hiccough).
relief

lambative

prepared

with

Pippali,

A'malaka,

S'jint/ii,

sugar and honey, or one prepared


fried

with Anjana (Souviranjana), powdered

paddy, and

the kernel (of the stone of) Vadara-fruit should be licked


as a

remedy

for

an attack of Hlcca.
liquid

1 5.

The
*

four

different

compounds

il

prepared

Some

tender 7j<iH<flq as the decoction of S'unthi.


is

t Pnti-keeta

a kind

of

bad-smelling

worm
place

appearing generally

during the rainy season.

t Some read f^psj' (Hingu and

lotus) in

of

'f*w'

both cases, however, ' mfqfl ' means simply 'mixed'.


H

According

to

pared with these

drugs,.

Vrinda and Chakrapani lambatives should be preAccording to some, the decoction bhould be used.

38

THE StlSHKUTA SAMHITX.


mentioned
in

[Chap. L.

with the drugs

the four quarts of the

present verse, vie.,(i)

The

fruit

and flower of Pdtald,(2)

Gairika and Katu-rohini (3) the kernel (inner pulp) of Kharjura and Pippali and (4.^ Kdsisa (sulphate of iron)

and Kapittha (D. R. Dadhi), should be mixed with honey and administered by an experienced physician in
cases of Hicca.
16.
:

Meat

as diet

The

soup prepared with the


S'vadamshtrd,

meat of S'allaka (porcupine),


Vrisha-dams'a (wild
cat),

Godhd,

Rishya (D. R. Riksha

a bear)

and Mriga (different kinds of deer, as well as of Kapota and Pdrdvata (different kinds of pigeon), Ldva and other birds should be taken lukewarm with the expressed juice of acid fruits

and with Saindliava and a


17.

Sneha

(clarified butter, etc.).

Purgatives as well as potions of tepid clarified butter

mixed with Saitidhma-saXt and sugar should be regarded


as highly beneficial in an up-coursing of the bodily
in cases of

V&yu

Hicca.

Some

authorities are of opinion that

the application of an
beneficial in such cases.

Anuvasana-vasti would be also


18.

Thus ends the

fiftieth

chapter in

the

Ultara-Tanlra of the Sus'ruta

SarahitA which deals with the (symptoms

and) treatment of hiccough.

CHAPTER
Now we
shall discourse

LI.

on the chapter which deals


treatment of Asthma

with the (symptoms and) medical

(SVasa-Pratishedha). i. ^Etiology : To the same


factors

group

of exciting

which bring

in

an attack of hiccough should


is

be attributed the origin of that voilent disease which

known

as Svasa (asthma).
its

The

vital

Vayu known
rises

as the

upward in unison with the deranged Kapha of the body and produces that gasping and laboured breathing which is
called Sva'sa

Piana-Viyu foregoing

normal function

(asthma).
in
its

This dreadful disease though


is

virtually
five

one

nature and origin

divided

into

spicific

types,

viz.,

Kshudra-Svasa, Tamaka-Svasa,
2
in
4.

Chhinna-Svasa, Maha-Svasa and Urddhva-Svasa.

Premonitory Symptoms : Pain


region of the
as well as to
hear;,
all

the

and at the
in

sides,

aversion to food

other pursuits, suppression of stool


taste

and

urine and a bad

the

mouth,

may

be regarded
5.

as the premonitory

symptoms

of the disease.

Specific
the least

Symptoms
and a
is

: The

type in which

movement

or exertion brings

on an aggravaor relief

tion of the disease,


is

distinct amelioration

restored in a sitting posture,


is

called K8hudra-Sva'sa

The type which


as thirst,
in

accompanied by such symptoms


vomiting and a rattling sound
aggravation specially in foul
In a case of
I

perspiration,

the

throat
is

and

finds

weather

called Tamaka-SJvasa.
is

Svasa the patient

sound

in

the

throat,

Tamakaweak and has a dud (wheezing) also cough, the symptoms as


to
in

of (bronchial) catarrh

and an aversion
breathing

food.

He

is

oppressed with

difficult

even

sleep which

320
abates only

THE SUSHRUTA
when

SAMHITA*.
is

[Chap. LI.

the cough subsides and


If a case of
fits,

aggravated

when the

patient sleeps.

Tamaka-Svasa be
it

attended with fever and fainting

is

then

called

Pratamaka.

9.

The

case wherein

the patient pants for breath and


in the bladder,

has tympanites and a burning sensation

and wherein the breaths


intermittent,
is

are

painful,

detached and

known
rattling

as

Chhinna-svtfsa.

The

case

wherein the patient breathes heavily lying unconscious

and with a loud

sound

in his throat

and with

cramps at his sides, the lips and the throat being parched and the eyes riveted in a fixed gaze or stare, is known
as tfahtf-S 7tfsa.

The

case wherein

a patient breathes

hurriedly, lies unconscious with choked voice

and upturn10
the

ed eyes and with his

Marmans
is

stretching out fully with

each stroke of breath

called Urddhva-Svtfsa.

12.
one

Prognosis

Of

these (five)

types

known a Kshudra-Svasa is easily curable, while the one known as Tamaka-Svasa is hard to cure, and the three remaining ones, as well as Tamaka, ocurring in a weak
or enfeebled patient arc regarded as incurable.
13.

General Treatment : Several


aver that mild
emetics and purgatives
(lit.

authorities

upward and
the

downward cleansing Sodhana


chief

of the system) with


asthma,
if

exception of the application of Sneha-vasli would be the

remedies

in

cases

of

the

patient

Old and matured clarified butter duly cooked with Abhayd, FiV-salt and Hingu or with Souvarchala, AbJiayd and Vilva would be benepossesses sufficient vitality.
ficial in

cases

of cough, asthma,

hiccough and heartclarified

disease.

Similarly old

and

matured

butter

duly cooked with the pulverised drugs of the Pippalyddi

group as Kalka and with (the decoction


of the
first
i.e.

of)

the drugs

the

Viddrigandh&di group and with the


Chap. LI.]
five officinal

UTTARA TANTRA.
kinds of salt added
to
it

321

by way
14

of,
15.

an

after-throw, relieves both

cough and asthma.

Hfmsra'di Chrita :Clarified


of * Himsrd, Vidanga, Putika,
Tri-phald,

butter should

be duly cooked with a Kola (D. R. Karsha) weight each

Vyosha and
four
thus

Chitraka, and with milk

twice as

much and water

times as

much

as

clarified

butter.

draught of

mediated Ghrita

relieves

both cough and asthma and


piles,

proves curative in cases of

aversion to food, Gulma,


16.

diarrhoea and consumption (Kshaya).

A
times

quantity of clarified butter, duly cooked with four


as

much

of the decoction of all the parts (viz.

flowers and roots) of Vdsaka and with its roots and flowers as Kalka, should be used with honey when cold (in cases of asthma). 17. ^ringya'di-Ghrita, A Prastha measure of
leaves, branches, barks,
clarified butter

duly cooked with S'ringi, Madhurikd,

B/tdrgi,

S'unthi,

Rasdnjana, sugar,
all

and

Yashti-madliu

taken

in

equal

Ambuda, HaridrA parts and as


cases of

Kalka and with four times of water, would cure cough, asthma and hiccough 18.

Slivahacli
clarified butter

Chrita S A

Prastha measure of

should

be duly cooked" with twkc as


a Kola (one Tola. D. R.

much of water and with

Karsha)
made
e.

weight each of Suvahd, Kalikd, Bhdrgi, S'ukandsd, fruits


of Nichula, Kdkddani, S'ringavera, Varshdbliu and the

two kinds of Vrihati.

Taken hot

after being

pungent (by the addition of some pungent drug Pippali), it would cure all forms of asthma. 19.
Calrified

g.,

butter duly cooked with the admixture of

Souvarc/iala,

Yava-kshdfa, Katuka,

Vyoslia,

Chitraka,

Vac/id, Ab/iayd,
*

and Vidanga, proves curative in a cas6


be taken
in tile

Some

prescribe Ihe Kalkas to

ordinary

way and

say

that the dose

would be one Kola weight.

41

322
of asthma.

THE SUSHRUTA SAMHITX.

[Chap. LI.

Similarly clarified butter duly cooked


of Gopa-valli
(Sariva)
is

with
twice

the decoction
as

weighing
also

much

as

the clarified butter


five

prescribed.
in

Physicians prescribe these


cases of asthma and cough.*

medicated Ghritas

20-21

Tsfllscfdl-Ghrlta :Clarified butter mixed with Hingu weighing a quarter part of its own weight and duly cooked in combination with four times as much of
water and with
Tdlis'a,

Tdmalaki and Ugrd,


(Chitraka),
Pat/iyd,
in

Jivanti,

Kushtha, Saindhava, Bilva, Pushkara, Putika, Souvarchala,

Kand

{Pippali),

Agni

(Hari-

taki)

and Tejovati as Kalka proves curative

all

forms

of

asthma.

The medicated Ghrita


*

known

as VistL-

Ghrita f and Shatpala-Grhrita


beneficial.
22.
oil

would likewise prove


combination

The

proper. use of

duly cooked

in

with the expressed juice of Bhringa-rdja weighing ten


times as much, would relieve cough and asthma. 23.

Meat 83 Diet
Vishkira species
the juice of
etc.)
(e.g.

Essence
(e g.

of

any
etc.)

bird

of the

chicken, Lava,
fruit

charged with

any acid

pomegranate, Vijapura,
salted with a

and with

clarified butter

and

profuse

quantity of Saindhava, or the soup of Kulattha cereals,


properly cooked with the heads of
as milk

Ena

deer,

etc.,

as well

duly cooked with (Anti-asthmatic and Vayudrugs


(c.g.

subduing)

Pancha-mula)

would

destroy

cough and asthma.

24.

The five Lam bat Ives : a


*

lambative com-

Some

editors

add
is

this sentence after the next (Talisidi) Ghrita.

t
(Ch.

Viitf-Cthrlta

mentioned

in

the treatment

'of

Rakta-pitta
in cases

XLV,

20,

Uttara-Tantra).

It should

be prescribed

of

asthma when Pitta predominates. X Sliatpala-Grhrita is mentioned


-it

in the treatment of

V&a-Vy&dhi.

should be prescribed

if

Vtfyn

prevail.

Chap.

LL]

UTTARA-TAJjfRA.
five
,

323

posed of any of the following

groups of drugs men-

tioned in a hemistich each, vis


S'ringi
Pippali,

Tinis'a-seeds,

Karkata~

and

S'uvarchikd {Jatuka-creeper), or Durd-laikd,

cock's feather, Kola' (Chavya)

Katuka and Haritaki,; or porcupine's hair, peoMdgadhikd, and Kane/*


Tvak,

or Blidrgi,
(sugar)

(cardamom),

S'tingavera,

S'arkara'

Tri-kantaka alone, should


clarified butter

and SW/a&J-bark, or the well-pounded seeds of be licked with honey and

by a patient

suffering

from cough and

asthma.

25.'

Powders of

sapta-c/ic/ihada-fiowers

and Pippali should


fried

be taken with curd-cream (Mastu) or powders of


barley grains (?) previously soaked for several
in

times

the expressed juice of tender Arka-twlgs together


taken.

with honey should be


patient suffering from
(cordial)

As an

alternative,

asthma \vou"d drink the Tarpana


the

prepared

with
it

above-mentioned barleyof water

powder (by mixing

with a copious quantity

and) with honey. 26.

A
in the

potion

prepared with the

flowers

of

S'irisha,

Kadali and of Kunda and with Mdgadhikd and dissolved


washings of
rice

would completely cure

all

forms

of asthma.

The

pith or inner pulp

of AWa-stone, roots

of Tdla
skin

(palm) tree (D. R.

Tala-muli)
species,
in

and the burnt


should be taken
clarified

of a deer of the Rishya


;

with honey

or Bhdrgi with honey and

butter,

or Kadamba-seeds

and

Nimba
rice.

combination with

honey and the washings of


Drdkshd, Haritaki,
*

27

28.
Karkata-tfringi

Krishnd,

and
Some,
Others

Maghadhika and Kan a


prescribe

are

synonyms and mean


Pippali
in

Pippali.

therefore,

two

parts of

the

compound.

prescribe one part of Pippali,

and one

of Gaja-pippali.

The

skin of the deer should

be burnt in a covered

earthen pitcher

and the black contents should be used.

J24

THE SUSURUTA SAM HIT A.


in

[Chap. Lt.

Durdlabhd

combination with honey and

clarified

butter, should be licked by a patient whereby he would

get rid even of a violent attack of asthma.

lambative
Mariclia,

composed of the
Drdkshd,
treacle,

equal

parts

of

Haridrd

Rdsnd,
oil

Kand and
by an

S'athi. should

be

given to be licked with

asthma-patient, condiet.

forming to the regimen of wholesome

29

30.
medicinal

The expressed should be licked by


remedies or

liquid

of cow-dung and

horse-dung

the patient with

honey and powdered

Pippali in cases of cough and

asthma.

