Sei sulla pagina 1di 534

^\^55^5NSS!ti!S(S!8i^!!B!

5SS^^

'

'S-'';vi?;!^<\'^v':

&TN4

"w

THE LIBRARY
OF
THE UNIVERSITY
OF CALIFORNIA
LOS ANGELES

Digitized by tine Internet Arciiive


in

2008

with funding from

IVIicrosoft

Corporation

http://www.arcliive.org/details/englislitranslati03susr

AN ENGLISH TRANSLATION
OF

THE SUSHRUTA SAMHITA


Vol. in.

UTTARA-TANTRA

AN ENGLISH TRANSLATION
OF

THE SUSHRUTA SAMHITA


WITH
A FULL

AND COMPREHENSIVE INTRODUCTION, ADDITIONAL

TEXTS, DIFFERENT READINGS, NOTES, COMPARATIVE


VIEWS, INDEX, GLOSSARY

AND PLATES

THREE VOLUMES)

(IN

EDITED BY

KAVIRAJ KUNJA LAL BHISHAGRATNA,


M. R. A.

Vol.

S.

(LoND.)

III.

UTTAKA-TANTRA

PUBLISHED BY
S.

lO,

L.

BHADURI,

B. L.

KASHI GHOSE'S LANE, CALCUTTA

1916

Ail Rights Reserved.

Agency, Poona.
7hB Oriental Book-Supplying

PRINTED AT THE BHARAT MIHIR PRESS BY M. BHATTACHARYYA OF


Messrs. SANYAL & Co.,
25, ROV BAGAN STREET, CALCUTTA.

Kaviraj

Kunja

La!l

Bhishgratna,

M.R.ft.S,

Lond.)

ni.5 _

59Gst
!907

ritEFACE.
-}/<-

It

was some years ago that we took upon our-

selves the rather ambitious task

Samhita

the Sushruta

of our undertaking

home and abroad

aged us

completing

in

And we

may-

the

met with

scholars at

We

out

English.

in

mention that the appreciation

ment

of bringing-

this

instal-

first

hands

at the

ot

considerably encour-

huge undertaking.
our deepest feelings

desire to record here

of gratitude towards His Highness the Maharaja

Sawai

Sir

Singh

Jai

Bahadoor, K. C.

Alwar (Rajputana), who


work

ant

to

a completion.

out India that the

by

has,

donation, enabled us to bring

this

S.

I.,

princely

his

highly import-

known through-

It is

Ruler of Alwar

illustrious

of

is

a great patron of letters and a lover of Ayurvedic


Science,

and many noble undertakings

country have depended


support.

press

my

Xo

words

ol

upon

largely

our

in

his

liberal

mine can adequately ex-

admiration for the good he

is

doing

to

our country.

Now

that the whole

work

worth and importance

its

Our

is

before the

[)ublic.

be duly judged

will

translation does not claim to

have any

liter-

ary excellence, as our sole aim has been to render


as

faithfully

of the

as

we

could

European languages.

occurring

in

the

the

original

The

into

one

technical terms

Sushruta Samhilii cannot

be

accurately

translatod into

no corresponding words

English,

as

there are

that language

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

and have

in

some

in

cases put within brackets such

may approximately

English words as

render the

meanino- of the original.

No

apology

needed

is

the learned world of the

We

of ancient India.

Hindu system
mere antiquarian

interest.

a living

It is

being treated according

are

system which has stood the

which

holds

still

unscientific.

It

in

brushed aside as wholly

been said

ailments, can

this

to

and

test of centuries,

lightly

scientific character.

answer

All

criticism

system

of the

means

lay

no claim to

we need say

that
is

that

that

humanity has

not yet risen above prayer in any country in


world,

aud

diseases
in

the

may

is,

the

faith in the efficacy of

prayer

instead of dying out,

gaining ground

modern

be,

against rival systems of

has

human

in India

to this system.

which recognises prayer as one


of curing

sys-

own

its

cmnot be

the day,

any

not a thing

is

and even to-day millions of people

tem,

before

West a scientific treatise


may only mention that

of medicine

the
of

placing

for

scientific world.

in actual practice,

in

curing

Whatever

that

Hindu medical men,


upon

like their

brethren of Europe, rely

medicine

and surgery, but occasionally prescribe

chiefly

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

more properly

as a special method, fallinq-

it

they

disease,

within the province of priests.

few

seem necessary

however,

words,

to

show what abiding interest there is for all time


in such a work as the Sushruta Samhita.
We do
not wish to enter into any historical criticism to
prove that the different systems of medicine
other countries,

new

or old, have received

a mere stimulus

than

from

the Indian

in

more

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 science,

be accused of having any bias

cannot

of our system, will demonstrate

I.

M.

S.,

Medical

I.,

was pleased

Council

Many

"

M.

Lukis.

D.,

Director-General of Indian

K. C. S.
Service,

course of his speech

abiding value.

its

Surgeon General Sir Pardey

who

favour

in

in

Imperial

the

of the

remark

to

in

the

Legislative

so-called discoveries of

recent years are merely re-discoveries of the facts

known

centuries ago to

In noticing the

first

British Medical Journal

November,

1912: "It

cient medical

which

is

We
corded
fair!)'

this

is

certain

book there are

its

issue

that in this

traces of
in the

do not know what reception

ho|i('

(Indians)."

very work, the

observed in

comparatively recent

to

Medical

ancients

the

volume of

of

an-

knowledge

West."
will

be

ac-

work by the public, but we may


thai now that the ancient Indian

this

System and the

Indigenous

iJrugs of

IV

country

this

being investigated by

scientific

under the direction of the Government

experts
of

are

India,

Surgery

this
will

system of Medicine and

ancient

attract the attention of those

have hitherto neglected

it

unworthy of

as

The encouragement which we have

who

notice.

received

Governments of Bengal and Nepal and


from the States of Baroda and Mysore, has helped
us a great deal and we take this opportunity
from

the

of expressing our
active

gratitude towards them.

help extended

to

us

in

The

the preparation

work by Vaidyaratna Kaviraj Jogindra


Nath Sen, V'idyabhusan, M. A., Kaviraj Madhav
Chandra Tarkatirtha, Kaviraj Jnanendranath Sen,

of this

Kaviratna, B. A., Prof. Satyendranath Sen, Yidyjivagis'a,

B. A.,

M.
B.

A.,
L.,

acknowledge.

Babu Sachindralal Bhaduri,

and

we

We

also

specially

offer

and thankfully

our sincerest thanks also

U. D. Banerjee, L. R. C. P., M. R. C. S.
Dr. Y. M. Bose, M. D. (Chicago\ and Kaviraj

to Dr.

Surendranath
L.

M.

S.

Goswami,

who have never

valuable suoorestions

Vidyavinode.

B.

failed to give us

whenever we have

A.,
their

souo^ht

their advice.

lO,

KASHl GHOSE'S LANR,

Calcutta,

May

25, iQib.

"j

KUNJA

LAT.

RIIISHAGRATNA.

CONTENTS.
(Uttaka-Tantra.)

CHAPTER
Diseases

Diseases of the eyes, etc

I.

o(

llic

eye and

its

append-

Description of Drishti Mandalas and Sandhis Description of


Patalas Premonitory symptoms Causes of eye-diseases Classification
Prognosis of \^ataja Piltaja Kaphaja Raktaja and Tri-dosliaja eye
diseases Seals of the eye-diseases.
ages

...

CHATTER

...

...

H.

Pathology of the diseases of the eye-joints Their nomencla...


...
...
Number Symptoms. ...
9 11

ture

CHAPTER

HI.

Pathology of the diseases of the eye lids : Causes and names


symptoms of Utsangini Kumbliil<a Pjlbaki Ars'ovarlma
12 15
Klishta-vartma Vartma-b.\ndhaka,

Specihc
Anjana

etc.

CHAPTER

etc.

...

IV.

Pathology of the diseases of the sclerotic coat : Nanus and


number

Symptoms

of

S'uklarma Lobilarma S'uktika Arjuna Pish-

laka Sira-jiUa Balasu-grathita,

etc. etc.

CHAPTER

...

...

1617

V.

Pathology of the diseases of the black part oftheeye:


Number Names Symptoms Prognosis Avranas'ukra Jiita Sa-vranaS'ukra Akshi-pakatyaya Ajaka.

...

...

...

iS 19

CONTENTS.

11

CHAPTER

VI.

Pathology of the diseases affecting the eyes as a whole :


Names and Causes Symptoms of Vataja Pittaja Kaphaja and Raktaja

Causes

Symptoms of Vataja Pittaja


Prognosis Symptoms of Sa-s'opha
and A-s'opha Akshi-paka Symptoms of Hatadhimantha Vata-paryaya
S'ushkakshi-pdka Anyato-vata Amla-dhyushita S'irot-pata Siraharsha.
20 24
Abhishyanda

Kaphaja

and

Adhimantha

of

Raktaja Adhimantha

...

...

...

...

...

CHAPTER VH.
Pathology of the diseases of the Pupil : Description

of Drishti

Symptoms When second third and fourth Patola attacked


Blindness Specific symptoms of Vataja Pittaja Kaphaja and Sannipatika Timira Parimlayi Different colours of the pupil in cases of
of Vataja Pittaja Kaphaja and Sannipatika
Linga-nas'a Specific
Linga-nas'a Traits of Vataja Pittaja and Kaphaja Vidagdha-Drishti
Smoky sight Ilrasva-Jatya Nakulandhya, Gambhirika Symptoms of
traumatic Linga-nas'a.
25 31
first

traits

...

CHAPTER
Classification
fication

Names

Names

of

Chhedya

Vni.

Lekhya Bhedya Vyadhya

where operation not

curable and incurable eye-diseases.

...

CHAPTER
of

...

and treatment of ocular affections : Classi-

of eye-diseases

Treatment

...

...

Vataja

to

be risked
...

eye diseases

Names
...

IX.

Ophthalmia : Tarpana Puta-paka

Wash Eye-drop Collyrium Treatment of

Fumigation Snuff
vata

of

3233

Vata-paryaya S'ushkakshi-paka.

...

...

CHAPTER

...

Anyato-

3437

X.

Treatment of Pittaja Ophthalmia -.Tarpana measuresWash


Snuff AnjanaRasa-kriyaA'b'chyolana Treatment of S'ukti-paka
and Dhuma-dars'i.

...

...

3^

CONTENTS.

CHAPTER

Ill

XI.

Treatment of ^leshmaja Ophthalmia : Fomentation Anjana


...
4146

Treatment of Balasa-grathita Pishtaka Praklinna-vartnia.

CHAPTER

Xn.

Treatment of Raktaja Ophthalmia : Venesection Inhalation

Eye-elrop Snuffs Plaster Vartis Treatment of S'irotpata Siriharsha Arjuna. Scarifying Anjana Treatment of S'ukra KsharaAnjana Soothing applications Treatment of Ajaka Akshi-paka Puyalasa Praklinna-Vartma and Aklinna-Vartnia.

CHAPTER
amenable

defective

to scarification.

and excessive

4753

of treatment by Scarification

scarification

CHAPTER

Names

...

...

...

...

Xni,

Treatment of Lekhya-roga : Mode


Satisfactory

...

of diseases
...

5456

XIV.

Treatment of eye-diseases which require Incision : Treatment of Visa-granthi Lagana

Anjana Krimi-granthi

Application of Sneha and Sveda.

CHAPTER

and Upanaha.

,..

...

...

57 5^

XV.

Treatment of eye-diseases which require Excision :Treatment of Armans Preliminary actions Mode of operation Medicinal
treatment Treatment of Sira-jala Siraja-pidaka Parvanika. Churna-

Anjana Treatment

of the inner part of the eye-lids.

CHAPTER
Treatment of diseases peculiar
Surgical

treatment

of

...

5963

XVI.

to eye-lashes

Pakshma-kopa Preliminary

operation Cauterisation and other measures.

...

and eye-lids :
actions

Mode
...

of

6465

coxtI':nts.

IV

CHAPTER

XVII.

Treatment of diseases of pupil and crystalline lens


and

treatment

of

Dravanjana

Gvidikanjana

blindness

I'itta

Application

-.General

Pushpanjana
Day-blindness Nocturnal

S'ieslima-Vjdagdha-Drishti.

Treatment

of

Treatment of a palliative type

V^artis

of

Rasa-kriyanjana Kshudrunjana

Triphala-Ghrita Navana-errhines Puta-

of Fillaja Vataja Kaphaja and Tri Fumigation Treatment of Parimlayi Diet Bloodletting Treatment ofTimira Prognosis Surgical treatment of Kaphaja
Linga-nasa Its after-measures Symptoms and treatment of the disorders
resulting from an injudicious operation Causes of relapse Symptoms

paka Pratyanjana Treatment

doshaja

Kdcha

produced by the defects of the

Derangements due

to

S'aldka

Description of the S'alaka


Their treatment Eye-sig'it-

operations

defective

invigorating Anjanas and Varlis.

...

CHAPTER

...

...

66

S3

XVIII.

Preparations and medicinal measures for ocular affections


Tne Tarpana measures Mode of application Symptoms

in general

of satisfiictory

excessive and defective Tarpana Treatment of excessive


Cases of Tarpana The Pula-paka measures

and defective Tarpana


Emulsive

Scraping and

Healing Puta-paka Preparations of Snehana

Lekhana and Ropana Pula-paka

Prohibition and

Remedies

for infringe-

Symptoms of satisfactory excessive and defective applications of


Puta-paka Mode of preparing Puta-paka Mode of application As'chyotana and Seka their classes Maximum time for Seka Time for application S'irovasti Lekhana Ropana and Prasadana Anjana Forms of
Anjana Their size and dose Materials of vessels and rod
the use of
ments

for

Anjana How
Anjana

to

apply Anjana

Symptoms

of

Forbidden cases

satisfactory excessive

Lekhana Anjana Prasadana Anjana


principal

for

and

the application of
deficient

use

of

Ropana Anjana Recipe of several

Anjana; Bliadrodaya-AnjanaVartis Pindanjana.

CHAPTER

...

S4

loi

XIX.

Treatment of hurt or injury to the eye : General Treatment


Prognosis TreatmenI of sunk.-n t-ye Sym|>toms and Iroatment of Kuku-

naka Cnnclusioiu

...

...

...

...

10210^

CONTENTS.

CHAPTER

XX.
Classifications Symp-

Causes and symptoms of Ear-disease

Pranada X'adhirya Kshveda Karna-srava Karnakandu Karna-gulha Karna-piatinaha Krimi Icarna Karna-vidradhi
106108
Karna-paka Puti-karna.
toms of Karna-s'ula

...

...

CHAPTER
Medical

Treatment

of

Treatment of Vataja car -disease

treatment

of

Treatment of Deafness
Karna-srava

kandu

Pittaja

Treatment-

:- General

Ear-disease
kinds

ear-ache

General and

Krimi-lcarna

Karna-paka.

XXI.

Karna-s'ii'a Pranada and

S'iro-vasti Dipika-Taila Different


specific

...

...

Karna-kshveda

...

Kaphaja

and

.Special

V^idhiryya.

Ear-drop General and

of

Karna-s'ula

Treatment of Puti-karna

N'idradhi,
...

...

etc.
...

Karna109

117

CHAPTER XX H.
Causes and symptoms of diseases of the nose :- Nomenclature
Classification Symptoms
of
Apinasa Puti-nasya Nasa-paka

Puya-rakta Kshavalhu Bhrams'athu Dipti Pratimiha


Parisrava Pari-s'osha Ars'as S'opha Arvuda Pratis'yaya
118
120

and

Rakfa-pitta

CHAPTER XXHI.
Therapeutics of nasal diseases : Treatment

Putina:ya

of

Diet Errhines Treatment of Nasa-paka S'onita-pitta Puyarakia Kshavathu Bhrams'athu Dipii Nasan:iha Nasa-srava NasaAjnnasa.

s'osha etc.

...

...

...

CHAPTER
Symptoms and treatment
.symptoms
types

Specific symptoms

...

l\.eginien of diet

122

of Catarrh : Causes Premonitory

Kapli.aja Tri-dosh.nja

of Vat.aja Pittaja

and conduct Treatment of


...

121

XXIV.

Raktaja-pratis'y.aya Prognosis General

and Tri-d<v,haja types.

...

...

treatment of Pratis'yaya

X'i'itnja Pittaja
...

Kapb.aja

...

I2j

130

CONTENTS.

VI

CHAPTER XXV.
of diseases of the head :ClassificationSymptoms
of Vataja Pittaja Kaphaja Tri-doshaja Kshayaja Raktaja Krimija

Symptoms

S'iro-roga

Symptoms

and S'amkhaka.

of

Suryavarta
...

Ananta-vata Ardhava-bhedaka
...

...

...

131 133

CHAPTER XXVI.
Treatment of diseases of the head : Treatment

of

Vataja

Raktaja S'viroroga Food Treatment of Kaphaja Tri-doshaja


Kshayaja Krimija Ardhava-bhedaka Ananta-vata and S'amkhaka.
Pittaja

Conclusion.

...

...

...

...

...

134140

Here ends the ^cblsCkya-Tantra.

CHAPTER XXVH.
Specific features of nine

malignant Grahas : Different names

General course of attack Symptoms of attack by Skanda Skandapasmara S'akuni Revati Putana Andha-putana S'ita putana Mukhamandika Naigamesha Prognosis Rules

to

be observed.

...

141 144

CHAPTER XXVHI.
Therapeutics of an attack by Skanda Graha ; General

Fumigation Mantras

ment

...

CHAPTER

...

...

145

treat-

146

XXIX.

Therapeutics of an attack by Skandapasmsira: General

treat-

Sprinkling Anoinlment Utsadana Fumigation Religious propitiation Mantras.


147 1^8
ment

...

...

...

...

CHAPTER XXX.
Treatment of an attack by ^akuni graha : Sprinkling Anointment

Pradeha Fumigation Religious propitiation Mantras.

149

150

CONTENTS.

CHAPTER

Vll

XXXI.

Theraputics of an attack by Revatigralia -.Sprinkling Anointment

Plaster Religious propitiation Mantras....

CHAPTER

...

:S2

151

XXXII.

Treatment of an attack by Putana-graha : Washing Anointment

Fumigation Religious propitiation Mantras.

CHAPTER
Treatment
gation

of

...

153

154

XXXIII.

Andha-putana-graha : Sprinkling Plaster Fumi-

Religious propitiation Mantras.

...

...

155

156

CHAPTER XXXIV.
Treatment of an attack by l^ita-putana : Sprinkling Fumigation

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

Utsadana Fumigation Religious propitiation Mantras. 159 160

CHAPTER XXXVII.
Origin of nine Grahas -.The nine presiding

CHAPTER
Symptoms and Therapeutics

deities.

...

XXXVIII.
of the diseases of the female

Enumeration Classification Names


Kaphaja and Tri-doshaja types
External treatment.
164 168

organ of generation ".Causes.


Symptoms of Vataja Pittaja

Medical treatment.

Internal and

Here ends the

161 163

Eaumara

...

bhritya-Tantra-

CONTENTS.

VIll

CHAPTER XXXIX.
Symptoms and Treatment

of Fever : Description of Jwaia


symptoms Sympof Vataja Pittaja Kaphaja and Tri-doshaja feverAbhinyasa-

Definition and classification

toms

Pathology Premonitory

fever
Ilataujas
Sannyasa Dvvandaja fever Vata-pilta-fever
VafaS'leshma-fcver Pilta-S'leshma fever PralepakaTritiyaka (tertian) and

Vishama-fever Seat and duration of Vis^hama Satataka AnyedyushkaTritiyaka Chaturlhaka Action


ence of Vayu on Vishama fever Agantuka fever due
the
of poison
Ilay-feverGambhira fever and prognosis General treatment Fasting Prohibition of fasting Effect of fasting Satisfactory and excessive
fasting Tepid water Cold water Peya -Vavagu Symptoms of Pakva
and Ama-jwara Time
administering febrifuge Preliminary treatment
Application of Vasti and S'iro-virechana Administration of Ghrita
Diet Laja-tarpana Milk as a diet Meat-diet Prohibitions
fever
Sams'amana decoctions
Vataja Pittaja and Kaphaja feverTreatment of Kapha-Vata Pitta-S'leshma Vata-pitta fever and Tri-doshaja
fever Treatment of Vishama-jvvara Ghrita in cases of Vishama fever
Guduchyadighrita Kalasyadi-ghrita Maha-kalyana-ghrita Panchagavya ghrita Triphald-ghiita Pancha-sara Medicated Tailas Fumigations and Anjanas Treatment of shivering and burning sensation General
and specific treatment of the complications Application of Vaslis SympCliaturthaka (quartan) fever

jwara

Influ-

to

effects

its

for

in

for

toms of the remission of

fever.

,..

CHAPTER
Symptoms and treatment

...

...

169

211

XL.

of Diarrhoea,

etc

: Causes Patho-

Pittaja Kaphaja
and Tri-doshaja types Symptoms of S'okaja and Ainaja Atisara Symptoms of Ama and Pakva Atisara Prognosis General treatment Twenty
different Recipes
Amatisara Fasting Six Yogas
Pittaja Atisara
Astringent
remedies Application of Ghrita Putapaka-preparations
Treatment of
Use of milk Asthapana and Anuvasana Vaslis
Pichchhbi-Vasti Diet Causes and symptoms of PakviitisaraTreatment
and Symptoms of PrajVahika General Treatment Application of Vastis
Diet INIedical treatment YavaguGeneral principle of treatment
Indications of cure Static or dynamic causes of diseases and treatment
Grahani Premonitory symptoms of GrahaniSymptoms Specific
symptoms of Vataja Pittaja Kaphaja and Tri-doshaja Grahani Treat212 236
ment and
logy

Premonitory

symptoms

Symptoms

of Vataja

for

for

thirst

Pey.'i.

diet.

...

...

...

...

...

CONTENTS.

CHAPTER
Symptoms and Treatment

IX

XLI.

of Phthisis

: Nomenclature S'osha

Kshaya Raja-yakbhiua Eiiology and general symptoms Specific


syiuploms of Vataja Pitlaja and Kapbaja types Prognosis Other causes
of S'osha and their symptoms Premonitory symptoms Prognosis Treatment Diet Meat,
Utsadana Medicated Ghritas Ehidi-mantha
milk,
Rules of conduct.
Use of goat's
237 245
etc.

etc.

llesh,

...

CHAPTER XLH.
Symptoms and Treatment

of

Gulma : Delinition

Premonitory

and

Number-

Specific Symptoms of Vataja Pittaja Kaphaja and Tvi-doshaja types Symptoms of


Raktaja Gulma General Treatment of Vataja Pittaja Kaphaja Tridoshaja and Raktaja types Uttara-Vasti Anuvasana Chitrakaghrita Hingvadi-ghrita Dadhika-ghrita Rasona-ghrita. Ghritas in
Pittaja Raktaja and Kaphaja Gulma. Internal use of Kshara Vris'chirarishta Blood-letting Diet andSvcda. Peya Khada-yusha Fomentation Medicated plugs Supervening symptoms Prohibited articles
Causes and Symptoms of Sula Symptoms of Vataja Pittaja Kaphaja
and Sannipatika S'ula. General treatment Treatment of Vataja
Pittaja Kaphaja and Tri-doshaja S'ula. Symptoms and treatment of
Localisation and Nomenclature

Symptoms

Pars va-S'ula. Symptoms and treatment of Kukshl-S'ula. Symptoms


Symptomsof Vasti-S'ula Mutra-S'ula

and treatment of Hrich-chhula.

Vit-S'ula and Annaja

S'ula.

Their

treatment.

CHAPTER XLH

,..

246

2O4

I.

Symptoms and Treatment of Heart-disease : lOiioloj^y and


Nomenclature Number Specific Symptoms of Vataja Pittaja Kaphaja
Symptoms Medical
Krimija types Supervening
...
Vataja Pittaja Kaphaja and Krimija types.

and

CHAPTER

treatment
...

of

265268

XLIV.

Symptoms and Treatment of Jaundice, etc : Etiology and


Nomenclature- Premonitory Symptoms Specific Symptoms of Vataja
Symptoms of Kamala
Kapbaja and Tri-doshaja types
f'ittaja

Kumbha-Kiimald Layharaka and llalimaka. Supervening Symptoms**

CONTENTS.

-X
General trealmenl
raka.

Articles

nosis.

Trealinent of Kamahi Kuiubha-k^uiald LaghaTreatment of Supervening Syniplonis Prog269276

of Diet
...

...

...

...

...

CHAPTER XLV.
Symptoms'and Treatment

of

Haemorrhage : Cause and

Patho-

Prognosis Premonitory Symptoms Supervening Symptoms Symptoms of incurable types General principles of treatment, Emetic
Purgative Fasting Articles of
Diet-Lambatives The best
Yogas Astbapana and AnuvasanaTreatment of down-coursing type
logy

six

fare

Uttara-vasti.

...

...

...

CHAPTER

...

...

277284

XLVI.

Symptoms and Treatment of Fainting

fits

: Detinition Classi-

Premonitory symptoms Specific symptoms General trealmenl


Specific treatment. Symptoms
Sanny^Csa Treatment Incurable
fication

of

type Diet.

...

...

...

...

...

285288

CHAPTER XLVH.
Symptoms and Treatment

of

Alcoholism : Properties and

Evil etTecls of drinking Three stages of Alcoholic intoxicaprohibited. Specific symptoms of PainjCtyaya
tion Cases where wine
symptoms of Vataja Pittaja Kaphaja and Tri-doshaja types
Symptoms of Para-mada Panajirna and Pana-vibhrama Prognosis
Treatment of Valaja Pittaja Kaphaja Tri-doshaja and Dvi-doshaja
types. Panaka Treatment of Para-mada Panajirna Pana-vibhrama and
Panatyaya Treatment of Thirst Remedies for Daha. Symptoms and
of
treatment of Raktaja-Daha. Daha due to thirst Accumulation
blood Due to Kshaya Due to hurt of Marma. Their Treatment
action of wine

is

Mode

of drinking wine.

...

...

...

,.,

289- 30I

CHAPTER XLVni.
Symptoms and Treatment

of thirst : Etiology Classification-

Symptoms of Vataja Pittajaand Kaphaja


types. Symptoms of Kshataja Kshayaja Amaja and Annaja
Prognosis General treatment Specific treatment Treatment of Kshataja
302 308
Kshayaja and Amaja thirst.General treatmcni.
Premonitory

symptoms

thirst.

....

CONTENTS.

CHAPTER
SymptomS'and Treatment

XI

XLIX.
Vomiting : Causes and Nomen-

of

Premonitory symptoms Specific symptoms of Vataja Pittaja


Kaphaja and Tri-doshaja types Traumatic cases Prognosis General
treatment Treatment of V;itaja Kaphaja and Pittaja types. Vomiting
due to pregnancy. Treatment of traumatic and Krimija types. General
clature

treatment Diet.

...

...

...

CHAPTER
Symptoms and Treatment

of

...

309 33

L.

Hiccough : Causes Derivation

Premonitory symptoms Symptoms of AnnajaYamala

Kshudrika Gambhini and Maha-hikka. PrognosisTheir treatment


Four liquid compounds Meat as
314 318
Classification

diet.

CHAPTER
Symptoms and Treatment

of

...

...

LI.

Asthma : Etiology Classification

symptoms of Kshudra Tamaka


Maha and Urdhva-S'vasa. Prognosis General
treatment. Ilinsradi-ghrita S'ringvadi-ghrita Suvahadi-ghrita TaliLambativesUtkarika Articles
The
s'adi-ghrita -Meat as

and Dhuma Purging and


Sneha
of
Application
recommended

Premonitory

symptoms

Specific

Pra-tamaka Chhinna

five

diet.

Vomiting.

CHAPTER
Kshataja and
Dhuma Treatment

-.Causes and Etiology-

symptoms

symptoms Specific

Kshayaja

of

of

types.

Kshataja Kasa.Kalyana-gudaAgastya-leha.

CHAPTER
I'itlaja

...

...

326337

LIH.

of Hoarseness: Etiology Symptoms


Symptoms of
Kaphaja and Tri-doshaja types.

Symptoms and Treatment

of Vataja

General Treatment Inhalation


Vataja Pittaja Kaphaja Kshayaja and

Pittaja

of Vataja

3'9--325

LH.

Symptoms and Treatment of Cough


Classification Premonitory

...

...

...

...

Kshayaja and Medoja types Prognosis General Treatment- Treatment


Kshay.ija and Medoja
Tri-doshaja
Kaphaja
of V.-itaja - Pittaja

types.

...

...

...

335337

CONTENTS.

Xll

CHAPTER
Symptoms and Treatment

of

LIV.

Worms : CausesClassification

Kaphaja Raktaja worms. Specific


Prognosis Their Treatment. Treatment of
Romada and Dantada worms Diet.
338343

Names and symptoms

of Purishaja

causes General symptoms

...

CHAPTER
Symptoms and Treatment

...

...

LV.

of Udavartta '.CausesClassifica-

Purishaja Mutraja Udavarta. Repression of


V'awningTears Sneezing Eructation Vomiting Seminal discharge
Hunger Thirst Breath and Sleep. Prognosis Their General Treatment Their Specific treatment. Treatment of Adhmana. Udavartta due
tion

Symptoms of

to errors of

Vataja

diet Its treatment.

CHAPTER

...

...

344351

LVI.

Symptoms and Treatment of Visuchlka : Causes Definition


SymptomsAlasakaVilambika Prognosis General Treatment

Kshirdgada Kalyana-lavanaDiet, Causes and Symptoms of Anaiha


Treatment.

...

...

...

.-

...

352356

CHAPTER LVn.
Symptoms and Treatment
tion

Symptoms

Their
Use

of Vataja

Eour specific
decoction Arishla and

Treatment

of

Arochaka.

of

...

...

Arochaka

Pittaja Kaphaja

.Etiology Classifica-

and Tri-doshaja

Lambativcs
Asava.

Regimen of

Treatment

...

of
...

types.

diet

Manasa
357

360

CHAPTER LYHI.
Symptoms and Treatment of suppression
tinn

Symptoms

of

Mutra-jathara Mutra-sanga Mulra-kshaya


sarkar.'l Ushna-vdta

of Urine

:--ciasbirica.

\';i'a-knndalik;i Viitu .thii.l'\':lta-va:ti Mulritita

Application of Uttara-Vasti.

..

MutraGeneral tre.itment

Miitra-gianthi

and two kinds of Mutrauka-suda.


...

...

361 36S

CONTENTS.

CHAPTER
Symptoms and Treatment

xni

LIX.

of the defects of Urine : Classi-

Pittaja Kaphaja and Sannipatika types


Ulcer or injury in the Urethra Mvitraghdta to Stone or Gravel
General Treatment Treatmet of Vataja Pittaja Kaphaja and Trificalion

Symptoms

of Vataja

clue

doshaja types. Treatment of Abhighataja and Purishaja types.

369372

Here ends the Kaya-chikitsa*

CHAPTER

LX.

Symptoms and Treatment of the diseases brought on through


Superhuman influences Action of Graha Causes of influence by a
:

Graha Indications

of attack by Grahas

Deva-graha Asura-graha Gan-

Yaksha-graha Pitri-graha Bhujanga-graha Rakshasagraha and Pis'iJcha-graha. Progonosis Times of their Possession Explanation of Bhuta-vidya. General and religious treatment Their specific
religious treatment Medical treatment Special treatment.
373 380
dharva-graha

...

CHAPTER
Symptoms and Treatment

LXI.

of Apasmsira -.Derivative

signi-

CausesNomenclature Premonitory Symptoms Symptoms of


Vataja Pittaja Kaphaja and Sannipataja types. Discussion on
treatment Siddhartha-ghrita
causes. General treatment Specific
Pancha-gavya-ghrita General treatment Preparation of special wine
ficance

its

Venesection.

...

...

...

...

...

381386

CHAPTER LXH.
Symptoms and Treatment

of Insanity : Derivation Classi-

Pittaja Kaphaja and Tii-doshaja types Symptoms


nf S'okaja and Vishaja types General treatment Treatment by frightening acts Diet Mahd-Kalyana-ghrita Kalyana-ghrita Phala-ghrita
fications of

Vataja

Varlis Venesection.

...

...

...

Here ends the Bhuta-Vidysi Tantra-

...

387391

CONTENTS.

XIV

CHAPTER

LXIII.

Different Combinations of six different Rasas : Taken two at


Three at a time Four at a time Five at a time Six at a time-

a time

One

a time.

at

...

CHAPTER
Rules of Health : Indications
of diet and conduct in

the

Spring Simimer

Winter

When

and how

Medicines Their names


food.

rainy

and

be taken.

to

...

...

...

395

392

...

LXIV.

of Health

Its

importance

Regimen

Rules for autumn Ilemanta


Pravrit. Different kinds of food

season

for

Ten proper

Definitions and

times for

Effects

...

...

administration

Proper time
,.

...

for

of

taking

396

^405

CHAPTER LXV.
The Technical terms used in the
Technical terms

CHAPTER
The
Number

different

Modifications

of different diseases.

of the three Doshas

End

treatise : Names of the

Necessity Their definitions and

of

...

413

LXVI.
the

different

Number of drugs. Different

Their number.

406

examples.

...

Doshas :
combinations

...

of the Contents of the UttaraTantra.

414

416

THE

SUSHRUTA SAMHITA.
UTTARA-TANTARAM.
(SUPPLEMENTARY PART OF THE TREATISE).

CHAPTER
Now we

on the chapter which deals

shall discourse

with the diseases,

viz.,

I.

of the eye, etc.

kam adhyayam).