The

compounds mentioned in connection with Pandu-roga, and edema (Sotha) or cough, may be employed with efficacy both in cough and asthma. A compound

made
liquid

of Bkdrgi, Tvak,

Tryushana,

oil,

Haridrd, Katuthe
(to

fohini, Pippali,

Maricha,

Chandd

and
with

expressed

of

cow-dung should
should

be given

be

licked).

UtkrfriktC

be
it

prepared

Tala-keeta-vija*

Taken

internally,

instantaneously subdues even


31

violent attack

of asthma.

34.
clari-

Articles

recommended : Matured

fied butter, Pippali,

soups of Kulattha, or of the flesh of


rice-

any Jingala animal, Sura, Souviraka (fermented


boilings),

Hingu, the expressed juice of Mdtuluiiga, honey,


(as diet)

Drdkshd, Amalaki and Bilva arc recommended


in

cases of asthma and hiccough.

35.

Application Of SV.eda : Oily


(Snigdha-Sveda) with the help of
applied to the patient
suffering
oil

fomentation
should be
hicin

and

salt

from asthma and

cough, whereby the hardened

Kapha (accumulated

the channels) would be liquefied and the deranged bodily

Vdyu
*

pacified.

If

the

Vayu and Kapha


is.

be not thereby

We

do not know what 'Tala-kecla'

Some

printed editions read

"Tali>a-l;ceta"

which would evidently mean a "bug".

Dallana

silent

00 the point.

Chap. LI.]

UTTARA-TANTRA.
the patient should be
diet
first

325

pacified,

treated with

Sneha

and then with a


with
meat-soup.

consisting

of boiled rice cooked of

Application
to.

Dhuma-inhalation

should then be resorted

36A.
stick (Varti)

Application of Dhuma: The


to be used in the process should be duly

made of Manalir s'UA, Deva-ddru, Haridrd, Patra, Guggulu, Ldkshd and Eranda-xoots made into a paste. Compounds made of
clarified butter, fresh

wax and
;

resin

or of cow's

horn,

hairs, hoof,

tendon and skin

or of Turashka (Sila-rasa),

S'allaki (Mocha-rasa), Guggulu and

Padmaka, should be
the addi-

pounded together (and made


tion of clarified butter.

into sticks) with

An

intelligent physician should

use these (sticks) for the purpose the disease.


36.

of smoke-inhalation in

Purging
patient

and vomiting

should be

induced

in

overwhelmed with the action of the deranged


of the

Kapha, while Tarpana measures with the administration


of a potion of the well-cooked soup of mutton or
of any Jangala or Anupa prescribed in the case of a weak
flesh

animal, should
or

be

enfeebled patient,
internal parched

or in respect

of'

one suffering from an


37.

condition of the body.

A
much

lambative should be

prepared with

Nidigdhikd

paste of the weight of an Amalaka, mixed with half as


of

powdered Hingu and with a copious quantity of


force
38.
fire

honey. Duly taken, it would per paroxysm of asthma within three days.
Irresistible
is

conquer a

an attack of asthma like that of a

fed with heaps of fuel (D. R. fauned

by the wind) or

like

that of the thunderbolt hurled by the wrathful

Indra,

the king of the gods.


Thus, ciuU the
lifty-first

39.
the

chapter in

Ultara-Tantra of the Sui'rula-

Samhita which dcalo with the (symptoms, and) treatment of asthma.

CHAPTER LIL
Now we
shall discourse

on the chapter which deals

with the (symptoms and) medical treatment of cough.

(Ksfea Pratlshedha).
in

i.

Cause and Etiology : Cough has


the

its

origin

same

sets

of causes, which

excite

or usher in

an attack of hiccough or asthma.


the body

The
is

vital

Vayu

of

known

as

the Prana-Vayu combined

with

other Doshas (Pitta and


causes as the dust (into the

Kapha)

deranged by such
or

entrance of

smcke

of

particles

of

larynx

and

nostrils),

over-fatiguing

physical exercise,

inordinate use of any dry or parched

(Ruksha) food, any food going wrong way, voluntary


repression
of

of

sneezing or of

any natural propulsion


it

the body.

Thus deranged,

is

suddenly pressed
in

upward and emitted through the mouth


the deranged

unison with
trachea)

Udana-Vayu
This
is

(situated

in

the

producing a peculiar sound


Indian bell-metal.
learned.
2

resembling that of broken


called Krfs'a (cough)

by the
into

3.

Classification
five

:-- This disease


it is

is

divided

types according as

originated

through the

action of the deranged Vayu, or Pitta or

Kapha

of the

body, or
or to

is

due to the presence of any ulcer (Kshata)

These

five

any wasting process (Kshayaja) in the organism. types of cough are recognised by the physi-

cians (in practice), which,

when

fully developed,

(i.e., if

neglected) would tend to produce phthisis (Yakshma). 4.

Premonitory Symptoms
the throat, a sense
of obstruction
feeling
in
in

:- itching

in

eating (difficulty

of deglutition), a sticky

the throat and in

Chap. LJI.]

UTTARA-TANTRA.

327

the palate, changed voice, aversion to food, and dulness


of the digestive
fire

are
5.

the

symptoms which
person

usher, in

an attack of cough.

Specific

Symptoms : A

affected

with a cough of the Va'taja type, complains of an aching


pain in the region of his heart, in his temples, head,

stomach and the sides and has dry and frequent coughs
(unattended with mucous expectorations),
face,

with a pale

a weak and hoarse voice and diminished strength and vigour (Ojas). A burning feeling in the region of the heart, fever, sense of dryness, and a bitter taste in the

mouth,

thirst,

yellow and pungent expectoration, paleness


sensation in the body, are

of complexion and a burning

the indications of the Pittaja type of Kdsa.


sense
in

sticky

the mouth, a sense of physical


to

lassitude,

head-

ache, aversion

food,

sense

of

heaviness in the

body, itching, frequent

fits

of cough

and thick mucous

expectorations are the features which distinguish the

Kaphaja
ation
in

type.

68.

Symptoms
over-fatiguing

of Kshataja Ka'sa :Ulcer?)

the Vakshas (chest


physical

caused by loud reading,


or

exercise

carrying loads of

excessive weight, or incidental to


thereon,
fits

affects

the

locality

any blow or hurt dealt and gives rise constant

of

cough
is

accompained

disease
chest.

called

by blood-spitting. The Kshatja Ka'sa or cough of ulcerated


toils

9.

Sexual excess, carrying heavy loads, excessive


of journey, over-exertion of horses and elephants and
in

battle, forcible controlling

such other fatiguing feats

tend to produce parchedness of the system and ulcers in


the Uras (chest) whereby the bodily

Vayu
is

is

deranged
only

and cough

is

produced.

The

patient

afflicted

with a sort of dry cough at the outset but begins to


THE SUSIIRUTA SAMHITX.
with the progress of the disease.
in the throat
[Chap.

328
spit blood
feels

HI.

The
Uras

patient
(chest)

an excessive pain

and

his

seems to be broken and pricked into with sharp needles,

and cannot bear


pressure
locality.
thirst,

the least touch

on account of the
in

of an

intolerable
in

aching pain (Sula)


the joints,
fever,

the

Breaking pain

asthma,

and

loss of voice are the

symptoms which mark


the patient
lies

the Kshataja type of the

disease and

moaning
person

like a pigeon.

10.
fire

Kshayaya-Kefea. The
who
and
or
is

of digestion

in

addicted to the habit of taking unwholeor of taking


it

some and incongenial food


time
quantity
or excesses

at

improper
sexual
or

who
in

is

given
or

to

who

indulges
his

grief

disgust

abhorrence (of food) in


represses
affected

mind, or
of
his

who

voluntarily

any natural urging


and diminished.
a
It

body,

becomes
all

(thereby) aggravates
in their

the three Doshas of the body, which,


rise

turn, give

to

type of cough
of

attended with a gradual

emaciation

the

body.

The

disease
fever,

is

called

Kshayaja
sensation

Krfsa.
in

Cramps

in the limbs,
fits

burning

the body, fainting

(Moha), loss of
of the

strength (Prana) and of flesh, emaciation


spitting

body,

blood

streaked

with

pus,

and

weakness

are the

symptoms

of this

type of Kasa known as

Kshayaja Kas'a. It is said by medical experts to be due to the concerted action of all the three Doshas and to be included within the categoiy of diseases which are very hard to be cured. A case of cough (in an old man)
due to
tion.

his declining years is only susceptible of pallia-

II

12.
:

General Treatment
sisting

compound

con-

of

Srt'ngi,

Vac/td,

Kat-phala,

Ka-trina, Musta,

pjtanydka,

Abhayd,

Bhdrgi,

Deva-ddru,

Vis'wa and

Chap. LII.J

UTTAKA-TANTRA.
in

329

Hingu taken

hot water would rapidly cure a case

of long-stand ing cough.

lambative composed of the


Vyosha,

equal quantity of Tri-phald,

Vidanga, S'ringi,

Ra'sna'

',

Vacha',

Padinaka
butter,

and Deva'-ddru pounded would speedily conquer a

together and mixed with a copious quantity of honey,

sugar and

clarified

13-14. cough should use a lambative composed of Pathyd, sugar, Amalaka, fried paddy, Mdgadhi, and S'unthi pounded together and mixed with honey and clarified butter, or take Krishnd and
serious attack of cough.

patient afflicted with

Saindhava

salt

with
in

warm

water.

He

should

use use

Ndgara and Pippali


and
vera,
clarified butter.

combination with

treacle, or

a lambative of the paste of Drdkshd mixed with honey

A compound composed

of the equal

parts

of Drdkshd, sugar and Mdgadhikd, or of S'ringaYashti-tnadhu, and

Tugd (Vams'a-lochana) should


clarified butter
;

be licked with honey and

or a com-

and an equal quantity of Markka should be licked with honey and clarified A compound consisting of Dhdtri, Kand, Vis'va butter.

pound consisting of

S'itopala (sugar)

and S'itopala (sugar) should be taken with curd-cream


(Dadhi-manda).

person

suffering from

an attack of

cough should use Harenukd and Mdgadhikd taken in equal parts and pounded together through the medium
of curd.

and the
in

pith
i

The two kinds of Haridrd, Deva-ddru, S'unthi cf a Gdyatri-trcc pounded and mixed
parts,

equal a

should
a

be taken
Tilvaka

with the

urine

of
of

goat,

or

pulverised

compound
'should

consisting

Danti,

Dravanti and

be taken.

Leaves of Vadara pasted with Saindhava salt and fried


in clarified butter

should be taken

or

a Kola (two
acid

tolas)

weight of Hingu should be taken with fermented


fruit.

ricc-bmlings (Souviraka) or with the juice of

42

330

THE SUSHRUTA SAMHITX.


Markka
should

[Chap.

LH.

Powdered
honey.

be

likewise

licked

with

15.

: The patient smoke of a burning Varti (medicinal stick) composed of Bhdrgi, Vachd and Hingu, pounded together and mixed with clarified butshould be

Inhalation of
made

Dhuma
the

to inhale

Eld and Lavana mixed with clarified butter. Similarly, a patient suffering from an attack of cough due to Vita and
ter,

or of the scrapings of (green)

bamboo

Kapha

should

inhale

the
of

smoke

of a Varti

prepared

with Musta,

bark

Ingudi,

Yashti-madhu, Mdnsi,

Manah-s'ild and Haritdla pasted together with goat's urine and then take a draught of milk. 16.

be combination with Markka, whereby a fit of cough would be instantaneously subdued. Milk duly boiled and cooked with the admixture of Dr&kshd,
taken
in

In the alternative, Sidhu (a kind of wine) should

Ambu

(Valaka), Manjishthd and

Pura\ should be taken

puis* should be taken with powdered Kanta-Kdrikd, Nagara and pippali mixed with honeyj. Utkaraka (a kind of confection) prepared

with honey.

Well-boiled

Mudga

with clarified butter,

Mula

Truti (Ela),

leaves of

Vadara and a copious quantity of powdered Ndgara A thin Peya prepared with the precedshould be used.
ing

drugs
17

may

be taken

cold

in*

honey.

combination with

19.

Treatment of V&aja Kasa :The


cated clarified butter mentioned in connection
*

medi-

with the

Dallana explains "twiT as

A*%$

(leaves of bamboo).

t Pura means S'allaki (gum) or Guggulu. -Dallana. t Dallana leads qr^WTfl^ as a variant and explains that the powders of TrUcatu should be added in a large quantity in place of honey.

frBy
to

the term

^y'o'ne mean q^f(taddish't

while others take

it

mean

the drugs of the Pancha-mula-group.