(Aupadravi-

i.

commences that portion c^f the Sus'ruta


known as the Uttara Tantra (the
is

Here

Samhita which

supplementary part) to which references have been often

made

the preceding one hundred and twenty

in

as the

fit

place wherein to revert in detail

mentioned

cursorily

within

it

number

therein.

This

chapters,

to the

part

topics

comprises

the specific descriptions of a large and a varied

of diseases,

viz.,

those which

form the subject

matter of the Salaikya-Tantra (Diseases of the eye,


ear,

nose and

Videha
diseases

throat)

peculiar

to

infants

bhritya), the pathology,


in

the

as

the aetiology and

six

books of

etc.,

the

narrated

by

the king

symptomatology,

etc.

of

of

and women (Kauma'raof those diseases mentioned

Practice

of Medicine

par

excellence (Kaya-chikitsflk) compiled by the holy sages of


old

and diseases known as Upasarga

{e.g.

lihutopasarga

THE SUSHRUTA SAMHITA.

Demonology) as well as
are also included in

[Chap.

diseases of traumatic

origin

supplementary text*.

this

I.

Herein

are also mentioned the sixty-three combinations of the

Rasas

six different

laws of health

(tasces) as well as the

and

hygiene with their rationale

and

reasonings)

and the

interpretation

(rules,

of

classifications

different

Doshas and organic principles of the body and various

and

accessories

remedial

successful treatment
shall

and

agents

cure.

now begin with

for

their

of the

num-

2.

the description

pathology and the curability or incurability

bers, the

body which are peculiar

of those specific ailments of the


to the

required

head out of a m)'riad

of the

region

of other

distempers reserved for treatment in this portion of the

may

(Uttara-tantra) which

work

unfathomable deep

depth and magnitude.

be compared to the

of the

respect

in

of

vastness

its

3.

Diseases of the eye and itsappendag'es

The

fingers (about

(Nayana-Budbuda)

e\-e-ball

an inch)

in transverse

breadth of one's

own thumb

and two

and a half

The

fingers

eye-ball

the teat

cow.

It

round

all

of

its

of the black part


fluid

of

built up.

the (five)

all

The element

element of
in

'heat'
its

(Agni or

veins

and

Teja.s)

arteries),

(Iris, etc.) in

element (Jala)

which the pupil

preponderates-in

is

situated,

the -lucid

The text has A'gantuka (traumatic 'diseases). Gayadasa


mean Apasmara, Unmida, etc. (Hysteria, insanity, etc.),

(l)

to

circumference).

gaseous e'ement' (Va}^u) contributes to 'the formation

the

it

is

(in

earth (Bhu) contributes to the formation

muscles, the

the blood (that courses

is in

'the

'solid'

the

shape and resembles

in

made up

is

elements of which the universe


of the

diameter, about

two

depth (Sagittal diameter),

almost round

is

of a

in

is

explains

Chap-

I-

UTTARA-TANTARAM.

and the

part (Vitreous body)

(white)

Space (Akas'a)

^
void

there to form lachrymal

is

(ethereal)

the other

or

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


are discharged.

tral

of

part

4.

now proceed

shall

to describe the Drishti

Retina 'Macula

Lutea')

The

expert ophthalmic physicians.

eye (Krishna-mandaia
of

Choroid)

as

set

forth

by

black portion of the

forms one third part

whole extent while the Drishti, according

its

(the cen-

to them,

occupies only one-seventh part of the Krishna-mandaia.

The Mandalas
the

or sub-divisions or circles of the

eye-bail,

Sandhis or Joints (parts where these sub-divisions

meet with one another) and the Patalas (layers or coats)


of

eye

the

number.

respectively

are

five,

and Sandhi : The

the eye are the following,

viz.,

(i)

the

(the circle of the eye-lashes), (2) the


eye-lid) (3) the

mandala

(the pupil).

the one preceding

Sandhis

Mandalas of
Pakshma-mandala

Vartma-mandala

(the

Sveta-mandala (the Sclerotic and Cornea),

Krishna-mandaia

circles)

in

5-6.

IVIandala

the

and six

six

choroid) and

(the

These

lies

circles are

the Drishti-

(4)

so arranged that

within the next in the

list.*'

The

(which serve as lines of demarcation of the

already pointed out are six in number, the

finst

binding the eye-lashes (Fak.sha-mandala) with the eyelids

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

Sclerotic
latter

situated

the

coat (Sveta-mandala),

with the

fifth

the third

between the

and the Drishti-mandala,

latter

lying in the interior

corner (Kaninakas) and the

last (sixth) in the exterior (posterior)

of the eye.
*

binding the

Krishna-mandaia (choroid), the fourth

corner (Apdngas)

7-8.

Evidently some

line or

give a complete sense by

itself.

lines

Ed.

are

missing here

as

the line

cannot

THE SUSHRUTA

The PatalaS
Timira

Of

(loss of vision).

(Patala)

coat

rior

dreadful

the

occurs

Tejas), *

supports

are,

divisions of these coats.

by the
and the

choroid.-|-

is

held (in

substance
of vessels.

(lit.

fat)

Jala

and

and

is

is

the

known

is

however, divisions and

sub-

9.

the

muscles, the

held together

Vitreous body

Beyond the choroid, the eye-ball


by a mass of Sleshma (viscid
capsule of Tenon) supported by a number
The deranged Doshas which pass upward to
the

orbit)

coursing veins and nerves give


dreadful

ante-

and there

region of the eyes through the channels

the

as the

Patala (choroid)

or

different parts of the eye-ball are

blood-vessels,

the

the third coat or Patala (Sceroim

There

I.

or

first

humour

the

a fifth part of the whole

is

as the Drishti.

The

known

these four the

and Cornea) consists of Medas


fourth which

Chap.

eye proper,

in the

disease

the second coat

supported by muscles

the Patalas, two are in

(Vartma-mandala) and four

eye-lid

wherein

light

:~Of

SAMllITA.

rise

diseases in that region.

Purva-rupa,

to

of the

good

many

10.

etc. : Cloudiness

slight inflammation, lachrymation,

up-

of

vi.sion,

mucous accumulation,

heaviness, burning sensation, sucking pain (D. R.-aching

pain) and redness in

the eyes

are indistinctly

manifest

the incubatory stage) in such cases. In cases of an

(in

in-

flammation of the Vartmas

(eye-lids) the

studded with the

worms (Suka) and attended

with pain (as

if

bristles of

pricked into with thorns) and a

impairment of the faculty of the


*

By

"Jala"

is

"Tejas" the blood

eye seems as

eyes

meant here the serum (Rasa)

in

sensible

detecting

in

the

in the veins (Sira) carrying the (Tejas)

if

skin,

known

and by
as

the

A'lochaka.
t D. R. vessels,

important

for the

muscles and

aqueous

humour

maintenance of Krishna-mandala.

(Medas)

arc

most

Chap.

I.

colours

An

UTTAKA-TANTARAM.

and

in closing

and opening the

intelligent physician will conclude

cye-Iids

frech-.

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, other\vise the eyediseases might

become too

or principle to be followed
is

The simple maxim

serious.

the treatment

in

of a disease

simply to forego the primary pathological

The

that disease.

pacify the different Doshas, Vayu,


crited in detail.

causes of

special remedial measures that


etc.

would

have been des-

12-13.

Causes

Eye-disease : The

of

local

Doshas deranged and aggravated by such causes as


diving in water immediately after an exposure to the
heat and the glare of the sun, (constant) gazing at
tant objects,

sleep

in

the

dis-

day time and keeping up


and steady gaze, excessive

late hours in the night, fixed

weeping or over-indulgence

in grief,

worry and

fatigue,

a blow or a hurt, sexual excesses, the partaking (in inor-

dinate quantities) of Sukta, Aranala (fermented rice-water),

M^sha pulse, and Kulattha pulse, voluntary


repression of any call of nature, exposure (of the eyes)
to smoke or dust, trickling down of the drops of sweat
acid gruel,

(into

the

eyes),

pression of tears,

excessive

constant

or

impeded

contraction

adjust the sight to extremely

small

disorders of the organs of vision.

vomiting,
of the

objects,

re-

eyes to

etc.,

beget

14.

Classification of the Eye-diseases

Seventy-six different kinds of


come

across in practice

the deranged

Kapha.

Viju,

Sixteen

twenty-five

are

eye-diseases

of these ten are originated

ten

have been

by Pitta and thirteen

by
by

produced by vitiated blood, and

by the concerted action of the deranged

Doshas (Tri-Doshaja), and

lastly,

two are produced by

THE SUSHRUTA SAMHITX.

6
causes

external
origin.

they

e.,

i.

[Chap.

traumatic

are

I.

their

in

15.

Prognosis of the Vataja Type : Of the


diseases of the eyes

which are due

to the

action

of the

deranged Vdyu, those known as Hatddhimantha, Nimi-

Gambhirika

sha,

the

affecting

and Vj^ta-hata-

vision,

vartma (Vdyu-afflicted Sclerotic coat) is said to be incurable. A temporary cure (Yapya) is all that can be effected
in

a case of Kdcha (cataract) due to the action

Vdyu

deranged bodily

of the

eyes

while the affection of the

known as the Anyato-Vata, Adhi-mantha (ophthalmia),


Maruta-Paryaya
Sushkakshi-pdka, Abhishyanda and
are curable.

16.

Prognosis of the Pittaja Type Of


diseases due

the

known

to

the deranged

as Hrasva-jadya

incurable

remedies

in

and

palliative

cases

of

Abhishynda,

of the

Pitta

measures

are the

only

Kacha, Parimlayi and Nila, while

Adhi-mantha

Pitta-Vidagdha-Drishti,
able.

action

and Jala-srava should be deemed

Amlddhyushita,

Suktika,

Pothaki and Lagana arc

cur-

17.

Prognosis of Kaphaja

Type Of

the

known
and (Kaphaja) Kdcha

diseases due to the aggravation of Kapha, the one


as

the Srava-roga

is

incurable

(cataract) admits of only

cure

may

be

Abhishyanda
Grathita,

be effected

palliative

treatment, while

the following

in

(conjunctivitis),

cases,

Adhi-mantha,

viz,,

Bali^sa-

Sleshma-Vidagdha-Drishti, Pothaki, Lagana,

Krimi-granthi,

Pariklinna-Vartma, Suklarma, Pishtaka,

Sleshmo-panaha.

18.

Prognosis of the Raktaja


the diseases of the eyes due
of the blood,

those

known

Type Of

to the vitiated

as

condition

Raktasrdva, Ajakdjata,

Avalambita (pendent), Sonitdrsas and Sukra-roga should

Chap.

UTTARA-TANTARAM.

I.]

and the type of ^Kdcha (cataadmits of only palliative


cause
same
the

re-^'arded as incurable,

be

ract)

due

to

known

measures, while the diseases

Adhi-mantha,

as

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


Anjana,

Avrana

Sira-jala, Parvani,

roga, SonitArma

may

Arjuna

and

the group of curables.

(non-ulcerated), Sukra-

be included within

19.

Prognosis of the Tridoshaja Type,


et.C.

Of the

eye-discascs due to the concerted action

known

of the three aggravated Doshas, those


srava,

incurable and palliative measures

as

Puya-

and Alaji are

xA.kshipikdtyaya

XakulAndhya,

only possible

are

Pakshma-kopa

in

while those

cases of

Kacha

known

Vartmdvabandha, Sn'aja-pidaka, Prastdras


Adhi-mansdrma, Snayvarma, Utsangini, Puya-

varma,

(cataract) or

Kardama-vartma,

Arvuda, Syava-vartma,

lasa,

vartma,

Ars'o-

two

Sarkara-vartma, the

Sukrdrs'as,

forms

inflammation with or without local swelling known

of
as)

Sas'opha-pdka

Kumbhikd and

and

Bahala-vartma,

As'opha-paka,

Visa-vartma yeild

to

Their

external causes* should be

due to the

Localities Thus

considered as incurable.

curative

Both the forms

efficacy of appropriate remedial agents.

of eye-disease

the

20

21.

we have

finished

enumerating the seventy-six types of eye-diseases, of

which
unions),
to

the

nine

are

confined

twenty-one

te)

to

the

Vartma

the

Sandhis (bindmg
(eye-lids),

Sukla-bha'ga (the Vitreous body),

Krishna bhaga

(the region

of the Choroid),

to the entire region (eye-ball)

and twelve

to

of the Drishti (pupil or the ^crystalline lens,


*Thc one due

to

eleven

four to the

seventeen

the^rcgion
etc.).

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

originating from the sudden sight of any celestial being of extreme

ancy ( A-nimitta)-

The

brilli-

THE SUSHRUTA SAMHITX.

two cases due


located in

to

the

[Chap.

extraneous cause (are chiefly

the Drishti though

affecting

the whole

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


characteristic

symptoms

Thus ends

the

first

of

The

these

will

be hereafter

chapter of the Uttra-tantra

in the

.Sus'rula Sanihitd

described in detail.

which deals with the

I.

22

of

all

23.

diseases, viz. of the eye, etc.

CHAPTER
Now we

II.

on the chapter which deals

shall discourse

with the pathology of diseases which arc peculiar to the

binding

joints or

membranes

(Sandhi-'

eye

of the

gata-Roga-Vijnaniya).
The names of those diseases : Diseases
peculiar to the joining (Sandhi)

number and

are

kinds of) Srava

named

(viz.

Symptoms

Puya-srava, Sleshma-srdva,

suppurated swelling occurring at any

2.

of

sort of

fetid

and dense *

painless

cyst

(Granthi) of

called Puyalasa.

is

Rakta-

Puyalasa and Upa-

of

these joining and exuding

pus

in

Parvani, Alaji and Krimi-granthi.

srdva, Pitta-srava),

naha

eye are nine

of the

Puyalasa, Upandha, (the four

considerable size occurring at the union of the pupil (with


the Krishna-mandala) and attended with an itching sensation

and a

little

suppuration

Symptoms
Doshas

ducts into

the

binding tissues

Sandhis (joinings)

set

localities characterised

3.

A.

deranged

different

which according

According

There

to
is

the four different


.|

to

secretion

by the

Doshas involved.

toms of the

('J^^'.)-

Upangha.

of

up a painless

as Srsivas,

called

of the locality passing through the lachrymal

-f

from the

is

Srava : The

of

(Srdva)

specific

symp-

The.se are

known

some, are also called

Madhava's reading, the swelling should be painful

no mention whether the pus should be dense (^cg) or

otherwise.

The

term

"Dosha" here means S'leshma,

and the concerted action of the above three Doshas.


that

Viyu

is

excluded from the

list

X Madhava does not mention

as

it

Pitta,
It

Rakta (blood)

should

be noted

does not produce any secretion.

this (painlessness) to be

a symptom.

THE SUSHRUTA SAMHITX.

10

Netra-nddi and

presently.

are

classified into

symptoms

the different

Chap.

II.

four different groups,

which

of

will

be described

suppuration (D. R. swelling) in any of the

unions (Sandhi) of the eye marked by a discharge of pus


is

called Puysi-sriiva. This

due to the concerted action

is

of the Doshas (Kapha, Pitta and blood).


slimy, white

The

secretion of

and thick muco-purulent discharges marked

by the absence

of pain *

is

called Sleshmsi-sra'va.

The

flow of thin, warm-f and blood-streaked copious discharge

due to a contaminated state of the local blood is called


A warm, water-like and yellowish blue
Raktsk-srjfva.
(D. R. reddish yellow) discharge

Pitta)

from the middle part

union (owing to the deranged condition of the

of the

is

called Pitt^-sraiva.

Symptoms

3.

of Parvani, etc. : A

small,

round and copper-coloured swelling occurring at the joining 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,

swelling

possessed

of

the

occurring at the very same joining


titis)

\.

is

called

preceding
is

Parvani.

features

called Alaji

cyst or swelling (Granthi) characterised

and

(Kera-

by an

itching sensation appearing on the joining of the eye-lids

and eye-lashes owing to the germination of


(Krimi)

in

those

localities,

is

called Krimi-grantlii.

Parasites of different forms in such a case


infest

parasites

are found

to

the regions where the inner lining of the Vartma-

According

Madhava's reading, the absence of pain

to

is

not

necessary concomitant in this case.

According

to

Madhava's reading thinness and warmness are not

essential.

The

difference

between a case

that the swelling in a case of Parvani


larger.

is

of

Parvani and

that of

Alaji

is

and that

in the

Alaji

is

smaller,

Chap.

UTTARA-TANTARAM.

II. ]

mandala

(eye-lid)

is

connected with the Sukla-mandala

(Sclerotic coat) of the eye

and

substance of the eye-ball.

Thus ends

the

second

to invade

and

vitiate the

5.

chapter of the

Uttara-Tantra in the Sus'ruta

Samhita which deals with the pathology of the diseases peculiar


Sandhi (unions) of the eye.

to the

CHAPTER
Now we

III.

discourse on the chapter which deals

shall

with the pathology of diseases peculiar to the region of the

(Vartmagata- Roga-Vijnaniyav
Causes and Names : The Doshas of

eye-lids

body

jointly or severally

and

veins, (Sira) of the eye-lids

expanding through the nerves

the growth

of the

of blood

(Vartma) bringing about

quantity of the blood and

an augmentation of the

tion

i.

the

flesh

the

in

(determina-

localities

toward formation of fleshy growth

the affected parts) give

a host of local

rise to

which are known as Utsangini,


Vartma-Sarkara.

Ars'o-vartma,

Sy^va-vartma,

diseases

Kumbhika, Pothaki,
Anjana,

Sushkars'as,

Bahala-vartma, Vartmavabandha,

dama-vartma,

in

Klishta-vartma, Kar-

Praklinna-vartma,

Pari-

klinna-vartma, Vatdhata-vartma, Arvuda, Nimisha, Soni-

Lagana,

tarsas,

(Vartma).

restricted to

The Specific symptoms


have been enumerated

symptoms.

on

its

exterior

side

called

with

its

Utsangini.

pustules (Pidaka) to the

names

size

becoming

Kumbhikai
*

*.

inflamed

their
boil

mouth or head
A number of
of a

Kumbhika

after

the

directed
boils

seed

or
ap-

eye-lashes

being burst

Is

called

34.

This disease (Kumbhika)

three Doshas.

describe

along the lower eye-lid

pearing on the joint of the eye-lids and

and

of these

up and indented)

(rolled

eruption (Pidaka) appearing

is

eye-lids

of the dis-

now hear me

or

inward

the

2.

eases of the eye-lids : The


specific

Pakshma-kopa.

and

Visha-vartma

These twenty-one diseases are

is

due

to the

concerted

action

of the

UTTARA-TANTAKAM.

Char. ni

or pustules

of red and heavy (hard) boils

number

red

(Pidakd) resembling

mustard seeds attended

with

rough

and exudation

pain, itching

13

called Pothaki.

is

and large pustule (Pidaka) surrounded by other very


small and thick erythematous pustules (covering the
entire length of the eye-lid)

Vartma-s'arkarak.

called

is

5-6.
Vegetations of small (D. R.

attended with very

soft)

and rough

papilse

resembling Ervdruka seeds and

(Pidakas) on the eye-lid


little

pain

arc

called

Arso-vartma.

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


eye-lid (2) are called Snshkairsas.

small,

soft,

78.
pustule

copper-coloured

(Pidaka).

appearing on the eye-lid and attended with burning,


pricking sensation and a slight pain is called an Anjana.
.

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


attended with hardness) occurring

all

along the eye-lid

each other)

in

colour

and resembling

it

Bahala-vartma.

(or

are

called

9-10.

Such swelling of the

eye-lid attended with

an itching

sensation and a slight pain as impedes or interferes with


its

being evenly opened

is

called

Vartma-bandha.

mild and copper-coloured inflammatory swelling of both


the eye-lids simultaneously attended with a slight

and changing suddenly


discharging

vartma.

blood

into

redness (D. R.

therefrom)

Klishta-

11-12.

ca.sc

Klishta-vartma

of

which

in

has deranged and affected the blood

matter (mucus)

is

According

to

M^dhava,

the

Pitta

is

called

dark brown colour of

the eye-lids both internally and externally

inner side of the eye-lid.

the

and much dirty

discharged as a consequence

a case of Vartma-kardama.

(2)

suddenly

chilled

is

pain

papila:

in

marked by a

such cases occur in the

THE SUSHRUTA SAMHITX.

14

swelling (D. R.

pain) and attended with a

pus and with burning and

^yj^va-vartma.

An

III.

discharge of

sensations

is

called

13-14.

external swelling of the eye-lid with a deposit

mucous matter
pain

little

itching

Chap.

sensation,

as a discharge, itching and pricking

as well

is

of

accompanied with a

in its inner surface

Praklinna-Vartma.

called a

sticking to-

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

and

called

is

The drooping down


obstruct the

Pariklinna-vartma.
(lit.

15

seem

to be out of joint

or shape, growing

hastily

and attended with a

or tumour.

16.

of the eye-lids,
(so

as

to

opening of the eye-lashes) where the eye-

red and knotty swelling

eye-lid

inactivity)

attended with any pain or not,

whether

lids

constantly washed

eyes being

the

in spite of

(with water) *

17

called Vsitaihata-vartma.

is

(Granthi) of an

uneven

on the

side

little

interior

pain

is

called

size

of the

an Arvuda

18.

Constant wrinklings of the eye-lids owing to


incarceration of the (deranged)
or veins (Sira)

controlling

opening) are

known

V^yu

within

their wrinkings

Nimesha.

as

Soft

the

the nerves
(closing

and

and

fleshy

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


after being

removed with a

pain, itching

and are attended with

and burning sensation are

and should be ascribed


blood.

knife,

to the

vitiated

thick, slimy,

hard and painless nodular swelling

and marked by an
puration

condition of the

19-20.

(Granthi) on the eye-lid resembling a

called Sonit^^rsas

is

called

itching sensation

Lagana

f-

different reading reads 'whether

not a good reading,


t Certain editions read

Nagana.

Kola

^^ inflammatory
washed

in size

fruit

and absence of sup-

or

not.'

swelling

This,

however,

Chap. HI.

UTTARA-TANTARAM.

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


in

the

stem

of a

water-soaked lotus plant

is

called

Visa-vartma. 21-22.
An accumulation of the deranged Doshas about the

makes them rough and sharp-pointed, which


give pain to the eye and give relief when drawn off.
The disease is known as Pakshma-kopa in which the
eye-lashes

eye cannot bear the least wind or heat or the glare


of

fire.

23.

Thus ends the

third

chapter of the Uttara-Tantra in

Samhita which deals with the pathology of the diseases of the

Ihe

Sus'ruta

eye-lids.

CHAPTER
Now we

shall discourse

IV.

on the chapter which deals

pathology of diseases of the Sclerotic coat


(white coat) of the eye (Suklagata-Roga-Vijnjiniya). i.
with

the

Names The eleven different

forms of diseases

which are peculiar

the Sclerotic coat (white) of the

to

Suklarma, Kshataj^rma (Rakt^-

eye, are Prastaryarma,

rma),

Adhimansarma,

Snayvarma,

Suktika,

Arjuna,

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

Symptoms

: A

and extended glandular

thin

swelling (Granthi) coloured

blue and

reddish

on the Sclerotic coat (Sukla)

apearing

Prastairyarma.

called

is

crop of soft and whitish growths slowly extending

over the entire length of the

The

Suklatrma.

fleshy

The

brown and
coat

(D. R. white)

gaining (slowly) in

oyster-shell

called

speck

of dark

is

called

and

dark-

on the white

rough, yellowish

the white

Suakyvarma.

3-7.

brown specks resembling


colour of an

The appearance

of

a single dot

on the Sclerotic coat (Sukla), coloured


is

called

circular dot or speck appearing

and coloured white


water

and

coat,

on the white coat (Sukla) of the eye

Suktikai.

(drop of the) hare's blood,

and

flesh

colour or of those having the

in

called

is

colour

thick

The

on

flesh

size, is called

The appearance
flesh

growth of

Adhi-mainsabrma.

growth of

in

extended,

soft,

liver-coloured

called

is

coat

Sclerotic

growth on the white coat of the

eye resembling a (red) lotus flower


Lohitatrma.

as)

2.

is

like pasted

called

rice

Pishtaka.

Arjuna.

like

is

or
a

raised

on the white coat

and

(as

transparent

Red and extensive

patches of hardened veins spreading over the white coat

and looking

like

net-work

is

called

SirSk-jSkla.

The

UTTARA-TAXTARAM.

Chap. IV.

crop of white pustular growths (Pidaka) on the Sclerotic


black coat

coat (S'ukla), near the limit of the

covered over with shreds of veins are called

The

Pidaksi.

Indian

(Iris)

and

the Sirsi-

disease in which a speck coloured like the

bell-metal

(K^msya) and covered over with a

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


called the Balaisa*.

Thus ends
hitd

which

8-13.

the fourth chapter of the Uttara-Tantra in the Sus'ruta

treats of the

is

Sam-

pathology of the diseases of the Sceloretic region

of the eye.

The reading

Dallana seems

in

Madhava's

to support that.

It is

Nidana

speck appears like a drop of water on


bell-metal in colour.

is

quite different

here,

and

defined as the disease in which a hard


the

white coat

and looks

like

CHAPTER
Now we

V.

on the chapter which deals

shall discourse

with the pathology of the diseases of the black part of


eye

the

Choroid

including

Roga-Vijnsiniya).

The

which are found

to

Choroid

including the

Iris

have been

briefly

said

be four

to

invade the region

(Krishna-mandala)

Their

number.

in

A-vrana-Sukra, P^kdtyaya

are Sa-vrana-Sukra,

and Ajakl.

(Krishna-gata-

Iris

diseases

of the

names

the

i.

2,

Symptoms A
:

puncture-like dip in the region

(Krishna-mandala) with a sensation there as

of the

the part has been

with an excruciating pain and a hot exudation

Sa-vrana-Sukra.

seat of this

the

If

if

with a needle and attended

pricked

ably remote from the pupil

is

called

disease consider-

entire part of the Drishti

marked by the absence of pain and discharge


be not deep-seated and if there be not double

(Retina) be

and
spots,

offers

it

very

little

chance of remedy.

3-4.

Symptoms and Prognosis of A-vrana-^Ukra A whitish film appearing on the


:

region of the Choroid


a

speck

including

(Krishna) like

the Iris

of transparent cloud in the sky, and

attended

with lachrymation and slight pain due to the eye-disease

known
called

case

Abhishyanda (Ophthalmialit.

as

A-vrana-Sakra.

the
of

Avrana-Sukra
deep-seated

thickened,

only with the greatest


case of this

of flesh,

layer

disease,

of skin

(in

is

film)

and long-standing,
difficulty,

which

may

is

A
is

be cured

while an long-standing

mobile, covered with

down

shreds

the

second

and obstructing the

vision,

stretching

the eye)

secretion)

easily curable.

(non-ulcerated

if it is

vein-ridden,

This

to

UTTARA-TANTARAM.

Chap, v.]

and marked with a reddish

severed in the middle


the

in

deemed

be

should

extremities,

10

region

like specks or films on the

as

incurable.

the appearance of

Several authorities aver that

of the

tint

Iris,

Mudga-

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

this disease.

indication of the incurable

nature of

5.

The appearance

of a

whitish

milky film over the

black part of the eye slowly shrouding

it

with acute pain

is

mass and attended

This

Akshi-Ps&sityaya.

from an attack

concerted action of

all

growth, like the head

the
of a

known

its

as the

invariably found to result

is

Akshi-kopa* and

of

entirly with

Doshas.
goat,

is

due

to

the

painful reddish

found to shoot forth

from beneath the surface of the black part and attended


with reddish slimy secretion is called an Ajak2^. 6-7.
Thus ends the
hita

which

fifth

chapter of the Uttara-Tantra in the Sus'ruta Sam-

treats of the pathology of the diseases of the

black part of the

eye.

According

to

Madhava's reading

in

his Nidana,

not necessarily result from an attack of Akshi-kopa,

be an acute pain, and

it

would be incurable.

this

disease

need

and there need not

CHAPTER
Now we

VI.

on the chapter which deals

shall discourse

with the (symptoms and) pathology of the diseases

Vijnaniya).

(Sarva-gata-Roga-

whole

affecting the eye as a


r

Names and causes

: The

four types

of

Abhishyandha (Ophthalmatis), the four types of Adhimantha, the two forms of Akshi-pdka (suppuration of
the eye) attended

with or without swelling, these ten,

Hatddhimantha, Anila-Parjdya, Suskdkshi-

as well

as

pAka,

Anyato-vdta,

Amlddhyushita,

the names of the (seventeen

pAta and S'ird-Harsha are

kinds of) diseases which

Nearly

all

Sirot-

Drishti,

eye as a whole.

the

affect

these forms of eye-diseases

may

from

result

Hence a wise physician


remedy a case of Abhishyanda

the Abhishyanda (Ophthalmitis).


shall try speedily

to

(Ophthalmitis ) as soon as

Specific

nda

The symptoms

shyanda due

it is

found out.

symptoms

of

2.

Abhishya-

which mark a case of Abhi-

to the action of the

deranged Vsiyu are

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


irritation in the eyes,

organ, cold

roughness and parchedness of the

lachrymations and

Pit taja- Abhishyanda


viz.,

exhibits

headache.

the following

case

burning and inflammatory suppuration of the eyes,

longing for coldness

(in

the eyes), excessive

hot lachry-

mations, cloudy vision and a yellowness of the eye.


the

of

features,

Kaphaja type

of the

longs for the contact of

disease,

warm

the affected

articles

and

is

In

organ

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.

its

UTTARA-TANTARAM.

origin in

21

the vitiated condition of the blood,

Raktaja type

is

marked by redness

copper-coloured tears, as well


Pittaja type of the disease
stripes all along.

of the

the

as

the

flow of

symptoms

of the

T^-d.

Causes of Adhimantha : All


and remedied

c,

eyes,

and the presence of deep red

forms of chronic Abhishyanda,


to

/".

if

may

at the outset,

cases of Adhimantha which

with an excruciating pain

the (four)

not properly attended


run into

many

as

attended (invariably)

is

which seems as

in the eye,

if

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

it

were, the half the

characteristic

symptoms

region of the head.

of the

Doshas Involved

case are also seen to supervene.

in

The
each

7.

Symptoms of Vataja Adhimantha :


In the Vattaja

type of Adhimantha the eye becomes

cloudy and seems as


with an
with an

if

being torn out and

Arani (fire-producing wooden


piercing

irritating,

stick)

and a half of the

flesh,

head (on the side of the affected eye)

is

afflicted

a twisting and cracking sensation as well as

and pain.

attended

and cutting pain, as well

as with a swelling of the local

swelling, shivering

churned as

with

with local

8.

Symptoms of 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,


and suppuration in the

as well as swelling, perspiration

yellowish vision, fainting

organs,

affected

burning sensation

become

in

liver-coloured

with an alkali.

the head.

The

and seem as

if

eyes in

fits

and a

this

case

ulcerated or rubbed

9.

Symptoms of Kaphaja Adhimantha

In

the

Kaphaja type

of

Adhimantha

the

c}c

is

THE SUSHRUTx^ SAMHITA.

2:^

with

swollen

Chap. Vl.

slight congestion (inflammation).

Dis-

charges with a sfensation 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

objects

all

seem

to be full of dust.

ro.

Symptoms of Raktaja Adhimantha

pain

pricking

in

and a blood-streaked secretion

from the affected organ which looks (bright red)

like a

symptoms which mark the


Raktaja Adhimantha (due to the vitiated blood).

BandJiujiva flower, are the

type of

The eye becomes


least
if

and incapable of bearing the

painful

touch or contact, and the objects of vision seem as

enveloped

in

The

flames.

origin

coat of the eye) looks like

an ArisJita

in blood.

cornea (black

of the

fruit

submerged

1 1.

The prog'nosis A
:

conduct or medical treatment


of vision in seven days from

course of injudicious diet,

may

usher in the blindness

an attack of the Kaphaja

type of Adhimantha (Ophthalmia) and


that of the blood-origined (Raktaja)
in a case of the

in five

type,

in

days from
six

days

VAtaja Adhimantha and instantaneously

within three days of the


{i. e.,

of the eye

extremities

become red and the whole

Adhimantha.

attack)

in the

Pittaja

type of

12.

Symptoms of Sa-sopha and A-sopha


Akshi-paka : A

case

of

exhibits the following symptoms,

deposit of

mucous matter

(in

Sa-sopha-Netra-paika
viz.,

itching sensation,

the eye), lachrymation

a redness of the eye like the colour of a ripe


fruit.

There

is

and

Udtimbara

a burning sensation in the eye-ball which

becomes copper-coloured, heavy, and attended with a


The eye becomes
pricking pain and horripilation.
swollen and constantly secretes either cold or hot slimy

Chap. VI.

UTTARA-TANTARAM.

discharge-;,

23

and ultimately suppurates.

symp-

All these

toms except swelling mark the (non-swollen) A-s'jphaNetra-pa'ka type of the disease,

The deranged Vdyu

1 3.

getting incarcerated in the optic

nerve (Sira) impairs the faculty of sight, and gives

an incurable disease which

called

is

(blinding Ophthalmia).

sometimes

of the eye-lashes*

region

in the

eye-brows and sometimes

owing

those localities,
disease

and remain alwa\'s

hard

cloudy and hazy, and


the eye-lids,

the

the

region of the head,

is

The

to

open

The

Manyd
in

called the Auyato-vaita.

owing

to the

action,

is

disease

in

called

the

the

an\'

nerve

other (adjacent)

16-17.

with a bluish

red

partakings of meals comof acid articles, or

by a digestionary acid

followed

is

in

particular

(a

posed of an unduly large proportion


of such food as

due to

e\-e-brows

incarcerated

swelling of the eye attended

tint all about,

becomes

the cheek-bones, the back

on either side of the neck), or


place,

14-15.