Chap. Lit]

UTTARA-T ANTRA.

33*

medical treatment of Plihodara (enlargement of spleen)

tive

and known as Shadanga-Ghrita * proves equally curaClarified butter duly in cases of Vtftaja-Ka'sa.
cooked with the drugs of the VidAri-gandhddi group,

or with the expressed juice of Vdsaka, would also prove


beneficial.

Applications of purgatives with any Sneha,

as well as those of

Asthipana

or Anuvrisana-Vasti are

recommended.

Inhalation

of

Snaihika

(oleaginous)
butter,

Dhuma

as well as potions of

lukewarm

clarified

gruels duly cooked with meat-essence, milk


tives saturated

and lamba-

with clarified butter,


case.
20.

may

be taken with

advantage

in

such a

Treatment of Kaphaja Ka'sa :Cases of


Kaphaja-K&a
tives,

readily yield to the use of emetics, purga-

medicinal head-purgatives,

medicinal

gargles, hot

and pungent lambatives as well as the inhalation of smoke


(Dhuma).
light,

Any

articles of

food which are emaciating

(.<?.,

percifying and small in quantity and even fasting)

should more particularly be beneficial.

case of cough
is

due to the action of the deranged bodily Kapha


relieved

by the use of

Tri-katu,

or of clarified butler
\

duly cooked with the expressed juice of Krimighna


Nirgundi.

(Vidanga) or with the expressed juice of the leaves of


2f.

clarified butter

duly cooked

in

combination with

twice as

much

juice of Nidigdhikd (Kantikari)

and with

the Kalka of Pdtkd,


*

Vit-salt,

Vyosha,
>8.

Vidanga, Sain'
It is better

For Shadanga-ghrita, see chapter XIV, Para


.

known

as Shatpalaka-Ghrita.

t According to Vagbhata the clarified

butter

should be duly cooked

with the Kalka of Tri-katu and with the decoction (Rasa) of Vidanga.

X Some lake 'Krimighna'


any antiparasitic drug,

to

mean Vidanga,

others

take

it

to

mean

viz., the

drugs of the Surasadi-gana. Dallana.


shjuld be used
if

The
j.ice

infusion

or

decoction of Vidanya
Ibid.

its

expressed

be not available.

332

THE SUSIIKUTA SAMHITX.

[Chap,

tit

dhava, Tri-kantaka (Gokshura), Rdsnd,


S'ringi, Vachd,

Chitraka, Vald,

Mustd, Deva-ddru, DurdlabM, Bhdrgi,


in

Abhayd and SKathi, proves curative


of digestion, hoarseness, as well as

asthma, dulncss
violent

the
22,

attacks

of the five different types of cough.

Pittaja
wasting

and Kshayaja Kasa : A

case of

cough of the Pittaja-type, as well as the one due to the


yields to the use

(Kshaya) brought about by sexual excess, every morning of the clarified butter,
Sdrivddi and the Madhura

duly cooked with the decoction of the drugs of the


Viddri-gaadhddi, Utpalddi,
(i.c.

Kakolyadi) groups and with the expressed juice of


milk

sugar-cane, water,

Kdkolyddi group as

and with the drugs of the Kalka and with the addition of

sugar as an after-throw.

The

three

cases

viz.,

Pittaja,

Kshataja (ulcer-orignicd) and


wasting process
the
in

Kshayaja (due

to

any by

the system) of

Kasa

are

relieved

use

of

the

Bfidrgi, Pippali, Piydla,

compound prepared Madhulikd. Eld and Amalaka


with Kharjura,

mixed

in equal parts,

and taken with a copious quantity


23

of clarified butter, honey and sugar.

24.

Cases of the Kshataja (ulcerated) or Kshayaja (consumptive) Kasa, would become amenable to the use of a

compound
Pdthd,

consisting

of the

equal

parts

of

Raktd

(Manjishtha),

Haridrd, Anjana

(antimony).

Chitraka,

Murvd and

Pippali pounded together and taken

with honey, or of

clarified butter

duly cooked with the

expressed juice of sugar-cane.

Amalaka powder duly


combination with
Persons
clari-

cooked with milk and taken


fied

in

butter

would prove

efficacious.

afflicted

with the three types of cough

may

take with |benefit

the fine powders of wheal, barley as well as of the

drugs
butter.

of the

Kdkolyddi group, with milk and


with water should

clarified

Treacle boiled

be

taken,

Chap. LlL]

UTTARA-TAttTlU.
with honey and with
biting
it.

3^3

when

cold,

Markka
Prastha

taken at

intervals

by

25

28
measures
of

Ka&yana-Gllda :Three
of the

expressed juice
(six seers

Amalaka and
of

half a

Tula
duly

measure
cooked

and a

half) of treacle should be

with

eight-Pala-wcight

powdered
oil.

Trivrit

(lightly fried) with eight-Pala

measures of

Powdered
Tri-

Granthika (Pippali-roots), Cluivya, Jiraka, Vyoslia, Gajapippali,

Havashd, A/amodd,
Yatndni,

Vidanga, Saindliava,

phald,

Pdthd, Chitraka

and Dlidnya,
the whole

each

weighing a

Pichu weight (two Tolas) should then be


as an after-throw and

added to

it

compound

should be scented with the

three

scented

drugs (Tvak,

Ela and Patra).

The

patient should take an

Tola) weight of this preparation.

Aksha (two The medicine thus


it

prepared

is

called

Kalyana'ka Guda and

proves cura-

tive in cases of

Grahani,

cough, asthma, hoarseness of

voice and phthisis. It serves to improve appetite, increase

the semen

of males

and remove
used.

sterility

in females.

There

is

no special restriction about the regimen of diet


it is

and conduct when

29.

Agastya-Leha :Two
known
as

Palas each of the drugs

Das'a-mula,

Gaja-pippali, Atma-guptd, Bhdrgi,

S'athi, Pushkara-roots, S'imthi,

Pdthd, Gulancha, GranChitraka,

thika (Pippali-roots),

S'amkha-pushpi, Rdsnd,

Apdmdrga, Vald and Durdlabhd, and one Adhaka (half a seer) of Yava together with one hundred large-sized
Haritaki should be boiled with one Drona measure of
water and taken down from
the oven with
>it

its

three-

quarter part evaporated in the process.

should then

be

filtered

through a piece of

linen.

Tula weight of

treacle should be dissolved in the

above decoction and

duly cooked with the addition of a Kudava measure


each of
oil

and

clarified

butter.

When

the cooking

is

334
finished,

THE SUSHRUTA SAMHITX.

[Chp.

M.

powdered Pippali should be added as an afterthrow and honey should be mixed with it, when cooled. One Karsha weight of this elixir Leha should be licked every day in combination with two Abhayas. It conquers cases of phthisis, Grahani edema, dulness
of appetite,

hoarseness of voice, cough,

Pindu, asthma,
heart).,

head-ache (Siroroga), Hrid-roga (diseases of the

hiccough and Vishama Jwara.


elixir

improves strength

A. regular use of this and memory, imparts vigour of

mind and energy of action and removes disinclination by the holy sage, It was first concocted to work.
Agastya.
30.

cooked with the decoction made by boiling the drugs of the Madhura or any other suitClarified butter duly

able

group with the essence of Kulira


to the presence of
in

(crab),
in

Sukti,

Chataka, Ena-deer and Lava proves curative


of cough due
or to

the case

any

ulcer (in the

lungs)

any wasting process

the

system.

The

use of

clarified butter

duly cooked with S'atdvari, Ndga-vald


afflicted

and

Vald proves beneficial to a person

with

cough.

3132.
the fifty-second chapter of the Uttara Tanlra in the Sus'ruta

Thus ends

Samhhd which

deals with the (symptoms and) treatment of cou^jh

CHAPTER
Now we
of voice
shall discourse

LIII.

on the chapter which deals

with the (symptoms and) medical treatment of hoarseness

(Svara-bheda-Pratishedha).
and the

i.

EtlOlOgy : The Vayu


are deranged

other Doshas

and aggravated by such causes as exexternal hurt


or injury
in

tremely loud speaking, taking poison, reading at the top


of the voice,
cold, etc., *

and exposure to
the

and finding lodgment


affect

sound carry .disease


is

ing channels, they

the

voice.

The

is

called Svara-bheda (hoarseness of voice) and

classified

into six different types,

2.

Specific

Symptoms

: The Vsftaja type


eyes,

im-

parts a black colour to the

face,

urine and stool

and the voice acquires the sound of the rough and hoarse braying of an ass +. The face, eyes and the
stool

and urine of the patient are tinged yellow


proceeding from the throat with an
In the
internal

in a

case of the Pittaja type as


if

and the voice sounds sunken


burnpatient cons-

ing sensation.

Kaphaja type the


in

tantly feels a sense

of constriction

his

throat with

mucus and
belonging
types,

is

only enabled to speak slowly and softly


in

and that specially


to

the day.

Symptoms
in

specifically

the

three

preceding

Dosha-originated
the type due to

are

simultaneously present

the concerted action of the three Doshas (Tri-Dhoshaja)

together with indistinctness of speech and

incapability

Here

Pitta-aggravating and

Vayu-aggravaling
'^hnf^fH:'
I

causes also are

intended by the word

*rrf?' i-e., etc. in


is

t Pallana's reading evidently

ir^^^f indistinct).

336
of articulation.
curable.
3

THE SUSIIRUTA
This
type

SAM111TA.

[Chap. LHI.

should be deemed as

in-

6.

Symptoms
doJ a types : In
mately disappears.

of
the

Kshayaja and MeKshayaja


stage

type the voice


lower,
it

emits vapour and, becoming lower and

ulti-

This

of Svara-bheda (loss

of voice) should be given of the

up

as incurable.

In an attack

Medoja type the

patient speaks very indistinctly,


it

the voice remaining, as


his throat, lips

were, inside his throat.


stick)'.

And
old,

and palate become


:

7-8.

Prognosis
congenital
incurable.

Svara-bheda
as

in cases of

weak,

emaciated, or fatty patient,


or Tri-Doshaja
9.

well

as

a long-standing,

one should

be regarded as

General Treatment : The


patier.t

body

of the

should
lit.

be

first

rubbed

wiih a Sneha (clarified


the

butter,

treated

with

emulsive measures) and


underlying the root
the
of

deranged bodily Dosha

the

attack should be curbed with


gatives,

help

of emetics, pur-

Vasti,

crrhincs,

Avapida-Nasya,

lambativcs,

smoke-inhalations or gargles.
previously mentioned
of cough and
in

Measures and
be
as

remedies

connection with the treatment


should
well

asthma

employed
hear

in their entirety in

the present

disease.

Now

me

describe the medicinal remedies


beneficial

which arc specifically

to

a patient afflicted with an attack of Svara-

bheda.

10.
:

Treatment of Vataja Type in


Va'taja type
after a full

the

of the

disease,

the

patient

should take,

meal,

clarified

butter

mixed with the ex-

pressed jiyce of Kdsa-marda, Vdrtdku and

Mdrkava with
Yava-Ks/tdra

Artagala (Arjua).

In the alternative,

Ghrita prepared

from goat's milk and duly cooked with

and Aiamodd or with Chitrak-a and Amahrka, or with

Chap.

tW.J

UTTARA-TANTRA.

337

Deva-ddru and Agtri (Chitraka) should be taken with


honey.

The

diet of the patient in such


rice

a case should
clarified

consist of boiled
butter, followed

taken with treacle and


tepid water,

by draughts of
be
constantly

n.

Plttaja
butter should

and Kaphaja types : Clarified


used with milk in the Payasa * duly prepared Yashti-madhu and clarified

Fittaja type of the disease.

with
butter,

the

admixture of

Lambatives composed of the powdered drugs of the Madkura (Kakolyadi) group saturated with honey and clarified butter, or of powders
should also be taken.
of S'atdvari or of Vald should be similarly taken. ders of pungent drugs should be taken

Pow-

with a copious
oil

quantity of cow's urine or licked with


in a case of the

and honey

Kaphaja type

of Svara-bheda. 12

13.

Hledoja, Kshayaja, etc.,

Types : The

medical treatment in the case of the Medoja type of Svarabheda should be the same as in the Kaphaja type.

The medical treatment of the Tri-Doshaja and Kshayaja


types of the disease should be taken in hand without

holding out any hope of recovery.

with the drugs of the


in

Milk f duly cooked Madkura group should be taken


in

combination with sugar and honey

a case due to

the effects of loud speaking.

1415.
the Sua'ruta

Thus ends the

fifty-third

chapter of the Uttara-Tantra in

Samhita which deals with the (symptoms and) treatment of hoarseness.

*
sugar.

Patyasa

is

a special preparation of rice boiled with milk end


or of a sbe-buflalo, etc,

t Milk of a

cow

may be

used here. Dallana.

43

CHAPTER
Now we
shall discourse

LIV.

on the chapter which deals


treatment
i.

with the (symtoms and) medical

of

worms

(Krlml-Roga-Pratishedha).

Causes : The
of a previous meal,

Pitta

and Kapha of the body are

aggravated by such causes as eating before the digestion


excessive use of any indigestible,

uncongenial, incompatible or filthy articles of fare, seden-

tary habits, partaking

of cold,

heavy or fatty meals,

sleeping in the day-time, excessive use of

Mdsha,

cikes,

Vidala
root

(cereals),

Visa Hotus stems),

S'dluka (bulbous
(wine)

of the lotus),
of

KaJeruka, pot-herbs, Surd


fermented
rice-gruel),

S'ukta (a kind
treacle,

curd,

milk,

sugar-cane,

Palala (dried plants of corn), flesh


(oil cakes),

of

Anupa animals, Pinyaka


and such other

Prithuka (Chipi-

taka),

articles of fare as well as

by the use

of sweet, acid and liquid articles.

They help the germinand Pakvas'aya


2.

ation of parasites of various shapes in the different parts

of the body, Amas'aya (stomach)


tines)

(intes-

being their principal seats or location.


:

Classification
human organism)
species,

The

worms
into

or

parasites

(which are found to germinate and grow in a living


are divided

twenty
in feces,

different

and have

their origin
shall
2

either

Kapha

or

blood

*.

Now

enumerate

their

names and

characteristic features.

3.

Names and Symptoms

of Purlshaja
worms which
are

Worms
*
external
filth

The seven kinds


viz.

of

Charaka speaks of another kind


of the body), over

Malaja

(produced from the

and above

that kind of

worms which

are

present in every organism from the very birth (Sahaja).

Chup. LIV.]

UTTARA-TANTfcA,

339

known

as

Ajava, Vijava, Kipya, Tripya, Gandu-pada,


feces (Purishaja).
in

Chunj and Dvi-mukha, originate from

They
size.

are white

and extremely

attenuated

their

They
thicker

frequent the passage of the rectum and


(therein).
tails.

produce a pricking pain


are

Several

of

them
of

and have
loss

Cramps

(Sula), dulness

of appetite, yellowness

of complexion,

distension

the abdomen,
to

of strength, water-brash, aversion

food,

heart-disease

(Hrid-roga)

and

looseness

of

stool,

are the

symptoms which mark the presence of

worms (in the intestines), which originate in the feces. Of these Gandu-pada worms are red and long in their shape producing such symptoms as cutting pain (Sula),
rumbling sound in the
indigestion
intestines, looseness of stool,

and

itching sensation.

and they come out of the anus with an 4 5.

Kflml: Those
origin
in

Names and Symptoms


known
as

of Kaphaja

Darbha-pushpa, Maha-

pushpa, Praluna, Chipita, Pipilika and Daruna.have their


the deranged

Kapha.

They

are either hairy

or have hairs only on their heads,

or are

marked with
with
tails.

brown spots on

their sides or

are provided

They They

are white
eat

and small-sized
the

like fresh paddy-sprouts.

away

marrow and bore

into the eye-balls,

the palate and the ears and produce

head-ache,

cardiac
7.

troubles (Hrid-roga), vomiting and catarrh.

Names and Symptoms


Kfimi: The
the vitiated

of Raktaja

names of the worms originating from blood are Kes'ada, Romada, Nakhada, Dantada, Kikkis'a, Kushthaja and Parisarpa *. They are either black or blood-coloured, glossy and thick and
*

The names

of these

worms have been derived from

the

nature

of their actions on the different parts of the organism.

340

THE SUSHRUTA SAMHIlX

[Oi*p. L.IV.

generally produce diseases -which are peculiar


vitiated state of the blood * in the

to

the

body.

8.

Specific Causes :Worms


origin
in
results of the (excessive) use of such

which have their


of fare as

the feces (accumulated in the bowels) are the


articles

Mds/ta-pu\se, cakes, salt, treacle

and

pot-herbs.
in

The

Kaphaja worms germinate


of eating
flesh,

in the

system

consequence
treacle, milk,

Mdska-pulse (D. R.

fish),

curd and Swkta (a kind of fermented rice-gruel).

Worms

which originate from the contaminated blood of the


body, are intimately connected with the use of pot-herbs

and
of fare.

other
9.

indigestible

and

incompatible

articles

General

Symptoms : Fever,
mark
the presence of

paleness of

complexion, Sula, cardiac troubles (Hrid-roga), lassitude,


vertigo, aversion to

food and diarrhoea (Atisara) are

the complaints which the system.


10.

worms

-in

Prognosis :Of
of

these the

first

thirteen kinds

worms may be seen with

the naked eyes, while those the


)

beginning with Kes'ada


Kes'ada and
incurable).

(viz.,

Raktaja worms) are


the
first

not so visible and (of these latter

two

(viz.,

Romada) kinds should be given up


11.
first

(as

physician should

ascertain the nature of the

worms and, with a view


fied

to

destroy their colony in


(clari-

the body, should treat the patient with a Sneha


butter or oil) and then administer an
butter duly

emetic with
of the

clarified

cooked with -the


should

drugs

Surasddi group.
with

He

then

purge the patient


treat

any strong purgative


Kulattka-pu\se,

and

him with an

Asthapana-vasti prepared
Kola,
*

with the decoction of Yava,


of the Surasddi

and the drugs

See Chapter xxiv., Sutra Sthaca.

Chap.

UV,

UTTARA-T ANTRA.
Sneha

341
(clarified

group, charged with salt and with a


butter Or
oil)

duly cooked with

Vidanga.

Just

after

the flowing out of the injected anus) the patient should

solution (through his

be

bathed

with lukewarm

water and a meal prepared with vermifugal articles


should be given to him.

Anuvasana-vasti

should

then

be applied with the preceding Sneha (prepared with


Vidanga).

He

should take a

potion composed of the

expressed juice of S'irisha

and

Kiniki

(Apamarga)

pressed juice of

mixed together aud sweetened with honey. The exKevuka may be similarly (mixed with
1 2.

and) administered with a meal prepared with the articles


of strong (Tikshna) property.

A
of

paste (or powder) of Palds'aseeds or the expres-

sed juice thereof should


rice.

be taken with the washings


juice

The

expressed

of

Pdrtb/tadrn-lc&ves

should be taken with honey.

The

juice extracted

from

Pattura * or the drugs of the


(similarly)

Surasddi group should

be taken, or the
of

powders of dried horselicked with honey.

dung

or

Vidanga

should be

Pupulika-cakes prepared with (pasted

Yava and) the

pasted leaves of Muskika-parni (a kind of Danti) should

be taken by the patient followed by draughts of Dhanyi-

mla (fermented paddy-gruels).

13

14.

Oil duly cooked with (the paste and decoction of)

the drugs of the Surasddi group should be given to be

drunk.
for

Different kinds of cakes should be

prepared
Vidanga.

him with (Yava mixed with) powdered


in

Sesamum-seeds should* be duly soaked


of Vidanga (after

the decoction
saturation)

the

manner

of

Bhavana

and
use).
*
it

oil

should be then

pressed out thereform (for his

IS A.
Dallana explains ''Pattura"
as

S'ephalika,

but S'ivadas'a

takes

to

be S'alincha,

342

THE SUSHRUTA SAMHITX.

[Chp. LTV.

Powdered excreta of a Svavidh (porcupine)


ly

similar-

soaked seven
Trirphald and

times
of

in

each of

the decoctions
licked

of

Vidanga should be

with

honey, followed by draughts of the expressed juice of

Amalaka, Haritaki, and Aksha (Vibhitaka). Powders of any (dead) metal (Ayas) * may also be prepared and
taken
in the

preceding manner.

In the alternative, the

expressed juice of Putika should


or
Pippali-roots

be taken with honey,

should

be administered

through the
(killed

vehicle of the urine of a she-goat.

Trapu

lead)

should be rubbed

in

the

upper liquid part of curd


for

(Mastu) and should be taken

a week.

Worms

which have their origin


aggravated

in

the accumulated feces or

Kapha

in

the

body should be destroyed


15.

with the help of the aforesaid medicinal remedies.

Medicinal

Anjanas, Nasyas and

Avapidas should

employed in destroying the different classes of vermins which infest the regions of head, heart and mouth and the nostrils. The liquid expressed
be particularly
out of horse-dung should be dried and then
ly soaked several
successive-

times in

the

decoction of
into

Vidanga.
nostrils
etc.+)

The

preperation

should be blown

the

(Pradhamana).

Powders of

killed

metal (Ayas,
Oil

may
used

also

be applied in the same manner.

duly

cooked with the drugs of the Surasddi Gana should be


in

snuffing with the

blue part \ of Indian bell-

metal.

17 A.

Measures and remedies


*

mentioned
all

in

connection

t Ayas

AyM iron, as in para


lit.

is also

used for

the metals generally.

15

may mean any

metal.

X Oil duly cooked


would

with the drugs of the Surasddi Gana

should

be

placed. in a pot of Indian bell-metal.

When

the
oil

inner surface of the pot

become blue by being oxidised, the


that blue part

should be well

stirred

and mixed with

and used as an

crrhine.

Chap. LIV.]

UTTARA-TANTRA.

343

with the treatment of alopecia (Indra-lupta) should be employed in cases of Romania

worms

{vis.

where the worms

would be found to have invaded the


Medicines enumerated
in

hairs of the body).

connection with the treatment

of the diseases of the


cases of Danttfda

mouth should be
{viz.

prescribed in

worms

where the vermins would


in

be found to have taken lodgment


in the vitiated

the teeth). Cases

where the worms would be found to have their origin


condition of the blood should be treated
all

as cases of

Kushtha to
in

intents

drugs of the Surasddi Gana, however,

and purposes. The may be used in


bitter

any shape *

Diet

Meals

any case (of Krimi). 17. composed of the articles of

and pungent

tastes as well as

draughts of milk mixed


.

with the soup of Kulatt/uz-p\i\se are recommended

person suffering from any complaint due to the presence


of

worms (Krimi

of whatever kind) and


refrain

seeking their
milk, cooked

destruction, should

from using
pot-herb

meat, clarified butter, curd,

(edible

leaves),

things of acid or sweet tastes as well as cold things in


general.
18.

Thus ends the

fifty-fourth

chapter in the Uttara-Tantra of the Sus'ruta

Samhita' which deals with the (symptoms and) treatment of Krimi-Roga.

* Both internally and externally e. g. as a drink or bath.

CHAPTER
Now we
shall discourse

LV.

on the chapter which deals


medical
treatment of the

with the (symptoms and)

disease due to the retention of any natural physical

urging

(UdaVarta- Prat Ished ha),


wise

i.

Causes : A

man

valuing his

life

shall

never repress any natural urging of his body, whether

upward or downward,
is

e.

g. that of

Vayu,

etc.

Udavarta

so called from

its

origin

natural urging such as


micturition,

from the repression of any Vata (flatus), evacuation of bowels,

yawning, lacrimation, sneezing, eructation,


it

vomiting and discharge of semen when

makes

its its

appearance (Udita) and urges a person to answer


call.

Udavarta

is

also

brought on by the repression

of hunger, thirst, respiration


fully describe its

and

sleep.

shall

now

symptoms and the mode


and are
brought

of medical

treatment to
different

be pursued therein.

types

It is of thirteen about through the

aforesaid
to the

causes,

over and above the one incidental


use of unwholesome food and drink

habitual

(Apathyaja).

2-4.

Symptoms
The
in
vital
its

of \fcftaja
(at the

UdaVarta :
anyhow
obstructed

Apana-Vayu

anus)

passage gives

rise

to

distension

and cramps
feeling

in the

abdomen, oppression and a

constricted

at the heart, headache, laboured

breathing, hiccough,

cough, catarrh, catching pain at the throat which makes

speaking and Deglutition

difficult (Gala-graha), violent

movement of deranged the body and suppression

Pitta

and Kapha

all

through

of stools or emission of fecal


5.

matter through the mouth.

Chap. LV.]

UTTARA-TANTRA.

345
repressed urging

PurlShaJa UC&varta : A
for stool is followed

by the exhibition of such symptoms,


severe pain (in the abdoin

as rumbling in the intestines,

men),
flatus,

cutting

pain

the anus, upward coursing of the


or

suppression

of stool
6.

even emission of feces

through the mouth.

Mutraja UdaVarta : A
desire of

repression

of

the

making water
is

is

followed by scanty emission of

urine which

often given out

by

painful drops

produc-

ing distension of the bladder and an excruciating pain in

the urethra, anus, scrotum and the inguinal regions and

about the umbilicus, and sometimes even

in

the head, ac7.

companied with distortion of features

in

consequence.

repression of

yawning
to

leads to

wry-neck (numb-

ness of the

Manya and

of the neck) as well as troubles


local

of the

head due

the incarcerated

Vayu and
and the
grief or
free

violent diseases affecting the eyes,

nose,

ears

mouth.
vent

Tears born of any mental condition of


give
rise

joy and voluntarily repressed without being given


to,

to

severe distempers

of the
8-9.

eyes,

heaviness of the head and catarrh (Pinasa).