Sishkaikshi-pEika.t

Vayu

cars,

neck (Avatu), the

of the

e}'e,

become dry and

the \-ision

in the

or

deranged

of the

the

and incarcerated

eye-lids

closed,

excessive pain in the eyes

the action

or of the

of

becomes very painful

it

called

is

experienced

called Vata-Parya'ya.

is

which the

in

region

the

in

of the deranged

to the coursing

Vayu in
The

pain

shifting

rise to

Hataidhimantlia

Amlaidhyushita-Diishti.

which the veins

all

over the eye

re-

The

become

copper-coloured and are frequently discoloured, whether

attended with pain or not,

Mddhava
Mddhava

in the
in

burning sensation

the
is

Nidana

<!oe.s

is

"^^^^"

which means

in the affected eye, in place of

word which seems redundant.

iH -19.

not mention the eye-lashes.

Nidana reads

produced

called the Sirotpaita.

that a liighly

'f^f^^^"

THE SUSHRUTA

24

A
in

case of SirotpAta,

if

SAMIIITX.

the eyes and

This

is

Thus ends

discharges

in

rise to

copious

transparent and
quantities

from

produce a complete blindness of vision.

known

Samhit^ which

Chap. VI.

not attended to and remedied

time through ignorance, gives

copper-coloured

the

as the Sirai-harsha.

sixth

chapter of the

20.

Uttara-Tantra in

the

treats of the diseases affecting the eye as a whole.

Sus'ruta

CHAPTER
Now we

shall discourse

VII.

on the chapter which deals

with the pathology of the diseases which are peculiar to


Drishti

the

(pupil)

of

Experts well-versed

in

(Drishti-gata-

eye

the

Roga-Vijnaniya).

i.

anatomy

the

eye

that the Drishti (pupil) of the

of the eye

aver

the quintessence of

is

the five material elements with that of the eternal

light

predominating therein this principle of light neither


increasing nor decreasing in

this case.

It

accustomed to cold from the very nature of

ment and

is

naturally

is

tempera-

its

covered by the outer coating (Patala) of the

organ proper.

It

looks like

and

hole

equal in

is

dimension to that of a Mas^ra seed

or

pupil of the eye resembles in

the phosphores-

cent flash of a
of

fire (in

glow-worm or that of a minute

well as of the one

(loss of vision)

All
sight

particle

pathology of the twelve

shall describe the

kinds of disease peculiar to the region


(pupil), as

pupil).

The

not burning the things coming in contact with

Now we

it).

action

its

pulse*.

affecting

the

which

is

of the

known

Drishti

as Timira

Patala (coating over the

2.

external

when

objects

appear dim and hazy to the

the deranged Doshas

through the veins (SirA) of the

of the locality passing


eye,

get

into

and are

incarcerated within the first Patala (innermost coat) of

the pupil (Drishti).

3.

Symptoms when
attacked : False

second

images of gnats,

flies,

Patala
hairs, nets or

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


*

According to Nimi, quoted

the dimension of

puhe.

th'.-

Drishti

ii

in

Madhava's commentary

equal

to

l)y

S'rtkanlha,

only a hall of that of a

Masura-

THE SUSHRUTA SAMHITA.

26

and the external objects seem to be enveloped

to the sight,

haze or as

in mist or

viewed

[Chap. VII.

if

laid

under a sheet of water or as

and on cloudy days, and meteors of

in rain

ent colours seem to be falling constantly in


in the event of the

fined in

the

all

differ-

directions

deranged Doshas being similarly con-

second Patala (coat) of the Drishti.

In

such cases the near appearance of an actually remote


object

and the contrary [Miopia and Biopia) also should

be ascribed to .some deficiency


of refraction

(error

capacitates the

in

patient

the

in

Symptoms when
attacked

of the Drishti.

infiltrated into the

The

Third Patala

Do-shas affecting the Drishti

(coat)

(cry.stal-

highly enraged, impart their specific colours

if

Even

to the objects of vision.

covered with a piece of cloth.


persons with ears and
those

of

bereft

situated at

PataSa

Objects situate high above are seen and

ranged Dosha are

i.e.,

4.

third

below remain unobserved when the de-

those placed

line lens),

in-

from looking through the eye

and hence from threading a needle.

range of vision

the crystalline lens) which

large objects

The images

eyes, etc.,

organs.

seem to be

of objects and

seem to be otherwise
The deranged Doshas

and obstructing the lower, upper and

parts of the

Drishti

(crystalline lens)

lateral

respectively

shut

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

dim and confused view of the external world is all


when the deranged Doshas spread over

that can be had

and

affect the

whole of the Drishti

thing appears to the sight as

when
lens,

the deranged Doshas affect

and as

triply divided

are scattered

of the

if

same

in

two parts

object

is

two (bifurcated)

the middle part of the

and severed when the Doshas


while a multifarious image
;

the result of the manifold

tions of movability of the

(crystalline lens).

cutlinto

Doshas over the

distribu-

Drishti.

5.

Chap. VII.

UTTAKA-TANTAKAM.

Symptomswhen
attacked : Loss
fact of the

27

fourth

of vision (Timira) results from the

deranged bodily Doshas being confined within

the fourth Patala (choroid) of the organ.


is

Patala

When

by the aforesaid

completely obstructed

the vision

cause,

is

it

Only a faint perception of the images of the sun, the moon and the stars,
the heaven, a flash of lightning or any other such highly
called a case of

brilliant objects

Linga-n^sa

a case of superficial (not

possible in

is

The

deep-seated) Linga-nds'a.
also called Ni'lika

(blindness).

and Kacha.

Linga-nas'a

(blindness)

is

6.

Specific traits of Timira : All

external

objects are viewed as cloudy, moving, crooked and red-

coloured in the Vaitaja type (of Timira), while

in

the

Pittaja type they appear to be invested with the different


of the

colours of the spectrum or of the rain-bow,

worm, of the

flash of lightning,

bordering on black

pea-cock, or with a dark blue tint

while in a case of
of a

like that

glow-

or of the feathers of the

Kaphaja Timira, a

thick white coat

pack of white clouds or a deep white

chowri (Chamara) seems to intervene

in

everything which

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

of the

day, or as

if

laid

under a sheet of water. In a case

Raktaja type of Timira, all objects appear red or


in gloom, and they assume a greyish, blackish

cnvoloped

In a case of Sannipsitika Timira,

or variegated colour.

the outer world

looks

as doubled or trebled
stars

and

varcigated and confused, appears


to

the vision (of the patient), and

planets, either defective or supplied with addi-

tional limbs,

seem to

Pari m lay

float

about

in

the vision.

The quarters

yellow and appear to

the

sight

as

the light of the rising sun, and trees

with

the

tangles of

fire-flics

in

of the
if

7'^'^-

heaven look

resplendent with

seem as
case

if

sparkling

of Parimla'yi,


THE SUSHRUTA SAMHItX.

28

Chap. VII.

which should be ascribed to the action of the deranged


Pitta

concert with the vitiated blood.

in

12.

The

different colours of the pupil in


cases of Ling-a-nasa : Now wc shall describe
the colours of the pupil

The

Linga-nas'a.
in the

Vataja

in

the

six

the disease

t)-pe of

looks blue or bluish

Kaphaja and

yellow in the Pittaja, white in the


red in the blood-origined one, while

gated hue

in the

Satnuipatika type

cular patch (Mandala) tinged


bluish yellow colour

thick grass,

is

types of

different

pupil assumes a reddish (Aruna) colour

blood-

assumes a varie-

it

of Linga-nds'a.

cir-

with a shade of bluish or

and looking

like

fire

a piece of

or

formed on the pupil owing to the diseased

and aggravated condition of the blood (with pitta) in a


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

of the deranged

Doshas obstructing the

filtering

away

13-15-

vision.

Specific Traits of Linga-nasa : The


circular patch (over the pupil) in a case of Vflktaja Lingands'a

is

red-coloured,

and

is

moving and rough

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

The

or yellow or coloured like bell-metal.

Kapha] a Linga-nas'a
conch-shell, a Kunda

in a case of

white as a

is

leaf

and moving away

The

circular

(blood-origined)

or a (red)
disease
(pupil)

to

and

fro

when

Linga-nas'a

lotus-petal.

is

in

and as

moon

flower or the

patch over the pupil

bluish

circular patch

thick, oily

resembling a white drop of water on the

is

to the

moving

the eye

is

lotus

rubbed.

a case of Raktaja

red-coloured like a coral

Sainuipaktika

type of the

marked by a variegated colour of the Drishti


and by the specific symptoms of the different
is

Doshas.

16.

The

total

number

of diseases peculiar

to

the Drishti

Chap. VII.

UTTARA-TANTARAM.

The

twelve.

i.s

peculiar

disease,

of Linga-nas'a (Drishti) have

types

six

The

been described above.


to

the

The

forms

of the

are

named

(pupil)

Slcshma-vidagdha-Drishti,

Nakulandhyatd and Gam-

Dhfima-dars'in, Hrasva-Jatya,
bhirika.

other

six

Drishti

Pitta-vidagdha-Drishti,

as

29

17.

disease in which the region of the Drishti (pupil)

and

assumes a yellowish colour,

external objects

all

appear yellow to the sight owing to the presence of the


(and

vitaited

Drishti

an

is

augmented) Pitta

accumulation

the

third

is

affected

of the

(coat)
in the

due to

eye,

in

and the patient

day, but can see only

in

the

objects appear white to the sight

The deranged Dosha (Kapha),


In

when

by the accumulation of the deranged Kapha.

neously divided over


eye.

of the

It is

18.

The external
it

the region

deranged Dosha (Pitta)

of the

Patala

cannot see anything


night.

in

called Pitta-Vidagdha-Drishti.

all

in

this

case,

consequence of this the patient

with nocturnal

is

simulta-

the three Patalas (coats) of the

blindness,

is

attacked

being able to see only

the daytime owing to the (melting

in

and) decrease of the

deranged Kapha through the heat of the sun.

This

is

known as Sleshma-vidagdha-Drisliti. 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,

or injury to the head, etc.

thus

engendered

sight).

The

is

called

The

physical

exer-

affection of vision

Dhuma-Drishti

(smoky

20.

disease in

which small things can be viewed


the daytime,

only with the greatest difficulty (even)

in

but can be viewed (easily and clearly)

the night owing

to

the

subsidence

of

the

in

deranged pitta through the

THE SUSHRUTA SAMHITA.

30

Chap. Vlt.

coldness of the atmosphere (and a general cooling of the


Earth's surface)*

The form

called Hrasva-js^tyaf-

is

of occular affection

man

of Drishti (pupil) of a
bles (and

called

multi-coloured

Nakulakcdhya.

day

in the

The form

(pupil)

above, there

the

Besides

two more

are

Linga-uas'a of traumatic origin,

Under

cause).

the

forms of

Sa-nimitta (of ascer-

vi^.,

tainable origin) and A-nimitta (without

ascertainable

the

in

22-23.

called Gambhirika(.

is

which the

in

an extreme pain

into the socket, attended with

affected parts,

is

affection

and deformed and sinks

contracted

is

time,

of occular

due to the action of the deranged Vaiyu, and


Drishti

like) that

consequence of which the external

in

appear

objects

by the Doshas resem-

found to emit (luminous) flashes

is

mungoose

of a

which the colour

in

affected

-i-

any manifest or

may

group

first

be

arranged those which are produced by such causes as

an over-heated

Abhishyanda,

which the

condition of the head

marked by the

specific

symptoms

while the

etc.),

second comprises

loss of one's vision

due to

is

halo

the witnessing of divine

(brain,

and

of (blood-origined)

those

causes,

in

such as

emanating

or effulgence

from the ethereal person of a god, or a Gandharva (demiholy

god), a

saint,

* The latter
pavt of the
Madhava does not read the last

include

it

in his

read this line,

commentary.

much

text

line

seems

here
in

his

or

to

Nidana,

such other

be

incongruous.

nor does Dallana

Dallana, on the other hand, says

that

some

on the authorityof Videha, that the reading

but holds,

incongruous, in as

serpent,

celestial

as

"Hrasva-jatya"

is

said

to

cause

is

one of the

four types of night-blindness.

Some

read Hrasva-jadya in place of Hrasva-jatya.

X This shows that a


see anything in the night.

The head

is

man

liable to be

affected with this

over-heated

form of disease cannot

by the smelling of poison or

poisonous objects or any other strong-scented flower,

etc.

Chap. VII

UTTAKA-TANTARAM.

highly bright object.

In this

case

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

(of ascertainable

origin)

the

eye

is

characterised by a

sunken or pierced or impaired aspect of the

We

have thus

diagnostic traits

which

affect the

finished

of the

organ of

vision.

24.

separately the

describing

seventy-six

pupil.

forms of disease

We

shall

hereafter

separately deal with the nature of the medical treatment


to be pursued in each case.

Thus ends

the seventh

chapter of the

.Samhita which treats of the


pupil of the eye.

25.

Uttara-Tantra in the

Sus'ruta

pathology of the diseases peculiar to the

CHAPTER
Now we

VIII.

on the chapter which deals

shall discourse

with the classification of occular affection

according to

(Nctra-RogaChikitsa-Vibhaga-Vijnaniya).
Classification : We have already described
modes

the different

treatment

of

the

names and symptoms

We

eye disease.

of the

now

shall

seventy-six kinds of

Of

these

kinds

seventy-six

with incision

and severally deal

briefly

with the nature of treatment to

be pursued
should

eleven

operations (Chhedya). nine with

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

venesection

operated

(Vyadhya)

upon and

twelve

scarifica-

fifteen

should

admit only of

seven

measures (Yapya), while

cases

should

fifteen

them.

in

be treated

with

not be

palliative

be given

up by

an experienced physician (Ophthalmic surgeon) as


curable.

The two kinds

origin should be

of traumatic

of eye-disease

likewise held as incurable or admitting

only of palliative measures at the

Names

in-

of the

eye-diseases

best.

2.

Chhedya and Lekhya

^Diseases which should be

treated

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

Sira-jala,

the

five

of

types

Arman*,

and

Parvanikd (thus numbering

cle\

which scarification should

be resorted to (numbering

seven in

all)

are Utsangini,

en

in

Diseases

all).

Bahala-vartma,

in

Kardama-

vartma, Sy^va-vartma, Vaddha-vartma, Klishta-vartma,


Pothaki, Kumbhikini, and Sarkar^-vartma.

3-4.

Names of Bhedya and Vyadhya eyediseases


*

See Chapter

Optical diseases
IV',

para

2,

in

Uttara-Tantara.

which

tlic

affected

Chap. VIII,

localities

panaha,

Anjana

UTTARA-TANTARAM.

33

should be treated with excisions, are Sleshmo-

Lagana,

harsha, the two

attended with

and

Sas'othakshi-paka

viz.,

and

of

Sirotpata and Sira-

viz.,

Akshi-pdka attended or un-

kinds of
swelling,

As'othakshi-pdka,

The two kinds

five in all.

eye-disease beginning with Sira

and

Krimi-granthi

Visa-vartma,

thus numbering

Anyatov^ta,

Puyalasa, Vata-

viparyaya and the four types of Abhishyanda and the


four

Adhimantha

types of

be

should

Venesection (Sira-v}-adhana).

with

treated

5-6.

Eye-diseases not to be operated :


Operations should not be resorted to

Kapha-Vidagdha-Drishti,

kshi-paka,

Amladhyushita-Drishti,

Drishti,

of Sushkd-

in cases

Titta-VidagdhaArjuna,

Sukra-roga,

Pishtaka, Aklinna-vartma, Dhuma-dars'in, Suktikd, Prak-

linna-vartma and
In

Valasa

thus

making twelve

forms also of

the traumatic

eye-disease

operations are not advised by experts.

in

all.

surgical

7.

Names of curable and incurable eyedisease

that can be

Palliative
offered

described before,

Pakshma-kopa,
sight.

in

or

as well as
if

temporary

any of the

the

in

patient

relief

six types

the affection
retains

the

all

is

Kacha
known as
of

faculty

Four of the Vayu-origined, two of the

of

Pittaja,

one of the Kaphaja, four of the blood-origincd and


of the types caused by the concerted action of the

four

three

Doshas, as well as the two traumatic forms of optical


affections should be regarded as

Thus ends

the

eighth chapter

Samhita which deals with the


the different

of the

classification

modes of treatment.

beyond

all

Uttara-Tantra

cure.

in

of eyc-discascs

the

8-9.