A
fulness

repression

of

sneezing

is

followed

by

acute
of

diseases of the head, eyes,


in

nose and ears.

A sense
of

the throat

as well as the

suppression

and

croaking of the incarcerated


bited
in

Vayu

(wind) are also exhirepression

this

case.*

The voluntary

any

natural urging towards eructation gives rise to diseases


peculiar to the

derangement of the bodily Vayu. 10-11.

A
*

repression of

vomiting

is

followed

by cutaneous

in the verse) is

The symptoms mentioned in this sentence (which comprises a taken by Madhava with the following line which
to

line

enu-

merates the symptoms of Udavarta due


eructation.

the voluntary

repression of

44

34

>

THE SUSHRUTA
due
to

SAMIIITX.
the

[Chap. LV.

affections (Kushtha)

bodily Doshas which,

being vitiated, had interfered with the gastric digestion

with reactionary acidity

and produced the vomiting.. and

Painful swelling of the bladder and of the scrotum,

about the anus as well as suppression of urine, formation


of gravels in the bladder

and involuntary emission of


in

semen are the symptoms which manifest themselves


a case of repressed seminal discharge.
Ungratified
12-13.

hunger brings on drowsiness,

aching

pain in the limbs, disrelish for food, sense of exhaustion,

and weakness of eye-sight.

An

ungratified thirst brings

on dryness of the throat and mouth, dulness of hearing

and pain at the

heart.

suppression of breath in an
fits

exhausted person brings on cardiac troubles, fainting

and an attack of Gulma.


yawning, aching pain

An

unindulged sleep produces

in the limbs,

and a sense of heavihead and the


14-17.
afflicted

ness in the limbs as well as in the


It

eyes.

may

also bring on drowsiness.


:

Prognosis An Udavarta-patient
thirst

with

and cramps (Sula), vomiting fecal matter and suffering from weakness and a distressing exhaustion
should be given up by a wise physician,
18.

General Treatment : in
varta the
_

all

forms ofUdain

preliminary treatment generally consists

restoring the
its

normal course and direction.


each case.

deranged and incarcerated bodily Vrfyu to Now hear me again

describe the specific medicinal remedies to be separately

employed

in

19.

Specific

Treatment : in
into the rectum

a case of Vrftaja

Udavarta the patient should be first treated with a Sneha and Sveda (fomentation) after which medicinal injections
should be

made

after the

manner of an
the

Asthapana-vasti.

In

case due
(

to

the incarceration
),

of feces in the intestines

Purohaja

remedial

Chap. Lv.]

UTTARA-TANTRA.
medicines laid

34?
in

measures and

down

connection with
20-21.

the treatment of

Anaha should be employed.


in a case

Wine charged with


salt

a large quantity of Souvarc/tala-

should be administered

due to the
juice of

retenin

tion of urine-

Milk or Eld should also be taken

combination with wine.

The expressed
liquid
;

Dhdtri

diluted with water should be taken for three successive

days

or

the expressed

of the

dung of a horse
treacle

or of an ass should be taken

or wine

made from

(Goudika) should be taken with honey and cooked meat


should beltaken by biting at intervals.
of

One Tola weight

the compound consisting of Bhadra-ddru, Mttsta, Murvd, Haridrd and Yashti-madhu shonld be dissolved in an adequate quantity of rain-water and then be taken.

The expressed juice of Duspars'd (Dura-labha) or an decoction of Kakubha infusion of Kum-kuma (D. R.

/'

e,

Arjuna' should be taken,


little

or

Ervdruka- seeds mixed


water.

with a

salt should also be taken with

Milk

duly cooked with Pandia-mula* or the expressed juice


of

Drdkshd should be

prescribed.
j,s

The medicinal remeof the efficacy

dies

previously described

possessed

of disintegrating gravels, (As'mari)f should be administered.

Similarly,
in

all

the

measures to be mentioned

hereafter

connection with the medical treatment of


\

Mutra-krichchhra
(obstruction

(strangury)
I

of urine) which
later

and of Mutr&ghata % shall have occasion to


in this

deal
case.

with
22.

on should also be adopted

A
*

case

of

Udavarta

due

to

the

suppression of

Both Dillana and S'ivadasa recommend the use of roinoi Pancha-

mula, but S'rikantha rccommeds the Trina-Pancha-mula.


t For As'mail

Sec Chiktisila-sthana, Chapter VII.

% For Mutra-Krichchhra See ch. LIX., Uttara-Tantra. % For Mutraghata See ch. LVIII., Uttara-Tantra

348

THE SUSHRUTA SAMHltX


should

[Chap.

LV.

yawning
of Sneha

be conquered with the applications


(fomentation).

and

of Sveda

The
(with

patient

should be treated with

Sneha and then fomented and


be induced
appro-

lachrymation should then


priate remedies)* in a case

where the flow of tears has


Sneezing should be induced
Avapidas, or by

been suddenly checked.

with the help of strong Anjanas and


the application of Vartis,
smell
at
his

by holding any strong nose or by blowing any strong medicinal


or

powder
body)

into

the nose (Pradhamna) or by making the

patient look
in

towards the sun (or such like luminous


case of

Udavarta due to the suppression

of sneezing.

2324.

In a case of Udavarta due to suppressed eructation,

the patient should be


or

made
in

to

inhale the fumes

of oily

lardaceous articles

due ordcrf or to take draught

of wine surcharged

with Souvarc/iala-saXt and the ex-

pressed juice
to suppressed

of Vija-pura.

case of Udavarta due

vomiting should be duly conquered with deranged bodily Dosha involved


25

emulsive measures (treating with a Sneha), etc, according


to the nature of the
in

each
salt

case.

In the alternative unguents with (Saindhava)

and (Yava-) Ks'hara should be applied.

26.

Milk should be duly cooked with the admixture of four times as much water and- with the drugs of
bladder-cleansing virtues
is

and boiled
this

until all the

water

evaporated.
in

Draughts of

medicated milk should

be prescribed

copious quantities in a case of Udavarta


fluid

due to the retention of seminal


*

and the patient

These are the applications of strong Anjanas and Avapida-Nasyas.

+
(5)

The

order

is

(i)

Dhuma-inhalalion,

(2)

Nasya

(crrhine)

and

Kavala (gargle)

X These are the drugs of the Trina-pancha-mula as well as of the


Viratarvadi groups (Chapter

XXXVIII,

Sutra Slhana).

Chap.'LV.]

UTtARA-TAfoTRA.

349

should be advised to have sexual intercourse with lovely

women.
and
in

27.

Fatty (Snigdha) things should be taken


small
quantities
in

lukewarm

a case of Udavarta due to

ungratified hunger.

Cold Manthas or Yavagus should


in

be given to the
to the

patient of

case of Udavarta

due
in

suppression

thirst.

Food with meat-soup

should be given to
a
case
of
in

the patient after sufficient rest

Udavarta originated from the suppression of


a tired state of the body. Milk* should be
a
case

breath
given

in

of

Udavarta due

to

the suppression
to.

of sleep

and the patient should be made


28.

sleep with

the help of sweet discourses.

Cases of
etc.,

Adhmdna

(distension

of the abodomen),

which are the supervening symptoms of Udavarta)

should be remedied with appropriate medicines and other

measures with an eye to the nature and intensity of the

deranged Dosha or Uoshas involved


lying at the root.
29.

in

each case under-

Udavarta due to errors


by such
bitter

in

diet: The

abdominal (Koshthaja) Vayu deranged and aggravated


factors

as

eating

dry, astringent, pungent or

articles

of fare (in inordinate quantities) causes


in

an immediate attack of Udavarta


(follows an

which the Vayu

as
It

in

upward course and) obstructs its own channels well as those of feces, urine, Kapha, fat and blood. dries up the fecal matter (in the body) causing pain the heart and bladder, a sense of heaviness in the

limbs (D.

R nausea),
and

aversion to food (D. R. unwillingdifficult

ness to do anything) and


of stool, urine
flatus.

and scanty emission

Laboured breathing, cough,


milk
in this, case as

* S'ivaditsa advises lllc use of buffalo's

being mote

efficacious

in

bringing

on

sleep.

Hut

Dallana

refutes

this

and

re-

commends

the use of cow's milk.

350

THE SUSHRUTA SAMHItX.


sensation
in

[Chap. LV.

catarrh, burning

the body,

fits

of unconstroubles in

ciousness, vomiting, fever,

thirst,

hiccough
activity

the head, defective functional

of the

Manas

(mind) and of the ear and such like symptoms, in consequence, pre-eminently
bodily Vayu.
30.

mark

the deranged action of the

Treatment :The
made emulsive (Snigdha) by
composed of
salt

patient's

body should be

the application of unguents

and

oil.

Fomentation should then be


Vasti.

applied under the circumstances, and intestinal injections

should be applied after the manner of a Nirudha


Intestinal

enemas (Vasti) of the AnuvAsana kind should


if

also

be applied after meal,

the

case

be attended

with loose motions in virtue of the specific nature of


the deranged bodily Doshas

involved therein.

Fatty

purgtivcs should be exhibited after having fully foment-

ed

body of the patient, when the foregoing remedies would fail to give any relief from attacks of Udavarta and he should be made to drink a potion of any acid cordial together with the compound of Pilu, Trivrit and Yavdni or with the compound consistthe

Hingu, Kushtha, Vacha, Svarjika-Y^akx^ and Vidanga* each succeeding drug we ighing double the one immediately preceding it in the order of enumeration.
ing of

These two medicinal


with

compounds may be employed


relieving

advantage
31

in
32.

attacks of

Jsula

aud

Udavarta.

The drugs known


Vacha (D.

as Deva-ddru, Chitraka, Kusktha,

R SfunthiJ, Haritaki,

Palamkashd (Guggulu)

and Pusfikara-roots should be duly boiled with half an Adhaka measure (thirty-two Palas) of water and taken

down from
*

the oven with a quarter part

of the original

Chakradatta reads 'faf^' (and Vil

salt) in place of

firfT'.

Chap. LV.]

UTTARA-TANTRA.
remaining.

351
this

solution

Draughts

of the

decoction

would

relieve

an attack of Udavarta.
butter duly

33.

potion of clarified
of

cooked with the


Varshdbhu,

decoction

dried* Mulaka,

Ardraka,

Pancha-mula

f and Arevata (Aragvadha) fruits would cure any form of Udavarta whatsoever, 34.

A compound

consisting of Vachd, Ativishd, Kushtha,

Yava-Kshdra,Haritaki, Pippali and Chitraka should abo

be taken with tepid water, or a compound consisting of


Ikshdku-xoots,
tha,

Madana, Vis'alyd, Ativishd, Vacfia, Kus/iKinva (sediment of wine) and Agnika taken in
Tri-phalA and Vrihati,

equal parts should also be taken in the aforesaid manner.

compound of Deva-ddru, Agni,


barley

should be taken with the urine of a cow.


of Kantakdri-irwxts and

The
a

decoction

weighing

Prastha

cooked

in

an Adhaka measure of water and boiled down


in

to half a Prastha only, should be taken

combination

with Hingu.

35

38.

compound

consisting

of the pulverised seeds of

Madana and

of Aldvu, Pippali and Nidigdhikd should be


pipe.

blown into the rectum with a

Varti made of
Ikshdku,

Nikumblia (Danti), Kampilla, S'ydmd

(Trivrit),

Agnika, (Ajamoda), Krita-Vedhana (Kosataki),

Mdgadhi

and

salt

pounded together, made


of cow's urine, dried
size,

into a

paste with the


into a propor-

addition
tionate
last

and cut

should be inserted into the rectum.

The

two ambrosial remedies give instantaneous


39.

relief in

a case of Udavarta.
Thus ends
the
fifty-fifth

chapter of the Uttara-Tantra in the Sus'ruta

Samhita which deals with the (symptoms and) treatment of Udavarta.


* Dallana takes dried (S'ushka) with both

'Mulaka and Ardraka.


;

t Dallana recommends the major Pancha-mula Chakrapani's commentary, mula.

but according

to

"Bhdnumati,"

it

should be the minor Pancha-

CHAPTER
Now we
shall discourse

LVI.
chapter which deals

on the

with the (symptoms and) medical treatment of Vishuchika type of cholera,

etc.

(VisuchiM-Pratishedlia).

I.

Causes V isuchi,
produced from the
tion

Alasaka and

Vilambika are
kinds of indigesvis.,

effects of the three


(in

spoken of before
(indigestion

Sutra,

chapter XLVI),
so-called),

Amajirna
jirna

properly

Vidagdha-

(indigestion

with acidity)
undigested

and Vishtabdhajirna
stuffed

(indigestion

with

food

into
2.

the

intestines in the

form of undigested

fecal matter).

Definition
ed

The disease
by the

in

which the derang-

and incarcerated bodily Viyu produces, owing to


in

th^ presence of indigestion, a pricking pain


resembling that produced
called Visuchiktf
in

the limbs
is

pricking

of needles

by the

physicians.

Men

well-versed

the (dietetic) principles and temperate in their diet,

enjoy an

almost absolute

immunity from

its

attack,

whereas fools who are greedy and intemperate and eat


like gluttons, fall

an easy victim Jo

it.

3.

Symptoms: Fainting,
tions),

diarrhoea

(loose

mo-

vomiting,

thirst, pain,

cramps, vertigo, yawning,

burning sensation in the body, discolouring or paleness of


complexion, pain (cramps) at the heart and a breaking
pain in the head arc the

symptoms

of Visucbikd.

4.

Alasaka

Excessive pain
Vayu

in

and stuffedness of
the intestines),* and

the abdomen, rumbling noise the upward coursing of the

(in

incarcerated

in

the

abdomen making a croaking rumbling sound


* According
to S'rikantha the

in its

way

commentator on Madhava's Nidana

the patient himself makes an indistinct sound.

Chap. LVI.]

UTTARA-TANTRA,

35J
flatus, hic-

upwards, absolute suppression of stool and

cough

and eructations
is

a patient

suffering

from these
5.

symptoms

said

have an attack of AlaBaka.


:

VilambikcC

The person in whom the deranged

and undigested food matter does not find any outlet either through the upper or lower channels of the body

owing to the fact of its being obstructed in its course by the action of the deranged Vayu and Kapha, is said
to

be suffering from
medical
In

an

attack

of

old

experts and should be

Vilambiktf by given up as in-

curable.

whatever part
is

of

the
it

body the

Ama

(undigested food matter)


characteristic

present,

produces its'own

symptoms in that very part and the vitiation of a particular Dosha in such cases should be diagnosed by the presence of the characteristic symptoms (e. g. distension, etc.,) of Ama (indigestion). 6 7, Prognosis : A patient exhibiting such symptoms as blackish blue (Syama) colour of teeth, nails

and
in

lips,

diminished consciousness, vomiting, eyes


sockets,

sunk
the

their

feeble

voice and looseness of


as

all

joints,

should be regarded

not returning from his


8.

journey (to the eternal home).


of

General Treatment : in
cauterization

the curable types,


(heels),

the regions of

Parshni

dry

fomentation, exhibition of strong emetics and such like

measures are recommended.


at (the

Fasting should be observed


Digestive

time

of)

the digestion of the food.

(Pachana) remedies as well as

purgatives should also

be prescribed.
in

The

patient gets

instantaneous

relief

cases

of fainting, diarrhoea,

etc.,

on the cleansing

of his

body with the medicinal (emetic or purgative) remedies. Intestinal injections after the manner of an
As'thapana Vasti
*

may

be likewise applied in

all

cases

Midhava

reads "thirst" in place of "hic-cough."

45

5$4.

THE SUSHRUTA SAMHITX.


the present disease.
of

tCh*p.

LVL

of

Now

hear

me

describe the

recipes

other medicinal

compounds which may be


to

employed

in the aforesaid diseases in addition

those

already mentioned.

10.

A pulverised
Kalinga
Souvarchala

compound
Ativishd

of Pathyd,
(a

V&ckd, ffingu,
of tepid
garlic),

(Indra-yava),

Grinja

variety

and

taken

with

water
colic,

instantaneously relieves an attack of indigestion,

Visuchika and an

aversion

to

food.

The medicine
VII) or
Sainiaaka),

known
ViH'eXt,
treacle,

as

Kshartf-gada
taken

(Kalpa

chapter
seeds

or mustard-seeds

and a profuse quantity of


(with tepid
(D.
water).

should be

dhava,

Hingu,

Vija-fura,

R.

of

clarified butter

and the two Tri-vargas (Tri-phala and


combination with any fermented gruel
Tri-katu

Tri-katu)
(Kanjika),

in

or

and SaindAavasa.lt mixed

to-

gether with the milky

exudation of Snuhi, should be


In the alternative, the medicated

taken (with Kanjika).


salt

known

as

Kalytfaa-Lavana described before under


be taken (with
or Pippali

the treatment of Vata-vyadhi should

Kanjika). Pippali,

Yamdni and Apdmdrga,

and Danti in equal parts should be similarly taken. Pippali mixed with Danti should also be used with the expressed juice of Koshdvati (Ghosha). Pippali and
S'unthi should also be taken with hot water.
1 1.

The drugs known


(seeds), the

as Vyos/ta

Tri-katu), JCaranja-iruits (

two kinds of Haridrd* and the root of Mdtuequal parts should be pounded together,

lunga taken in

made

into Gutikas (or pills)

and dried

in the shade.

The
1

application of these pills as

an eye-salve (Anjana) along


2.

the eye-lids proves curative in cases of Visuchika.f


* Chakrapani reads Haridra' in the singular number.

t Some here read the following two compounds as an additional


Kushtha, Aguru, Patra, Rami, S'igru,

text

VM

and Tvak should be

Ciup.

tVLJ

tJTTARA-TANTRA.

3$$
etc, should

Diet Digestive
hunger
after

and appetising Peya,

be given to the patient when he experiences a good


he had been fully treated with a course
of emetic or purgative or kept fasting for a proper
period.
13.

Causes and Symptoms of AneCha:


The
disease
in

which

Ama

(undigested food) or fecal

matter, gradually incarcerated (in the stomach) through

the action of the deranged and aggravated local


fails to find its

Vayu

natural

outlet, or

is

not spontaneously
?).

evacuated

is

called

Asrfha (Enteritis
to

A case

of

Anaha due

the accumulation of un-

digested food (in the stomach) exhibits such

symptoms

as thirst, cattarrh, burning in the head, a sense of heavi-

ness and cramps in the stomach, nausea (D. R.


ness

heavi-

of

the heart)

and suppression

of

eructations.

While a case of Andha in the Pakvdsaya (intestines) is marked by a sense of stuffedness in the back and waist, suppression of stool and urine, oolic, epileptic
or fainting
Jits,

vomiting of

feces,

laboured and
the
14.

difficult

respiration (D. R.

swelling),
:

as well as

symptoms
to

mentioned under the head of Alasaka.

Treatment In a case
presense of

of

Anaha due

the

Ama,

the

patient should be treated

with
diet

emetics and

then with digestive medicines and

according to the prescribed order.

The Ama

(undigest-

ed food) in a case not marked by any vomiting of


feces should be treated with fomentation

and therapeutic

mixed together and paated with Kanjika.


for

This would be the best remedy,

rubbing over the body of the patient, in a case of VisuckUat*


Oil should be duly cooked with Chitraka, Yuthi-flower, oil-cakes (of

sesamutn),

Bhallataka,

the two Ksbiras,

Saindhava and two parts of

This should be prescribed by an expert to be rubbed) or used as a plaster over the body of the patient.
Kushtha.

356
agents
of

tHE SUSHRUTA SAMHITX.


digestive
efficacy.

[Chap. LVl.

Vartis

(suppositories)

made by

pasting

the purgative

drugs mentioned in
of a

connection with the medical


together with the
she-goat or of
urine -of

treatment of Visuchika
a
she-buffalo,

or

a ewe or

of a she-elephant,
of the

or of

cow, should be used.

The body

patient should

be

first

fomented and then the powders of the drugs


intestines)

used in preparing the afore-said Vartis should be blown


(into his

through a pipe inserted into


cow's

his rec-

tum.

Decoction should be duly prepared by boiling the


in

drugs of emetic and purgative virtue


decoction mixed with half

urine.

Nirudha Vasti* should soon be applied with the above


as

much

of

cow's

urinef

and with honey and adding

also the

powders of Trivrit

and
laid

salt

weighing a Prakuncha (Pala).


in

The procedure
and boiled
be
injected

down

respect

of

the exhibition of purgatives Oil duly cooked


also

should be adopted here.

with the

foregoing
if

drugs should

into the rectum,

necessary, after the


15

manner

of an

Aunvasana
Thus ends

Vasti.

16.

the fifty-sixth chapter in the Uttara-Tantra of the

Sus'ruta

Samhiti which deals with the (symptoms and) treatment of VisuchikA.

The

application of this Nirudha Vasti 'should

be prescribed only
stage.
list.

in the "(Til" stage of

Anaha and never

in its

"*|RT"

t^Kirtika

Kundu

does not include "urine" in this

He

reads

"iWrtS^'f" (added

in half dose) in place of "jJjnfjpRit".

CHAPTER
Now we
to food
shall discourse

LVII.

on the chapter which deals

with the (symptoms and) medical treatment of aversion

(Arochaka-Pratishedha).
:

i:

j*EtioiOgy
either several

'The
vis.,

derangement of the Doshas


or

or combined
grief,
etc.)

an apathetic

state

of

the

mind (through

tends to block
etc.,

the foodas well as


sorts

carrying channels

the esophagus,

the region of the heart causing aversion to


food, which
to food
is

all
(lit.

of

designated Bhaktopaghtfta

aversion

popularly
it is

known
its

as Arochaka)

by the physi-

cians

and

divided into five distinct types (according


exciting factor).
2.

to the different nature of

Specific
at the

Symptoms
vapid

: Pain

and

cramps
are the

heart and a

taste in the

mouth

symptoms which mark the Va'taja type


sucking pain
thirst
(in the locality),
fits

of Arochaka.

Excessive burning sensation (in the region) of the heart,


a bitter taste in the mouth,

and fainting

are the features which

mark the

Fittaja type of the disease. Itching sensation, heaviness


of the

body, water-brash, lassitude, drowsiness and a


in

sweet taste

characterise the
is

characterised

mouth are the indications which Kaphaja type. The Tri-doshaja type by a good many symptoms which
the

severally

pleasure, as well as repugnant


the
article,
'.

mark the three Doshas. Indulgence in sensual in fear and grief,>yr the sight of any
or of anything that tends to disturb
also usher in

mental Manasa) equilibrium, may


3-7.
S

an

attack of Arochaka.

Treatment
patient should be

In a case of the Va'taja type, the


made
to

first

vomit with the help of

j$8

THE SUSHRUTA SAMHITX.

[Chap. L\TCI.

decoction of Vacha and then be given a pulverised com-

pound of Krisknd, Vidanga, Yava-Kshdra, Harem, Bhdrgi, Rdsnd, Eld*, Hingu, Saindhava and N&gara
through the medium of any Sneha or wine or hot water.

Vomiting should be induced with emetics sweetened \


with the solution of treacle
disease.
in

the Pittaja type of the

The<use of a lambative prepared with SainIn the

dhava, Sitd (sugar), honey and clarified butter would also

be

efficacious.

induced with the

Kaphaja type, vomiting should be decoction of Nimba and the powders of


(after

Yamdni should then


with honey.

the taking of the meal) be

administered with the decoction of Aragvadha mixed

The

pulverised

compound mentioned

in

connection with the treatment of the Vataja type


also

may

be administered

(in this case).

All the preceding

measures should be employed

in the

Tri-doshaja type of

Arochaka.

8-n.
Nimba,

Four Specific Lambatives :(\) Drdkshd,


Patola, Vits&lt, Vetra, Karira (bamboo-sprouts),

Murvd, Abhayd, Aksha, Vadara, Amalaka, (barks of) Kutaja and seeds of Karanja and of Aragvadha should
be (powdered and) duly cooked with the urine of a cow
in the

form of a lambative.

(2)

similar preparation
Tri-katu, the

should be
kinds
of

made

of Mustd,

V-achd,

Rajani, Bhdrgi, Kushtha

two and Nirdahani%


(3)

and cooked with the urine of a ewe.


* Ela*

Similarly

Dallana says that some take

El a in the sense of Ela-valuka

(a part used for the whole).

S'ivadasa, however, refutes this

and

asserts,
<jg|<

on

the authority of Vagbhata, that "Ela" should

mean

Ela.

t According to come, the emetic used should be Madana fruit ; while, according to others, it should be the drugs of the Madhura (Kakolyadi)

group the word 'Madhura'


MadhuVa* (Yashti-madhu)
others,

indicating the same.

Some, however, read

for

'Madhura'.
to

% Nirdahani, according to some, means Chitraka, but, according it means Yamani. The former sense is the most general one.

Chap.

LVH.

UTTARA-TANTRA.

359

Pdthd,

Vamsd-lochana, Ativiihd and Raj'ani should be


the
urine

boiled together with


(4)

of

she-elephant.

Manduki,

Arka,

Atnritd and

Ldngald should be

similarly

boiled

by

an

experienced

and

practical.

physician with the urine


licks
rid

of a she-buffalo.