Sus'nita

according to

CHAPTER
Now we

IX.

on the remedial measures

shall discourse

Abhishyanda (Ophthalmia) due

(VsitsCbhishyancla-Pratish"

deranged v^yu

cdha)*
The

of

of the

the action

to

I.

patient should be treated with old and

both

clarified butter,

in a case of

matured

(V^taja) Abhishyanda

(Ophthalmia) and (Vdtaja) Adhimantha (Conjunctivites).

The

diseased

and

local

organ should be

venesection resorted

purging with the

effected full

fomented

then duly*

Then

to.

help

having

after

of a

Sneha-vasti

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

fumigation,

p&ka,

sprinklings (As'chyotana) f, snuffing

(Nasya), oily washings,

Siro-vasti

(errhines)

or washing

the organ with Kanjika (Amla) or with any

decoction

Vayu-subduing group

prepared with the drugs of the

any aquatic (Jalaja) animal,


or of one frequenting the marshy places (Anupa), should

or with that of the flesh of

be

resorted

to.

butter, curd, fat

warm

compound consisting of clarified


and marrow should be applied luke-

the affected

to

* It should be noted that the part

and not the eye

should

itself

which should also be

organ,

of the

forehead

adjoining the eye

fomented, since fomentation should

not

Consists

eye

be

be applied directly over the eye.


t

As'chyotana

with the two


stance.

Its

(Eye-drop)

fingers,

dropping into

in

the

honey, A'sava, drug-decoction or any oleaginous sub-

doses are

eight drops

for

scarifying

purposes,

ten drops

for

lubricating the part with any oleaginous substance (Snehana), twelve drops
for the

warm

healing of any local ulcer (Ropana).

in winter

and cold in summer into the

origin they should be of a bitter taste

Pitta

and

bitter,

warm

and

oleaginous

parching

Vaidyaka Nighantu as quoted


also Chapter

XVIII, Uttara-Tantra.

in

They should be dropped


eyes.

the

in

luke-

In diseases of Vataja
in diseases

diseases due

due
to

to

the

Kapha.

Vaidyaka-S'alxla-Sindhu.

Cf.

Chap. IX.]

UTTARA-TANTARAM.

35

covered with a compress or linen soaked with the preced-

compound.

lardacious

ing

Vesavdra, Salvana

Milk,

Poultice, Porridges (Pdyasa),

etc.,

physician in poulticing the affected organ.

portion of

cooked with the decoction of Triphald^

clarified butter

or simply old

by a

should be used

and matured

clarified butter, or

milk duly

cooked with the drugs of the Vayu-subduing group, or


of the

group

first

Viddri-Gandhddi Gand) should

(viz.,

be taken after the meal.

The
than

oil

application of

A.

any lardacious substance other

cooked with the admixture of the Vayu-sub-

duing drugs

will

prove beneficial for

The

in

such cases.

of

Putap^ka,

likewise

2.

Tarpana purposes

use of medicated Sncha in the shape

Dhuma

(fumigation) and

Nasya

(snuffs)

is

recommended. Oil (duly) cooked with Sthird,


Madlmra group should be

milk and the drugs of the

employed as a snuff

(in

such cases).

The milk

of a

she-goat duly cooked with the admixture of the leaves,

Eranda plants, or with the roots of


Kantakdri, should be employed lukewarm in washing
(Sechana) the affected organ. A liquid compound containing half milk and half water, and boiled together
roots or barks of

with Saindhava, Vdld, Yashti-7nadhu and Pippali, should

be used

in

washing the eye as well as an Aschyotana

(eye-drop).

liquid

compound

consisting

milk

of the

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

Maw

with the admixture of Hrivcra, CJiakra (Tagara),


jishthd,
be.st

and Udumbaya-havks

the eye.

considered to be the

is

eye-drop in cases of there being

thin

2.

any pain

(Sula) in

B.

plaster

compound

Pathyd and Devaddni,

pa.stcd

of

Yasthi-madhu, Rajani,

together with the

of a she-goat should be used as an

Anjana

milk

(collyrium) In

a case of acute Ophthalmia (Abhishyanda), and

it

proves

THE SUSHRUTA SAMHITX.

36
very

the

K?ishnd,

SaindJiava^

Gazrika-tSiYth,

effective.

(Pippali)

quantity of each subsequent

and S'unthi

one being double of that of the one preceding


order of enumeration, should be

made

water,

The

of an Anjana.

(Collyrium)

is

duly dealt with later on.


Physicians should
of

cases

treating

adopt

likewise

of)

In

of)

milk

the alternative,

with (the decoction

and Artagala

Mesha-s'ringi, or

larly taken.

expressed

the

of)

of)

Pattura,

and with milk, or

duly cooked with milk and (the decoc-

clarified butter

tion of)

butter

Vrikshddani, KapittJia

such cases*.

Ghrita duly cooked

in

of milk

Clarified

Karkata and (one part

in

Agnika (Ajamodd)

method

this

butter and

and major Paucha-mula, (one part


be taken

be

and Vaita-paryaya.

clarified

duly cooked with (two parts

juice (or decoction) of

will

2.

before the meal, are highly efficacious.

should

Anjana

These

such cases.

Anyato-VEita

Draughts of (medicated)

the

application

of the

use of Snaihika (lardacious)

beneficial in

in

and be likewise

pill)

manner

the

it

together with

pasted

into Gutiki (a large

applied (to the eye) in

Chap. IX.

of

Viratara should be simi-

3.

Treatment of ^ushkakshi-p^ka :
Saindhava, Devaddru and
of Mdtuhinga,

juice

butter

*'

pared

water,

lo

Dallana and

without any Kalka.

(in

be prescribed as an

The taking

of Sushkaikshi-pakka.

According

and

breast-milk

mixed together and duly prepared

of Rasa-kriya) should
cases

S'unthi and the expressed

Gayadasa,

S'rikanta

holds

this

that

clarified

the

manner

xA.njana

of

in

clarified

Ghrita should be prethe drugs Vrikshaddni,

Kapittha and the Pan'-ha-mula should be taken as Kalka and the Ghrita
prepared with three parts of milk.
view.

S'ivadasa also

seems

to

support this

UTTARA-TANTyVRAiM.

Chap. IX.l

with the drugs of Xhe Jivaiiiya group and

butter cooked

the

filling of

the

eye with the same, as

cavity of the

well as snuffing with the

Anu-taila* are also efficacious

Washes composed

such cases.

in

37

of cold milk with the

admixture of Saindhava salt or of milk cooked with


Rajani and Deva-ddrii and mixed with (a little quantity

Saindhava are

of)

rubbed over a stone-slab with


milk

is

also

The Vasa

recommended
frequent

quantity of

(and rubbed on
eyes as an

of aquatic animals or of

grounds, mixed with a

and Sanidhava

should

be applied to the

Anjana (collyrium)
physician

in a

Thus ends

principle

the ninth

conjunctivites).

Let the

treat the sight-destroying

herein inculcated.

Chapter of the

salt

case of Sushkakshi-

affections of the eye of what-soever kind

with the

(eye-sal ve)i-.

S'linthi

powdered

paka (Non-secreting type of


intelligent

an Anjana

swampy

stone-slab)

butter and breast-

clarified

as

(essence of the flesh)

those which
little

MaJiausJiadha (Sunthi)

efficacious.

in

Vdtaja

accordance

4-5.

Uttara-Tantra in the

vSus'ruta

Samhita which deals with the medical treatment of Vataja Abhishyanda.

According

Chapter

Dallana, this Ann-taila

to

of the Chikitsita Sthana

is

not

the one described

in

but the one described in the vS'alakya-

Tantra.
t This couplet

may

also

be

translated

antiniony) rubbed over a stone-slab


is

also

recommended

as a best

with

remedy

as follows

: Anjana

clarified butter

in such cases.

(hlack-

and breast-milk

CHAPTER
Now we

shall discourse

X.

on the curative treatment of

Abhishyanda (OphthahTiia)due

to the action of deranged

(Pitta-bhishyanda-Pratishedha).
General Treatment : Blood-letting and

Pitta

i.

and

eye-washes

purgatives,

round the

plasters

eyes,

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

measures

remedial

Pittaja-Visarpa

for

(Erysipelas)

should be employed in a case of Pittaja

Abhishyanda

(Ophthalmia) and Pittaja Adhimantha (Conjunctivites).


Clarified

butter or

goat's

Gundrd, S'dli (paddy),

milk duly cooked with

S'aivdla,

S'aila-bheda,

haridrd, Eld, Utpala, two parts of Lodhra,


taka), Padnta-\&3.w&s,

Padmaka,

sugar,

Drdkshd,

wrt;^ttw,breast-milk,

2.

Dwvd,

honey, (red)

Ddni-

Abhra (Mus-

Ikshu, Tdla,

Vetasa,

Chandana, Yashti-

Haridrd and Ananta-tnula, should be

employed as a Tarpana measure* or as a wash or


snuff in the present case.
As an alternative, all the
preceding drugs or as

many

of

them as would be availmanner of any of the

able should be daily used in the


four forms of Nasya-f*.

3.

Anjanas : All
may
cinal

snuffs

Sarpih

(as well

(clarified

as

butter

interval of three days,

rium) with the

Pitta-subduing

* See Chapter

The

(snuff)

and

Application

eye-drops,

churned

etc.)

from

as well as that of

measures,
of medi-

with KsJiiramilk) at

Anjana

the

(colly-

expressed juice of Palds'a or of S'allaki,

mixed with honey and

the

be employed in such cases.

XVIII,

four forms of

sugar, should be likewise resorted

ibid.

Nasya

(4) S'iro-virechana.

are (l) Pratiniarsha.

(2)

Avapida

(3)

Nasya

Chap. X.

UTTARA-TANTARAM.

The

to.

39
of Pdlindi

thick liquid extract (Rasa-Kriyd)*

or Yashti-madhu

mixed with honey and

As

be likewise employed.

an

pound consisting of Musta,

Anjana).

Rasa-kriyd

Samudra-phcna,

Utpala,

employed

be

should

in

the

(as

an

4.

Acompound

of Tdlisa (D. R.

Kdsis'a\ Eld,

Gainka,

and S\i7nkha (conch-shell) pasted with

Us'ira

com-

alternative,

Dhdtri and Vijaka and prepared

Vidatiga, Eld,

manner of

should

sugar,

milk should be applied

to

the

organ

affected

breast-

the

in

manner of an Anjana (eye-salve). As an alternative,


the powder or the Rasa-kri)-d of Dhdtaki and Syandana
(D. R.
Chandana) mixed with breast-milk should be

used

an

as

Anjana.

milk, or the
or of a

of Kmis'uka

flowers

compound

Vacha and

rubbed

Gold-leaf

of Rodhra,

Yashti-^nadliu

with

breast-

rubbed with honey,

Drdks/id, sugar,

rubbed

with

Utpala,

breast-milk

should be used as an Anjana. J^arks of Variiaka\ pasted

Chandana

in cow's milk, or (red)

Toya (Vila) pasted


rubbed either

Udumbara and

\\'ood,

the same,

in

Samud7'a-phena

or

honey or breast-milk should be

in

like-

wise applied to the eyes in the manner of an Anjana.

ASChyotana

sugar and Utpala should

be soaked

should then be folded inside a

breast-milk.

in

piece of silk

and employed as an Aschyotana (eye-drop).


of Yashti-madJm

should

Z)/;rtV;7,

compound

/'(T/'^r^ (Ilaritaki)

Dallana,

mean 'Karnika'ra

Dallana.

It

meaning

here.

may

also

'Varnakai'

which

is

not

liiieans

Acompound

and

7<'y'rt:

(Vala),

ibid.

^Rochanika.

is

butter

of Kds'mari

accepted either by

mean ^Chandana' which

It

{Kshatona)

in clarified

For preparation of Rasa-kriya see Chapter XVIII,

t According to
also

and Rodhra rubbed

be similarly used.

(Gdmbh^ri)

5.

Rodhra, Yashti-madhu, Drdkshd,

It

Gay

may
or

by

most probably the

THE SUSHRUTA SAMHITA.

40

and

as well as that of Katphala

Amhu

be similarly* prepared and applied.

Chap. X.

(V^l^) should

6.

All the above remedial measures with the

exception

of blood-letting should be resorted to in a case of

and

dhyushita-Drishti

Ghritas

known

as the

The

Sukti-paka.

Amla-

medicated

Traiphala Ghrita or the Tilvaka

Ghritaf should be prescribed, or simply old and matured


7.
clarified butter should be given in such cases.
In a case of Sukti-paika an

should be speedily employed

being located

in

Anjana with cooling drugs


the event of the Doshas

in

the lower part of the

e\-e.

Fine powder

Vaidurya gem, Spliatika (crystal), Vidru ma {cora.\)


and Muktd (pearl), SamkJia (conch-shell), silver and gold
of

mixed with sugar and honey and used as an anjana


would prove a speedy remedy in a case of Sukti-paka. 8.
Clarified butter should be administered in

a case

of

Dhuma-dars'in and the procedure and the remedial mealaid down in connection with Rakta-pitta and

sures

Pitta-origined Visarpa (Erysipelas)

sub-duing remedies
in.

as well as the

Pitta-

should be likewise employed there-

9.

Thus ends the tenth chapter in the Uttra-Tantra of the Sus'ruta Samhita
which deals with of the curative treatment of Pittabhishyanda.
*

In the

water.

first

two compounds, some take 'Toya'

and

But Dallana having explained 'Toyd as 'Valaka'

compound we adopt

that

t Traiphala-Ghrita

is

meaning of

the

word here

^AmbiC

in a

also.

prepared by duly cooking clarified butter

the Kalka and decoction of Triphala'.

for

preceding

For Tilvaka-Ghritaisee chapter

with
III.

Chikistsita-Sthana.

+ By Pitta-subduing remedies Dallana means the remedial measures


down in connection with the treatment of Pitta-Vidagdha- Drishti.

laid

CHAPTER XL
Now we

shall

which deals

discourse on the chapter

with the curative treatment of Abhish\-anda due to the

(^leshmabhishyax
nda-Pratishedha)
General Treatment ; An attack of s'lesh-

deranged action of Sleshma

i.

Adhimantha during

maja Abhishyanda or

acute aggravation should be treated by


vein*

or

by the employment of fomentation, Avapida-

Nasya, Anjana, fumigation, washes,


non-fatty (Ruksha)

p4ka.

the stage of

opening a local

The

plasters, gargles or

and Puta-

eye-drops (As'chyotana)

made

be

shou'd

patient

on each

to fast

fourth 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 bodil>'

Tender

twigs

or

leaves

Plumijjliaka, Vilva, Pattiira,

should be employed

e\-c.

of

Kapha.

Kutaniiata,

Pilu,

2-3.

As/ipotd,

Arka and Kapittha\

(mildly) fomenting the affected


composed of Vdlaka, S'uiithi, Dcva-

in

thin plaster

ddru and KushtJia, should be likewise applied to the


affected eye.

4.

Hingu, (Asafoetida),

TripJiald,

dhava, Prapaundaika, Anjana (black Antimon}^,

(Sulphate of copper), and copper

The word

"

'Alha' (95fW) in the texl

local vein should be

would

foil to effect

opened as the

best

Tutt/ia

together

means says Dallana,

when

with

that

tonientatinn,

the
etc.

a cure.

See Chikitsila-sthana, chapter IX.

In place of

''

Kutannata" and

read "Sttrasa" and "'Arja",


is

pasted

resource,

ever

Sain-

Yas/tti-niadku,

of oi>inion that .Xrka

^^Ar/:a" both N'rinda nnd

Chakrapdni

S'rikantha the commentator of \'rin<la

should be

beltrr reading

in

place

how-

of thai ol

THE SUSIIRUTA

42

SAAIIIITA.

Chap. XI.

water and made into a stick (Varti) should be applied as

As an alternative, sticks
composed of Pathyd, Haridrd, Yashti-madhu and

an Anjana to the affected eye.


(Varti)

Compounds made

Anjana should be similarly applied.

of the equal parts of Pippali, Maricha, S*untJii^ Haritaki,

Haridrd and

Am'ilaki, Vibhitaka,

Vidan^-a-seeds,

or of

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

Anala (Chitraka

(Akanidhi),

Pippali, Maricha,

roots),

Manah-s'ild (Realgar) and the flowers of

S'unthi and

Karanja and S'obhdnjana^' pasted together with

Jdti,

water should be applied

to

the

The seedsf

eye.

of

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


flowers of the

Chandana,

jana,

and

Vrihati mixed with

two kinds of

garlic taken

Saindhava-?,3.\t, ManaJi-s'ild,

equal

in

with water should be

and pasted together

parts

made

Rasdn-

Haritaki^

into sticks

(Varti)

and used

Anjana in all forms of Kaphaja eye-diseases. 5.


The following medicinal compounds should be prescribed by experts as an Anjana (e)'c-salve) in a case of
VaWsa-Grathita after the system of the patient had
been properly cleansed by means of blood-letting. A
as an

quantity of blue barley with the horns should be soaked


(for a

week

or two) in milk

of BhcivanA saturation).

and dried

It

should

ashes.

These ashes should then

equal

part

of

burnt

(after the

be mixed with an
Arjaka,

ashes of

manner

then be burnt into

AshpJiotaka,

Kapittha, Viha, Nirgiuidi and Jdti flowers and an

Dallana quotes the

reading of ''Panjika'ka.'ra^ (another

tator of Sus'ruta) according to

whom

should be taken instead of the

flowers of Jali,

This reading seems

to

correct

number of the drugs

in the

According

to

be

the
list

alka-

commen-

AJurva' and the flowers of Ja'ti only

twelve in

Karanja and S'obha'njana.

one inasmuch as
all,

as given

this

some commentators both the seeds and

Prakirjd and of S'jgrtt should be taken.

makes

the

by Dallana himself.
flowers

of

Chap. XI.

UTTAKA-TAKTKAiNI.

be duly

line solution should

43

prepared

d/iava, TuttJia (Sulphate of copper)

t.here^\ ith.

Scu'/i-

and RocJiand should

now be added to the above alkaline solution and dul\boiled.


The compound thus prepared should e applied
as an Anjana with an iron pipe (Xadi).
This is pres1

Alkaline prepara-

cribed in a case of Va^asa-Grathita.

may

tions

be similarly prepared with (the

of) PJianijjJiaka etc.,

manner.

flowers, etc.

and ma\- be emp!o\-ed

similar

in a

6.

(thin) plaster

SaincUiava

and

composed
white

of S' nuthi, Pip(-ali, Miista,

with

pasted

MaricJia^''

the

expressed juice of Mdtnliin^a and applied to the eye as

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

known

as Pislitaka.

pas

/.

be gathered when ripe and a

VrUiati fruits should

v^ompound of (the equal parts

of)

Pippali and

Srotdnjana should be kept inside those seedless

The

seven nights.
out and

taken

applied

proves beneficial

in

to

the eye

Indra-Vdruni,
for the same.

be

as an Anjana.

It

case of

is

of iron),

advised to be

Amnldki

SdMUt/nr'r.

prescribed

Praklinna-Vartma. 9.
an Anjana
of excellent

Nddeya

Dallana explains white Maricha as

Samudra may

-dud used

either

Rasdnjaiui

rubbed

an Alijaua

of the

in

in

compound

(Saindhava)

salt,

S'igrtt seeds.

mean Samudra-phena

or

S.uiiiulra

The commentators are silent on this point.


Dallana explains Nadeya as meaning Saindhava, Init

Karakacha
*

as

single application as

composed

may

8,

and buds of /7/-flowcrs pasted together and


honey,

Paste

Vdrtdkii (brinjal), S'ioyu^

Patola.. Kirdta-tiktas.nd

(Sulphate

Kas'is'a

then

case of Pishtaka.

similarly be preserved inside a

fruits for

should

(preserved) paste

salt,

i.

e.

salt.

cans Srotanjana (black antimony).

il

tienerally

THE SUSHRUTA SAMHITA.

44

white pippcr* and


is

produced

the

Similarly a

Saindhavd

equal parts -and

(Kandu)

sensation

itching

compound
salt

in

laid

down

of swelling

in the

in

prove

cffica-

(Sopha) and itching sensa-

The above

treated

eye-diseases

accordance

should

be

with the principles

treatment of the cases of Abhi-shyanda

and Adhi-mantha.
Thus ends

eyes.

and buds oi Jdti flowers pasted together

tion of the eyes.

judiciously

the

in

of S'ringa-vera, Deta-ddrti, Musta,

with wine and used as an Alljaiia would


cious in a case

pasted

expressed juice of Mdtulanga, would

together with the


alleviate

Chap. XI.

Ncpdla-jdta (Realgar-lit., that which

Nep^la) taken

in

lo.

the eleventh

chapter of the Uttara-Tantra in

the

Sus'rula

Sanihita which treats of the curative treatment of S'leshmabhishyanda.

Dallana explains "S'veta-Maricha"'

particular kind

of Maricha

which

supported by some commentator.

is

as

"S'igru-seeds", but there

white in colour and

this

is

is

also

CHAPTER
Now we
of the type
origin

its

discourse

shall

of

in

XII.

on the curative treatment

Abhishyanda (Ophthalmia) which has

the

condition

vitiated

blood

the

of

(Raktabhishyanda-Pratishcdha).
General Treatment : A wise physician
i

pursue the same

shall

those four diseases

course

known

medical treatment in

of

Adhimantha, Abhishyanda,

as

Sirotpata and Sira-harsha due to the


of the blood.

said four complaints should be

first

as

Kaiimbha

The

Ghrita-', or

technically

with a copious quantity

made

patient, having been

as required,

butter

lubri-

Venesection should then be resorted

of clarified butter.
to.

condition

anointed and

cated with old and matured clarified

known

vitiated

Persons suffering from any of the afore-

thus to bleed as

much

should be treated with clarified butter dul\-

cooked with Siro-virechana drugs and mixed with sugar,


as an errhine for cleansing the head.
Piasters, washes,

(Dhuma) of medicated smokes,


Tarpana (soothmeasures). Sneha-karma (emulsive measures) and

snuffs (Xasya), inhalations

eye-drops As'chyotana), Abh\-anianat,


(

ing

Puta-paka should then


nature

of

the

be

prescribed according

deranged

Dosha

involved

in

the

to

each

25.

case.

A plaster (Pralepa) comj^osed of Nilotpahu (\s'iiv,


Ddni-haridrd, Kdliya, VasJiti-madhn, M/ista, Lodlna and
Padma-KdsJitha (taken
Ghrita

in ccpial

parts and)

duly washed, should be applied

mixed w

ith

round the region

Sec Chaiilcr XL\', .Sutra-Slhana.

t Dallana explains

"Abhyanjana"

sonic coninicntalors take


butter

it

in its usual

washed hundred times

as

CDllyrium,

l)ul

he also says that

sense of anointment

in water, or

such other Sneha.

with

clarificl

THE SUSHRUTA SAMHITA.

46
of the

affected

Mild

eye.

fomentations (Sveda),

leeches should be applied to the region


in

Chap. XII.

or

around the eye

the event of there being intolerable pain (due to

any

defect in bleeding) in the affected organ. Large draughts

Remedial

of clarified butter tend to alleviate the

pain.

measures and agents

connection

mentioned

in

Pittabhish\-anda, should be as well employed.

pow dered Kas'eru and YasJiti-madhu

Rain-\\'ater with

added thereto

may

be squeezed with benefit through a

piece of linen into the affected organ* as an


FloM'ers

of Pdtald,

Vilva, the

Aschyocaua.

Arjiina, S'ripanii, Dhdfaki, Dhdtri,

two kinds of

ManjisJithd taken

with

6-7.

Vrihati,

equal

in

and of Vhnbi-lota and

parts

and pasted together

with honey or expressed juice of sugar-cane and applied


to the affected

organ

be a curative

to

in cases of

compound

similar

Knmuda, Patra,
iron

S'ild-jatu,

and dead copper,

bell-metal,

Nimba

tree

an Anjana (CoUyrium)

as

Raktabhishyanda.
consisting

of

said

is

8-9.

CJiandana,

Kmnkuma, powders

of dead

Tuttha (Sulphate of copper), lead,

Rasdnjana and the resinous exudation of a


taken

in

equal parts should be

with

pasted

honey and made into large Vartis (sticks). These are


always recommended to be applied to the affected eye
as an Aiijaiia.

10.

Treatment of ^irotpata : A
consisting of

honey and

clarified butter

compound

and applied as

an Anjana should be regarded as a patent cure


of SirotpSkta

Saindliava

eye-disease.

(salt),

in cases

compound composed of

Kds'is'a (Sulphate of iron) and

pasted

The

together with breast-milk should be similarly used.


*"

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

used in preparing the


says

compound

if

rain-water

further that the affected eye should

compound thus prepared.

also

is

not

available.

be washed with

Dallana
the

liquid

S'ivadasa, however, supports this latter view.

Chap. XII.

UTTARA-TAXTRAM.

Anjana

an

as

application

47

S'amklia (crnch-shcll),

of

Manah-s'ild, Tuttlia, Ddru-hayidrd, and Sauidhnva pasted

with hone\-, or of

hite)

(\\

Markka

pasted with the juice

of S'irisha flowers, hone}' and wine, or of Svarna-Garika

pasted with honey would be attended


results in cases of Sirotpa^ta.

with beneficial

1.

^irsC-harsha A compound

consisting

P]idnita[\.xz^.c\^

down

boiled

and honey should be applied


an Anjana

to
to

of

consistency)

sticky

organ as

the affected

a case of Sira-harsha. Similar applications

in

compounds composed of Rasdnjana (Antimony) pasted


with hone\-, or of Saindhava and Kds'is'a (Sulphate of

of

iron) pasted

with honey, or of Vetrd;nla^' and Saindhaza

prove highly efficacious.

Treatment
and remedies
in cases of

for

Arjuna

of

I2.

Arjuna : Ai

l'itt^bhish);inda

Yashti-madhii and Saindhava should be

wash (Seka),

nation as a

or

as

juice of

Ddru-haridra,

breast-milk,

susjar,

the measures

should be employed

The expressed

c\c-discasc.

honcx',

sucfar-cane,

would likewise

and breast-milk

pasted with Plidnita

in

combi-

an Anjana.

Amla

used

(Kdnjika, &c.) should also be used as an Aschyotana (eyedrop)

in

such

The

cases.

following drugs,

vi.z.,

sugar,

Yashti-7/iadhu, Katvajiga, Mastii, Arrila, hone\', SaindJiava,


Vija-piiraka,

acid fruits

Kola and Dddimba of acid taste and other

either singly

or

should be judiciously

three

in

combination of two or

used

an Aschyotana

(as

Dosha

with a due consideration of the vitiated


case).

Dallana explains ''VelrAmla"

divide

it

each

13-14-

These two following compounds

\\\

into

two words

sprouts of Vetra (can'-) an

7nz.,
I

0.%

viz.,

of

Spliatika

'^Amla velasa".

Some, however,

"Ainla"

meaning thereby

"Vetra" and

A'lila-vetasa respectively.

THE SUSIIRUTA

48

VidriDna

(crystal),

SAAHIITA.

Chap. XII.

S'amkJia (conch-shcll), and

(coral),

S'amkha,

Yashti-7nadhii, pasted with honey, as well as of

sugar, and Samudra-pJicna pasted with honey,

an Anjana would prove curative

in a case of

if

used as

Arjuna

eye-

Saindliava and Kataka pasted with honey, or

disease.

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


iron) pasted with honey,

Anjana

as an

should

15.

Scarifying- Anjana ; All


metals (Gold,

ed (dead)

kinds of powder-

Iron, Copper, etc.)

Silver,

metallic substances [Manah-s'ild, Gairika,


officinal

kinds

of) salt, all

kinds of

etc.),

the teeth (of cows, horses,

etc.),

the drugs

of the

pulverised shells of hen's eggs,

(the

etc.),

and
five

gems {Vaidurya,

etc.),

sedative

be applied

constantly

to the affected organ.

coral

the horns (of cows,

(Avasadana)

Las'una

group,
Trikatu,

(garlic),

Karanja seeds and Eld (cardamom) mixed together and


used as an Anjana, should be

(Lekhya)

in their action.

Treatment
ulcerated

growth in
adopt

all

regarded

16.

^Ukra :-In

of

Scarifying

as

case of non-

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


the

eye)

skilful

physician

measures

preceding

the

shall

(first)

prescribed

the

in

treatment of (Blood-origined) Abhishyanda,*]* beginning


(Venesection) and ending with

with Rakta-visravana

Puta-paka

(and

these

failing,

the

Lekhydnjana

colh-rium for scarifying) should be adopted.


ulcerated (Sa-vrana)

seated

.;

manner.
*

or

Sakra whether

rough should

be treated

in

case of

or

deep-

the

same

17-18.

The group beginning with

.Slhana, page 334, Vol.

Sec paras 3 and 4 of

".Supcrficiar" (Ultana)

and ''deep

Kas'is'a

See Chapter

XXX\'I,

Siifra-

I.

first layer'"

superficial

tliis

seated'"

is

Chapter.
here used in the sense of "seated in the

(Avagadha) 'seated

in the

second

layer',

Chap.

\'ir.

In

rubbed

UTTARA-TANTRAM.

(scarilied)

powdered

compound composed

copper, ManaJi-s'ild, Maric/ia and

each preceding drug being taken


the

one immediately succeeding

in the

it

will

made

As

cure a case of Sukra.

compounds composed

the two

of

(of cows, etc.),

locality inthe

manner

(alkaline

raujana

with the medical

to

of applying an Anjana.
in

the affected

The

Kshai-

connection

treatment of Valasa-grathita,-f

employed as an Anjana

made

Iwe-salves

in the present disorder.

hone\-,

and S'irisha

Sa;nndra~p]i:)ia

coUyrium) mentioned

as well bj profitabh'

le.ss Miid':^'Ti

stones of

Mdkshika (hone}'),

anl hon:y should be applied

flower

into a

alternatives,

S'a/u/c/ia,

Kolas, Kataka, Drdkslid, Yashti-niadJiu,


or of teeth

double

order of enu-

Applied as an Anjana to the seat of the

paste.

disease,,

pulse, (burnt)

or of the pith of

may

(eye-salve)

of fried husk-

S'amkha and sugar mixed with

Madhnka

or of the inner pulps of the

stones

pasted with honey,


of ]^ibltitaka

pasted

with honey should be constantl)' used as an Anjana,


ca.ses

of the eye-disease

known

Drdks/ui,

Ynshti-

Kataka and honey may be used and soothing

application (Tarpana) antidotal

to the

Vdyu, should be resorted

cases of Sukra,

second

la)-cr (Patala)

One

<.A

to in

the

eye

[)arls

of Maricha,

part of 5a/.7/i

iz'Ji,

two

eight of 5'a//7/ and sixteen parts of copi)er

paralion of
I'

See

is

deranged bodily

attended w

the

if

ith

pain

19 2\.

(^ula;.

in

A compound

as .Sukra.

consisting of conch-shell, o\'ster-sheIl,


niadhit,

of

Sai/id/iciva

in a quantit)it

meration*, should be pounded together and


thin

be

and Sniiid/Mva pounded together,

SaindJuiva a'one.

with

should

part

affected

with a compound consisting of S'lrisha-

seeds, Marich.i, Pippali

or

the

of S'.ikra

case

49

ih,-

four

slioulilh'

of

taken

Manahs' ild,
in

coniiiound.

Cliajiler

XI, para

6.

the

nre-

THE SUSIIRUTA

50

Young bamboo-jprquts,
Ndrikela

and

Aruslik.ira, Tdla (palm)

should

(cocoanut)*

[Chip. XII.

SAMIirrX.

alkaline water should be duly

be burnt

and

ashes

to

The

prepared therewith.

burnt ashes of elephant's bones should be soaked several


(seven)

timc^ with the above alkaline preparation

manner

of Bhjivana saturation.

preparation

manner

the

in

The

the

in

application of this

Anjana tends

of an

to

remove the discolouring nature (whiteness) of a case


of S'ukra f.

22.

Treatment of Ajaka : The


matter accumulated

the

in

thin

should be drained by making a puncture on


(

of the cornea

in the

many

be

of

known

as

made

times
23.

Akshi-paka : Applica-

Sneha and of Sveda (fomentation)

locality should be

disease

should

event of the ulcer becoming raised.

Treatment
tions of

side

with powdered beef mixed with

Scarification

butter.

clarified

either

with a needle after which the incidental

ulcer should be filled

made

watery

case of Ajakai

in

e}-c

in cases of

to the affected

the two kinds of eye-

Sa-s'opha and A-s'opha

Akshi-paka

(inflammation of the eye-lid whether attended with any

Venesection should then be

local swelling or otherwise).

resorted

nes

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

to.

(Nasya) and

employed.

Puta-paka measures should also be

24.

After having cleansed the system of the patient both


internally

and

The spathe

fruit shoulil

(Jata) of the pahii

b; taken in prep.aring the

The prepared powder

of

(in cases of

tree

and

compound

elephant's

Ihe

the

shell

The

(rod).

fusion of TriphaLi.