Whoever

up any * of the four preceding lambatives gets


and the larynx,

of Gulma, aversion to food, asthma* and diseases

affecting the heart

n,
patient should
par-

Regi men Of Diet :The


take of
fruits,

edible roots, etc. which

grow

in his
\

country
other

and

take

cordials,

Shadavas f Ragas
is

and

palatable dishes which are congenial to his physical tem-

perament and which he


also be

accustomed

to.

He

should

made

to

take

(articles of) different

Rasas

in

different
light,

ways and his food should be at the same time Ruksha and agreeable to his taste. 1 3.
applications of Asthapana-Vasti, purgatives
light head-purgatives (errhines) are efficacious in

The due
and of

the disease under discussion.

The

drugs known as

Tryushana, Rajani (D. R.


Tri-phald pounded

the two kinds of Rajani)

and

together and mixed with powdered

Yava-kshdra and honey, should be used as a toothpowder in washing the mouth. Any other drugs of
bitter

and pungent

taste

may

be likewise prescribed

for the purpose.

1415.

* According to Dallana the four

lambativOB

should be used in cases


types of

ofVcCtaja, Pittaja,
r

Eaphaja and Trl-doBhaJa

Arochaka
of sweet,

respectively.

acid

t "Shadava" It is a preparation with a variety Of and saline tastes.

articles

X "Raga"It
salt,

is

a preparation of a cordial with sugar, Souvarchala-

Saindhava, turmeric, Parushaka, black-berry and mustard, etc.

I Dallana interprets

"Rasa" by meat-soup but

we

are inclined to

take

it

in the sense of articles of different tastes (Rasa).

360

THE SUSHRUTA SAMHITX.

[Chap. LVII.

Use of Decoction, Arishtaand Asava

Decoctions of the
with any
different
officinal

drugs of the Mustddi and Aragvadhddi or Da/a-ntula groups as well as the different
lambatives with honey, the different

Asavas prepared

urine and with treacle as well as the

Arishtas and the different Asavas prepared


scent, the

from any Kshdra and resembling in


attack
also

wine

prepared from honey, should be used in conquering an


of

Arochaka.

The

aforesaid

measures should

be employed for the purpose of re-kindling the


fire

digestive

(appetite) impaired through the action of


16.

deranged

V&yu and Kapha.

Treatment of Ma'nasa Arochaka :


In a case of impaired digestion due to the effects of
ungratified desire, fear, grief,
etc,

any

the

lost

longing for

food should be restored in the patient by holding out to

him the near prospect of its realisation and by consoling him with the prospects of fresh joy and safety. In a case
due to the
loss of a splendid

fortune,

the bitter apathy

and loathsomeness of the patient towards taking any food should be removed by infusing fresh hopes into his
heart

and by narrating to him the balmy

stories of

the Puranas.

case due to dejection

or despondency

should be conquered by sincere- sympathy and cheering


up.

In short any impairment of appetite due to any

disturbed

or agitated state of the mind should be remedied with discourses gratifying to the patient under 17

the circumstances.
Thus
Sus'ruta

ends the fifty-seventh chapter in

the

Uttara-Tantra

of the

Samhita which deals

with the (symptoms and) treatment of

Arochaka.

CHAPTER LVIH.
Now we
suppression
shall

discourse on the chapter which deals

with the (symptoms and) medical


of
i.

treatment of

the

urine

(Mutl*(-gh(ta Pratlvis.,

shedha).
The
lika,

disease

is

of twelve* kinds,

Vata-kunda
Mutra-

Ashthila,

Vata-vasti

Mutratita, (Mutra-) Jathara,

Mutrotsanga,
s'ukra,

(Mutra-)Kshaya, Mutra-granthi,
{vis.

Ushna-vata and the two forms of

Kaphaja

and

Pittaja)

Mutraukasada.

2.

Symptoms
bodily

of Va'ta-kundalika':The Vayu deranged and aggravated through an

extremely parched condition or through the voluntary repression of an urging towards micturition affects and
retains the urine in the bladder, causing
it

to revolve in
It

eddies within the cavity

of that

organ.

allows the

urine to pass in small quantity or (even) to


in

dribble

out

drops with pain.


is

This disease

is 3.

known

as Vtfta-

knndalika' and
bodily

of a violent type.

Va'ta'shthila':

Vayu

deranged and aggravated incarcerated or lodged in the region lying

The

between the bladder and the anus gives rise to a thick lumpy tumour like a pebble (Ashthila), which is hard

and non-shifting in its character, producing suppression of stool, urine and flatus, distension of the abdomen and pain in the bladder. It is known as Vtfofehthikt- 4.

Vrfta-vastI :The
to
*

bodily

Vayu

in

the locality,

aggravated by a voluntary repression of a propulsion


urination enters into the bladder of the ignorant

Midnava

read* thirteen

different

kinds of this disease.

He reads

only one kind of Mutra-sAda and adds Vid-vigMta and iVasti-ktiDdaJa.

46

j<52

THE SUSHRUTA gAMHITA.

[Chap. LVIII.

person doing the same and also obstructs the orifice of


that organ causing retention of .urine with

an oppressive
is
5.

pain in the bladder andloins.


VrftarVasti and
is

The

disease

known

as

extremely hard to cure.

Mlltrsftita:
suppressing
it

The urine of a
is

person voluntarily
or

does not flow out at


in

all

only dribbles

out in drops or

scanty jets with slight pain, when


called Mutrtftita.
vital
6.
is

he

strains.

The

disease

Mutra-Jathara: The

Apana Vayu
fills

deranged and aggravated by the Udavarta produced by


a checked desire for urination and

completely
in

up

and distends, with an excruciating pain


below the umbilicus.

The

disease

is

abdomen called Mutrathe

jathara and the lower

orifices*

{vis.

the anus and the


7.

urethra) are obstructed in this disease.

NlUtrOtSanga: The
gradually emitted
in

disease

in

which

the
is

stream of urine gliding along the bladder


scanty
jets

and urethra

or runs

down
(lit.

the

exterior surface of the glan

penis with blood, whether

with or without pain,


urination)

is

called

Mutrotsanga
8.

gliding

and

is

an outcome of the deranged and aggra-

vated action of the bodily Vayu.

Mutra-kshayaand Mutra-granthl:
The deranged and aggravated
ing from
Pitta

and Vayu

in

the

bladder of an extremely fatigued person already suffer-

an extreme parchedness of organism,


in the bladder producing, in concert,

finds

lodgement

a sensa-

tion of local

burning and pain attended with a scanty accumulation of urine in the cavity of the organ (lit.
micturition).

absence of

The

disease which

can be

made
*

to yeild only to

the virtue of therapeutic agents

Some

read
is

**pil*fafMfrw('

the lower part viz., the neck of

the bladder

obstructed.

ChapMLVHI.}

UTTARA-TANTRA.
difficulty is

363

with the greatest

called

Mutra-kshaya.

small round painful

fixed

Granthi suddenly occurring


of the bladder and
etc.,

on the interior side


exhibiting

(of the orifice)

by

its

characteristic pain,

all

the symp-

toms of the presence of gravels (urinary


organ,
orifice

calculii) in that
its

and which

stands

completely obstructing

without letting out a single


its

drop of urine, or
jets,
is

admits only of
called

being dribbled out in scanty


5-10.

Mutra-granthi.

Mutra-ukra and Ushna-va'ta :


person visiting a

woman

in

the presence of a strong

urging towards urination and by voluntarily repressing


the same
is

found to pass urine highly charged with


is

semen which
bles

sometimes seen to precede or follow

the discharge of urine.


the

The

urine in this case resemof

washing or
is

solution

ashes
(lit.

in

colour.

The

disease

called

Mutra-s'ukra
in

semen-charged

urine).

The

disease

which the Pitta of a person


over-fatiguing

deranged by such factors as


exercise,

physical

exposure to the sun, or arduous pedestrian

journey, gets into his bladder completely wrapped in the

deranged

Vayu

of his body, and produces an intense


in

burning sensation
setting

his

bladder,

penis and the anus,

up a painful flow of a dark yellow or blood* streaked urine or of blood alone through the urethra in
its

stead, is designated as Ushna-va'ta.

11-12.

Two kinds of Mutraukasa'da : A nonslimy and thick flow of yellow-coloured urine attended

with a burning sensation, and


like

leaving
dried,
is

sediment

powdered Rochana when

called (Pittaja)

Mntraukaerfda.
disease to the

The wise
action

ascribe

the origin of this


Pitta.

of the deranged

The

type in which a pale sediment resembling the powders


of conch-shell
is

deposited

when the

urine

is

dried and

364
in

THE SUSURUTA SAMHITA\


which the flow
is

[Chp. L.VIII.

painful and

the urine

is sliirty,

thick and white, should

be attributed to the action of


It is

the deranged Kapha.

but another variety of the


13.

disease described immediately before.

General Treatment :Medicinal decoctions,


Kalkas, (medicated) Ghritas, (various kinds of) foods,
lambatives, preparations of milk, alkalis,

honey, Asavas,

fomentation

and

Uttara-vasti

should

be employed

according to their indications in coping with an attack


of any of the aforesaid ailments.
cian shall resort, in these cases, to
efficacious in cases of Asfmari,

An

intelligent physi-

measures which are

or shall employ in their

entirely the

medicinal

compounds

which have been

described

as curative
14.

under the treatment of urinary

Udavarta.

A A

case of Mutra-krichchhra

would be relieved by the

use of pasted Ervdruseeds and Saindhava weighing an

Aksha and taken with the fermented paddy-boilings.


person afflicted with Mutra-krichchhra should take
rice,)

wine (prepared from Pishta or pasted


pared from honey by biting

in

combina-

tion with SouvarchalasdXx, or he should

take wine pre-

meat

at

intervals, or take

any wine made from


Karsha measure of

treacle.

In the alternative,

Kumkuma

should be kept saturated

with honey and water during the night and this should be taken in the morning, whereby the patient would be
relieved of the trouble (of Mutra-krichchhra).

By

taking

the

principal wine

(viz.,

pasted rice) with

salt,

that prepared from Pishta or powdered Eld, Jiraka and Ndgara

and saturated with the acid juice of pomegranade one would get rid of Mutra-krichchhra. 1 5 16. Half a Prastha measure of water with four times as

much

of milk together with

the drugs of the

Prithak-

Pdrnyddi (Vidari-gandhadi) group and Gokskura*Toote

Chap. LVIII.]

UTTARA-TANTRA.

365

should be kept boiling

A person

suffering

till all the water is evaporated. from an attack of Mutra-ghata due

to the concerted

action

of deranged

Vayu and

Pitta

should use this medicated milk,

when

cooled, with sugar

and honey.
measure of

The dung of an

ass or of a

horse should

he squeezed through a piece of linen and a Kudava


this expressed liquid should

be taken for the


17

cure of an attack of painful urination.

18.

compound made by Deva-ddru, Murvd and Yasktipasting Musta, Abhayd,


measure
of
the

An Aksha

madhu, should be taken with the decoction of Drdkshd.


Abhayd,

Amalaka and Aksha (Vibhitaka) together weighing a Vadara measure should be taken with salt
and water
nation.
for getting
relief

in

cases

of painful

uri-

An Udumbara

measure of Drdkshd should be


morning)

kept saturated in water for the whole night and this


cold
infusion

should be taken (in the

for

getting relief in cases of painful urination.

Kudava

measure of the expressed


relief

juice

of Nidigdhikd or the

Kalka of the same should be taken with honey as a


from the urinary complaints.
taking a
19.

By

Kudava measure
of his troubles.

of the

expressed juice

of Amalaka, a person suffering from uninary complaints

would get

rid

In the alternative, the

patient should

drink a potion consisting of powdered


of

small Eld, dissolved in the expressed juice

Amalaka
rice-

(and mixed with honey),


of the tender
roots

or

he should take a paste

of

Tala (palm) with cold

washing.

The

expressed juice of

Tmpusha and white

Karkataka should also be prescribed to be taken with


milk
in

the morning.

In the alternative a person should

drugs of the
butter as the

take a potion consisting of milk duly boiled with the Madlatra group saturated with clarified

compound

is

possessed of excellent diuretic

366
properties
(e.

THE SUSHRUTA SAMHITX.


and tends
to

[Chap LVIII.

remove the seminal troubles


20.

g.,

Mutra-rfukra) as well.

A
roots

compound

consisting of Vald, S'vadamshtrd, seeds


(i.e.,

of lotus (Krouncha)*, Tandula


of S'ata-parvan
\,

seeds) of Kokildk$ha\,

Devadaru, Chitraka and stone

of Aksha,

pasted together and dissolved in wine should


.

be taken by a person under the circumstances inasmuch


as
it

removes the defects of urine and eliminates the


21.
effica-

gravels from the bladder.

The

ashes of burnt Pdtald wood, which are


all

cious in relieving

sorts of urinary troubles, should

be

strained seven times in succession (after the

manner of

Kshara preparation) and taken with a small quantity


of
oil.

In a similar

way

a paste oiNala, Ikshu, Dartha,

As'ma-bheda and the seeds of Trapusha and Ervdruka,


should be duly washed in milk and
in
filtered

and taken
one

combination with

clarified butter.

Powders of Tvak,
intelligent

Eld and Tri-katu should be taken by the


in

combination with the alkaline solution of the ashes


Tt'la.

of Pdtald, Yava-kshdra, Pdribhadra and


tives

Lamba24.

made
I

of the powders of the above-mentioned drugs 22

should be separately licked with treacle.

Now
ficial

shall

describe the measures which are bene'defects).

in

Mutra-dosha (urinary

Purgatives
the due

should be administered to
application of

a patient

after

Sneha and Sveda.

Uttara-vastis should
25.

be injected after he has been duly purged.

Sexual intercourse should be refrained from by a person afflicted with a discharge of blood from the
* Dallana explains Kiounchasthi as bones of a
are not inclined to accept this explanation.

Krouncha

bird,

but

wo

t Some explain "Kokilakghaka-tandula" as meaning Kokiliksha and Tandula (rice) which meaning may also be accepted.
t "S'ata-parvan"

may mean

Durba-grass'or bamboo,

Chap. LVIII.]

UTTARA-TANTRA.
excesses,

367

urethra owing to sexual


treated
(e. g.,

and he should be
Uttara-

with

remedies which arc constructive tonics


etc.).

meat-soup, milk, clarified butter, *

vastis

should be applied

into

the urethra,
oil,

under the
the process

circumstances, with cock's lard and with


of applying which has already
cribed.

been elaborately des26-37.

(See Chikitsa, XXVII).

Half a Patra measure of honey, one Patra measure


of clarified
butter churned from milk (Kshira-sarpis)
of sugar,

and equal parts


ing

and powdered

Drdks/td,

Attnagufttd-seed, Ikshuraka

and Pippali, together weigh*


half a Patra) should be

one half part

,J.e.,

half of
stirring

thoroughly
laddie.

mixed by
Pani-tala
be. licked,

the

compound with a
of milk.

(two Tolas) measure of this comfollowed

pound should

by draughts

By

using this Ghrita, a

man

is

relieved of all injurious

and gets rid of distressing and dreadful urinary troubles which cannot otherwise be
principles of his body,
easily cured
blood-purifier,

may

get rid

by any other remedy. It acts as an excellent and, by using it, even a barren woman of her sterility and of all other vaginal and
28.

uterine complaints which usually obstruct or retard con-

ception in females.

Dallana says that K&rtika does not read

this,

in as

much

as this

would increase the number originally mentioned, as


has already been mentioned in Prameha.
is

also because this case


Jejjata,

But according to

this

mentioned here

to

make

the case

more

clear.

to

t Dallana's reading here evidently is 'Kshira-garpishah', but according a variant the reading would be "Kshira-sarpish u" i.e., milk and
butter (taken
together).

clarified

The

latter

reading has the support


lines in

of Chakrapani and

Vrinda who, however, read these

a different

way and

prescribe the drugs in

somewhat

different

proportions.
is,

The

former reading 'Kshira-sarpishah' with the sixth case-ending

however,

more grammatical.

368

THE SUSHRUTA

SAMHITA*.

[Chap. LVIII.

Equal parts of Void, stones of


tnadhu,

Kola-fruits,

Yashti-

Stvadamshtrd (Gokshura),

S'atdvan, Mrindla

(lotus-stem), Kas'eru,

seeds of Ikshuraka, Sahasra-virya

(Durba), Anufumati (Slala-parni),

Payasyd

(Vidari), Kdld,

S'rigd/avinndiFvidmp&mi), Ati-vald and the drugs of the

Vrimhcmiya (K&kolyadi) group should be duly boiled


with four times of water of their combined weight and a

Tula masure of

treacle.

When
it

only a Drona measure

of water would remain,


strained through a piece

should be taken
It

down and

of linen.

should then be
clarified butter.

duly cooked with an Adhaka measure of

The medicated
kept in an

Ghrita (thus
it

prepared) with a Prastha

measure of honey added to

(when cooled) should be

earthen pitcher.

By using
all

this

medicated
29.

Ghrita, one would be cured of

urinary troubles.*

Thus ends the

fifty-eighth chapter in the

Uttara-Tantra of the Sus'ruta

Samhita" which deals with the (symptoms and) treatment of the suppression

of urine (Mutraghata).

Additional Text : Powders

of TugA-kshiri and sugar should be


in

mixed together with honey and licked

an auspicious day according

to

the digesting capacity of the patient and

a draught of milk should then


all

be taken.

By

its

use the patient

would be able to conquer

seminal

troubles if he observes a perfect continence.

One whose semen has been


relief
j

wasted by sexual excesses would get instantaneous

and a man

who

is

possessed of vigour (Ojas) and strength would

be refreshed and

cheerful.

CHAPTER
Now we
of urine
shall discourse

LIX.

on the chapter which deals

with the (symptoms and) medical treatment of the defects

(Mutra-dosha-Pratishedha).*
:

i.

Classification
is

The
into

disease

known

as

Mutropaghrita eight types according as an attack is induced by the deranged action of the bodily Vayu, Pitta and Kapha separately, or is
different

divided

due to the concerted action of


effects

all

of them,

or to the

of an

external blow or hurt (on the locality),


(in

or to

the pressure of the feces incarcerated


i.e.

the
to

intestine),

to the constipation of the

bowels or

the presence of any stone

(As'mari

in the

bladder).

The

eighth

is

the

one due to the presence of gravels

(Sarkara

This disease is one of the in the bladder). most painful and distressing ailments which assail the

human body.

2.

Specific
urine

Symptoms: A
in

scanty

flow

of

coming out

drops and producing an oppressive


in

and bursting pain


is

the scrotum, penis and bladder,

the specific feature of the Viftija type of the disease.


is

The Pittaja type

characterised
(lit.

by the emission of

bloody or high-coloured

dark yellow) and (very) warm urine which produces a burning sensation in the scrotum,
fire,

bladder and penis being burnt by


* Dallana's reading evidently is

as

it

were.

A
for

Mutra-krlchchhra
is

(Strangury),

he says that the variant here


that
in

in

some Mis.
all

Mutfa*dosha.

He

says further

some do not read


chapter
etc.
is

this

chapter at

this

included in the chapters on As'mari,


to

Udavarta,

But, according

on the ground that the matter Mutraghata and him, it must oe read here for treatits

ment's sake as well as on the ground of


other authoritative works.
pilers

being separately treattd in

Madhava, Chakra-pani, Vrinda and other com-

have read

this as

Mutra-krichchhra in a separate chapter as here.

47

370

THE SUSHRUTA SAMHITX.

[Chap. LIX.

sense of weight or heaviness in the scrotum, penis


bladder, an appearance

and
and

of goose-flesh (on the skin)

the emission

of cold, white and glossy (oily) urine, drc

the features which


sensation (in

mark the Kaphaja


etc.),

type,

Burning
painful

the urethra,

shivering (of the body),


colours,

frequent emission

of urine

of varied

micturition and loss of consciousness

are the indications

which point to the


which
is

Sa'nnipa'fcika origin of the disease


3-6.

very hard to cure.

The
urethra,

presence of any nicer in or an injury to the

by any external

object gives rise to an extremely

distressing stricture in the case of

which the characteristic

symptoms of Vata-vasti manifest themselves.


pression
local

The

sup-

of the

feces

leads to the aggravation of the

the

Vayu which, abdomen and


(in

in its turn,

produces a distension of
of urine accompanied

suppression
7-8.

with cramps

the bladder).

Astnarija and darkara'Ja :Mutra-ghata


(obstructed urination) due
(stone) has

to

the

presence of As'mari
(in

been already mentioned

the

Nidana

Sthana).

Stones and gravels are of similar origin and

exhibit similar symptoms.

Now

hear

me

describe the

symptoms which
ot

are the distinguishing traits of a case


in the

Sarkara (gravel or urinary calculus

bladder).

Flakes or particles of deranged and

condensed Kapha

when baked

(dried

?)

aggravated Pitta and severed

by the action of the deranged and in pieces by the deranged


in

bodily VAyu, are called Sarkard (gravels) giving rise to

such symptoms as cardiac troubles (pain


etc.),

the heart,

shivering,

cramps

in the loins, great


fits

diminution of

the digestive
urination.

fire,

fainting

and

painful

and obstructed
subsi-

The

pain, however, subsides with the


(full

dence of the desire for micturition

evacuation of

the bladder), the relief from the pain

continuing until

Chap. LIX.J

tfTTARA-tANTRA.
is
i.

3?I

the orifice of the organ (urethra)

not again obstructed

by the presence of other calculi These are the symptoms which characterise a case of Mutraghata (obstructed
urination)due to the presence of gravels in the bladder.
9.

General Treatment : Now


the

shall describe

mode

of medical

treatment and active therapeutic


in the

agents to
ghata.

be employed

eight cases of Mutrain

Medical measures and remedies mentioned

connection with the treatment of As'mari (stone) should


also* be
sion

employed

in

the present instance in due succesof Sneha,


etc.

commencing
case.
10.

with the application

with
in

proper regard to

the Dosha or Dhosas involved

each

Treatment of Vataja Type :Oil,


fied

clari-

butter

and lard mixed together should be duly


Katitakdri, Bald, S'atdvari, Rdsnd,

cooked with S'va-damshtrd, As'mabheda, Kumbhi (a kind


of moss),

HapusM,
Oil

Varuna, Giri-karnikd

and the

drugs

of the

Viddrialso

gandhddi group.

or clarified butter alone

may

be similarly cooked and prepared with

the above drugs.

The above
or injected

preparations should be internally administered,


into

the intestines after the manner of an

Anuvasana-vasti, or into the urethra as an Uttara-vasti for


giving relief in cases of Va'taja Mutra-krichchhra.
11-12.

Pittaja

and

Kaphaja Types :The


cooked with the

internal use of the clarified butter duly

drugs of the Trina-pancha-mula, Utpalddi, KdkolyddizxiA

Nyagrodhddi groups, would give an instantaneous


in

relief

case

of Pittaja

Mutra-Krichchhra.

The use of

this

Ghrita as an Uttara-vasti would also similarly give

Dallana says that the presence of the particle

"V (meaning also)


in

indicates that the

mode of medical treatment Mutrighata should aUo be applied in this case.

prescribed

cases of

372

THE SUSHRUTA SAMHITX.


the

[Chap. LIX.

relief in a case of

present type.

Any Sneha

duly

cooked with the


used after the
tions.

preceding
of

drugs should be similarly


of the three Vasti-applica-

manner

any

Purging with milk and the expressed juice of Ikshu


is

and of Drdks/id

also beneficial.

Oils

and

Yavagus

duly cooked with the drugs of the Surasddi, Ushakddi,

Mustddi and the Varunddi groups would prove curative


in

a case of

Kaphaja Mutra-krichchhra. 13 14. Tri-dOShaja Type : The foregoing measures


in the

and remedies should be employed


type
of Mutra-krichchhra of the

Tri-doshaja

according to the nature and

intensity

predominance of the Doshas involved.


of Phalgu

Pulverised

compound

(Kakodumbara), Vristhe

chika (white Punarnava),


iron) taken

Darbka and As'ma-sdra (dead


(wine),

with water, potions of Surd

expressed juice of Ikshu, and the decoction

of

Darbha
15.

would

relieve pain in a case of Mutra-krichchhra.

Medicines and medicinal


the chapter on
the
a

measures

mentioned

in

treatment of Sadyo-vrana should


case

be employed

in

of stricture due

to

any hurt

(Abhighita) to the
guents,

urethra.

Vayu-subduing remedies and powders


should be

should be constantly used, and baths, fomentations, unapplications of Vasti


in

employed

case of Purishaja

Mutra-krichchhra.
{vis. As'mari-ja

The treatment

of the last

two kinds

and

Sarkara-ja) has already been described.

16-17.

Thus ends the


dosha.

fifty-ninth chapter of the

Uttara-Tantra

in

the Sus'rula

Samhitft which deals with the (symptoms and) medical treatment of Mutra-

Here ends the Kaya-Chikits^.

CHAPTER
Now we
disease
shall -discourse

LX.

on the chapter which deals


the
influences

with the (symptoms and) medical treatment of

brought on through super-human*


i.

(Ama'nusha-Pratishedha).
Now we
put forward
dilate
in

upon the dictum which has been


first

the

portion

of the present work,

and which
ulcers

is

to the effect that

a patient suffering from


evil
in-

should
cast

always be protected from the