Dallana.

two kinds

of the

cocoanut

S'ivadasa.

bme

should

honey and rubbed over th: affected part (S'ukra) with the
or with a S'alaka

compounds

following

the

externally

should be used as an Anjana

eye sh luld then be

be mixed
tip of the

with
finger

washed with the

in-

Cnap. Xri

UTTARA-TAKTKAM.

of Aksili-pa'ka).

together

As an

clarified butlcr

pasted

Mc.ima

or curd

a copper vessel with flesh or

in

with

or

and

Sd/;/(///<!-c'ci

curd-cream
alternative,

clarified butter,

or

shou'd
the

be used

as

an Aiijana.

rust of bell-metal

pasted with

Sairid/un'a pasted with

breast-milk,

or equal parts of the pith of M\hUi!il.\y tree

pasted with

honey,

or

and Gairika

and copper pasted

Saiiidliava

with breast-milk and clarified butter should be used as

The compounds

Anjanas.

fnanta. Kola,

should

Dddimba, Aravcta, As'*

of

and SaindJiava

with an)- acid juice*

pas'.ed

be applied to the affected organ

of a Rasa-kriyai measure for the cure


of)

Akshi-pika.

25-26.

Animal

and SaindJiav.i

butter and

flesh

mixed with

be applied to the

organ

in

As'chyotana or as an Aujana.
oi Jdti flower, Saindliava,

soaked

salt

S'lait/ti,

Aujana with

an

as

in

clarified

the manner of an
compound consisting

.Pippali

Vidanga pasted together with honey,


used

manner

two kinds

and breast-milk should

S'linthi

afifected

in the

of (the

and huskless

may

advantage

as

in

well

be

case of

27-28.

Aksh'-paka.

Treatment

of Piiyalasa : Blood-letting

(after the app'ication of

Sneha and Sveda) and poultic

ing (Upanaha)

affec'.ed

in

of the

the affecticn of the

measures and

Akshi-paka

of

crcaon

in

eye,

remedies

IccaHty are

known

as

which pro\

Puyalasa.

should as well be employed with

this

case

b\-

physician.

iron),

applied to the affected


a case of Puyalasa).

(in
*

Sonic add iiontv

and Kds'Isa

in thr list.

29

ith honc)',

30.

iron

should be

the lUanner of an

e\-e in

dis-

An Anjaua

or Kds'isa Sdiiid/inva, Ardraka,

and copper dust pasted together w

The

curative in cases

(eye-salve) compcjscd of Ardraka, SaindJuiViX

(Sulphate of

efficacious

Anjana

THE

52

SUSIIRUTxV SAMIIITA.

Treatment
removed
soothed

Praklinna-vartma,

of

case

system should be duly*

of the

and the patient should be duly

(corrected)
in

Praklinna-vartma :

of

The deranged Doshas

[Chap. XII.

which

after

washes, eye-salves, eye-drops (Asch)'otana), snuffs (Nasya)

and fumigation (Dhuma) should be resorted

to according

A compound
Dosha involved in each case.
composed of Miista, Harldrd, YasJiti-madlui, PriyaiigH,
the

to

Siddhdrtha,

Rod/ira,

should be employed

As an

measure.

Anjana.

The

of an

compound

should

As'chyotana
consist-

be used as an

11-12.

decoction of the leaves and fruits of Ainalaka

be duly prepared

should

the

and honey

pasted together

manner

the

alternative,

of Rdsdnjana

ing

in

Utpala-sdrivd

(in

the

manner

of Rasa-kriya)

and used as an Anjana. Rasa-kriyat preparations preof) the roots of bamboo,


same by (condensing it b)-)

pared with (the expressed juice


or Vartis prepared with the

cooking

it

(again) in a copper vessel,

the above purpose.

with

TripJiald,

should be used for

Rasa-kriya preparations

flowers

of J-'aldsa,

or

prepared

Khara-nianjar},

should be similarly applied to the affected organ.


salves

made

of

powdered

Kdri-fs'ya-mxla

Eye-

and cotton

fibres

(Tantu) burnt together and pasted with the milk


she-goat and

mixed with

(white) MaricJii and

of a

pDwdered

copper should be used as a Pratyaujaua to the eye


(already weakened by the use of Anjana.)
*

^^i -34.

Dallana says that the deranged Doshas of the system should be

cleansed with the application of Sneha,

Venesection, purgative,

errhines

and A'sthapana.
t In place of

';cti|l-fqiJTgTn:^frH:'

in this case '.Syama-lata'

som: read

by the term

'Rasanjana' by the term 'Asita'.

X Dallana recommends

'#cirfffrI^irf:^Tr;',

'Asita-sariva'.

meaning

Others again mean

Dallana.

'rain water' as the liquid for the preparation.

Chap. XII.

An

UTTARA-TANTRA.M.

53

Anjana made

of Saniudra-p/ic}ia.

eye-salve or an

Saiii-JIiavd, conch-shell, 2fuiiga

and white Mariclia mixed

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


in

of Aklinna-V-irtma

case

the local

alleviate

as

it

The

itching.

would

foregoing

and remedies should be likewise emp^o\-ed


of

promptly
measures
a

in

case

Praklinua-vartina according to the nature of the

deranged

pared with

therein.

(Sulphate of copper) rubbed


surface

such

of a copper vesse',

cases).

Thus ends
Samhila which

An

Anjana prethe admixture of Kajjala and Tnthhaka

Doshas involved

in clarified

wouM

be

butter

on the

similarly used (in

35"36.

the

Uveli'tli

chaptei

of the Uitara-Tantra in ihc

treats of thj curative treatment of

Sub'ruia

Raktabhishyanda.

CHAPTER
Now we

on the curative treatment of

shall discourse

cye-disc.ises in

XLIL

which Scarification shoukl be resorted

(Lekhya-Roga-Pratishedha).
The

to

general course of treatment to be adopted

in

the

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

should be laid

in

and the gales of wind,


proper

emu'tsive

as follows

is

after

patient

the

to

and purgatives.

thumb and

and sub-

The

piece of linen soaked in

lukewarm water and squeezed.

eye-lid should be covered with a piece of linen

thumb and the index finger


guard against its movement and enclosing.

over-turned with the

time to

of the)

(part

eye-lid

and

at the

The

be scraped, should be wiped

to

a linen and marked with a surgical instrument and

^\ith

the scraping should be effected


knife or

any (rough)

the case.

therein with a

leaf acccjrding to the

After the subsidence

of the

scraping

exigencies of
bleeding,

part should be fomented and then gently rubbed

sarana) with a medicinal

compound

consisting of

(Realgar), Kds'/S(7 (Sulpliate of iron).

(black antimony),

pounded together.
butter.

It

After

The

and

subsecpient

should be nofed

after beinE; treated

tliis

th.it

llie

the

(PratiJ/if?'//^?'/'-

Trikatii,

SaindJiava salt and Hfdks/iika

lukewarm water

with

c}'e-

the index

and should be very carefully fomented with a

finger

s'i/d

sun

having been treated with

should be over-turned with the

The

The

measures (Sneha-karma)*

jected to a course of emetics


lid

chamber not exposed

Aujaiia
finely

the part sliould be washed


lubricated

with clarified

treatment thereof should

patient should also

with the emulsive measures.

be

be foivienled (Svcda)

UTTARA-TAXTRAM.

Chap. XIII.

like that

of an u'ccr

have described

observed

Fomentations, Avapida,

(X^rana)."-'-

employed

aiso be

.should

etc.,

an affected

Satisfactory and
fication

and

.swelling

mark

localit}' in

the eye.

nail arc the

part

of the

which

features,

and discharge

Redblood

of

of Timira

locality, occurrence

from the operated

of the

satisfactory scarification.

swelling

eyes,

level aspect

2.

scari-

deficient

smooth

itching, a

prop3r and

of the

Thus

days.

measures to be

Stoppage of bleeding, subsidence

like the surface of a finger

ness

three

after

the general

to \-ou

in scraping"

55

(blind-

non-ameliorations of the

ness or

darkness of

disease

under treatment, brownness, heaviness, numb-

vision),

ness, itching, horripilation

and coating

matter) of the eye-Uds and a


tion of the e}'e

if

(as

if

with foreign

consequent high inflamma-

not attended to

in time, are

the

s\-mp-

toms which attend an iucomplete and unsitisfactory


scarification, and this should be remedied by anointingf
and scarifying the affected part again.

3-4.

Excessive Scarification : Excessive


charge

and

pain

in

the

dis-

together with an

locality

ev^e-lids

and spontaneous uprooting of

the eye-lashes should be

ascribed to excessive scraping.

upturning of the

Fomentation, application of Sneha and employment of

Vayu-subduing measures should be resorted


cases.

to

in

such

5.

In the following diseases

of the

eye,

Vartmd-

tv'.c.,

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


the affected part sliou'd
*

For

the

first

incidental ulcer
treated,
t

if

seven days

first

the

(Sadyo-vrana) after

be gcntUtreatment

scraped and then

should he

which period,

the

of an

like

that

case

should

he

place

of

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

Dallana says thai

'^?f?J9r( 'anointing).

some

ri'ad

'?q^f?)cci'

(romcnliiii;)

in

THE SUSIIRUTA

56

In Syava-vartma

scarified.

part neither deeply


sangini, Sarkara

should be

first

scarified.

An

of)

(with

knife)

plasters

In

incision should be followed

Thus ends

the eye-lid.

of Ut-

should

be

by a

scarifica-

occurring on (the

inner

Small and slightly swelling


exterior

surface

remedied with fomentations,

the thirteenth chapter of the

to scarification.

affected

very hard, supperated, copper-

and the general corrective remedies,

Samhita which

the
cases

and then carefully

Pidakas (pustules) occurring on the


of the eye-lid

Chap. XIII.

and Kumbhikini, the seat of the disease


cut

Pidakds (pustules)

membrane

scarify

nor superficially.

tion in the case of small,

coloured,

and Kardama-vartma, the


gently

physician will

intelligent

SAMIIITA.

Uttara-Tantra

6,

in the

treats of th; curative treatment of (eye-) diseases

Sui'riUa

amenable

CHAPTER
Now we

XrV.

on the curative treatment of

shall discourse

(BhcdyaRoga-Pratishedha).
Treatment of Visa-granthi : in a case

eye-diseases which require surgical incisions


i

of suppurating Visi-grauthi,

and

its

(so

as to

it

should be

puncture-like holes should be

remove any swelling

firsc

fomented,

completely incised

the affected part).

in

It

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

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

Honey and

the dusted part), and


(for the

it

Lagana An
drugs,

Pippali and

serious

in

with alkali or with

Anjatia

(lit.

fire will

it

Yava-ksJidra,

big)

cases

if

pasted

Saindhava,

however, the surgeon wants to


v>ith honc\-

that

Their commentators,
Tiiey

supply

the

incision

the

however,

next

^Iteration in the sense.

3.

Tagara-

Eld,

together with

open

it,

it

honey.

should be

and Rasdjij'ana mixed together and

* Both Vrinda and Chakradatta read


and hold

cauterization

rubbed (Pratisarana)

pddiikd and

text

incised

spontaneously bursts

it

should be well pressed and

with a plaster-compound

rubbed

of the

in a case of Anjana, the affected part

of Manah-s'ild,

If,

into

TuttJia,

the

to

be the remedy.

should be duly fomented and


open,

made

be

Lagana, and any

RocJiand,

viz.^

2.

should

honey should be applied

while

parts).

incision

in a case of

part

affected

following

part

should be duly (loosely) bandaged

complete union of the


:

the

should then be applied (over

clarified butter

two

should
accept

lines

of

only the

be dusted

first

two

lines of

the

with Saindhava only.

the reading there to be Sus'ruta's.


Sus'ruta, and notice the consequent

THE SUSIIRUTA SAMHITX.

58

then

coated

with

warm

collyrium

Chap. XIV.

made with

lamp-black collected from a burning lamp flame.

Krimi-granthi : In a
the affected part should be duly

been incised

and

Saindhava.

In a case of
of the

be treated with the

prepared with

Triphald (with the addition

the action

case of Krimi-granthi,
fomented after it has

should then

it

Rasa-kriyd solution

of)

(the

decoction

(in

the

Kapha, the

of)

Kd-sisa and

Tiitt)ia"\

Upanaiha

deranged

the

4.

eye) due

to

part

affected

should be opened and rubbed with powdered Pippali and

Saindhava mixed with honey.

should then be scraped

It

The surrounding

with a MandalAgra instrument.


should also be gently scratched

all

cases

of

In the foregoing five


until the
C3-e

should

light

in of

setting
first

In

the treatment of these

cases,

incisable eye-disease,

suppuration therein, the affected

help of) tender leaves (as

fomentation with (the

application

of a

all

the remedies to be adopted

(incisable

Sneha should be

however, where suppuration

carefully adopted.

eye) diseases,
first

the

adopted.

had already

the remedies for the healing up of the

Thus ends

parts

5.

be treated with Sneha and then with

a cover over the eye).


in

around.

ulcer,

In

set

in,

should

be

6.

the fourteenth chapter of the

Uttara-Tantra of the Sus'ruta

Samhita which deals with ihe curative treatment of (eye-) diseases requiring
incisions.

Both Vrinda and Chakrapani read

'Tutthd.
the

^Aliilra (cow's urine)

Both of ihr-m also recommend

compound.

the addition

of

in

place

Rasanjana

of
in

CHAPTER
Now wc

on the curative treatment

shall discourse

which should

cyc-discascs,

XV.

be

with

cured

(Chh^dya-Roga-Pratishedha).

Treatment
l:c

with

treated

first

Armas

of

: The

patient should

Sneha-predominating

ot

excisions

food

before being surgically operated upon in a case of

Arman

marked by the manifest vegetation or polypus

(on the

affected

be
its

The

eye).

irritated

cavity

powdered

casting

b\-

which the

after

should then be

patient

eye-ball,

intelligent physician

look at his

Apdnga

ed eye) and

th2

will

It

or

drawn asunder

three

made

flabby

aforesaid

by scraping

The

root

fro'm

the

it

loss of

the

patient

own

to

affect-

the polypus (thus turned up),

with a

hook
or

The two

(Vadis'a)

and

with a thread-

uplift the eye-lid

eye-lids should be

The polypus,
and pendent with the means of the
the

operation.

accessories, should

with

of the

into

so as to guard against their being

anywise hurt during


thus

then ask

dangerous to suddenly

is

under the circumstances.


firmly

without any

Muchundi instrument

with a

needle.

Saindhava-ssXi

(the interior corner of his

cyst

should be i:arefully secured


held

care-

and rubbed with the hand.

time, should be duly fomented

The

made

and the affected eye should then

ease

fully to sit at

be

full)-

sharp Mandalagra

polypus

should

be

got

rid of

instrument.

pushed asunder

Krishna-mandala (Sclerotic region) and the

Sukla-mandala (region of the cornea), to the extremity

Kaninaka (pupil) and then removed.


Kaninaka (pupil) should be duly guarded so

of the

to be hurt.

should be
in

The
as not

quarter layer of the flesh (of the polypus)

left

back and then the oi)eration would not

any way hurt or

injure the

eye.

An

o[)eration

at

60

SUSllRUTA SAMUITA.

Till"-

a pjint

beyond

The
its

vegetation or polypus

former size

branous growth (Jala)

in

instrument

mem-

of a

made

be

pen-

then cut

the junction

at

of the

Vartma-mandala

the

The
compound

(con-

affected part should then be

eye-lid).

Yava-ksJidra,

consisting of

(pounded

Saiudhava-sdXi

and

Trikatii

the form

the eye should

Sukla-mandala (cornea) and


rubbed with a

in

to

2.

(with Saindhava-sdAt) and

it

with a bent Vadis'a

or

the locality.

in

grow up again

sure to

is

Arman

shreddy or netted

junctiva

pain)

cut off insufficiently.

if it is

dent by rubbing

up a haemorrhage

set

as

well

(a^

Chap. XV.

Kaninaka

aforesaid limit of the

the

(might hurt the pupil and) would

and b3geL a sinui

1.

and

together)

then (duly) fomented and bandaged up by the skilful


physician.

Lardaceous

of the

(Sneha)

oily

application

prescribed with due regard to the

should thereafter be
nature

or

place*,

the

time (day or

the

season,

night) and the strength of the patient, and the incidental

wound should be

treated

an

as

The bandage

ulcer.

should be removed after three days and the affected part


should

be (mildly)

fomented with the

heated palms of the hands and


or purifying remedies.

application of

with corrective

treated

3.

Milk duly cooked with Karanja seed, Amalaka and

and mixed

Yashti-madhiL

with

honey

should be dropped twice a day (morning


into the affected eye in

pain in

it.

cold

the

plaster

(when

of there

event

composed of

cold),

and evening)
being any

Yashti-madhu,

polens of lotus {Utpala) and Z'/z/^^-grass pasted together

with milk and

mended
*

some

In

in

place

rea'l '^j^'

mixed with

clarified

butter

is

such cases to be applied to the scalp.


of

*^'

-th

>

the particular

particular

part

recom4.

and nature of the country,

Djsha involved

in

each case.

Chap. XV.

UTTARA-TAXTRAM.

Any
(scraping)

the excision,

left after

removed with the application

be

.should

Armail,

of the

residue

6l

x'\njana

or

An Arman

e}-e-salve.

papilla or protruberance)

which

as white

is

Lekhya*

of

(Cyst-like

as

curdled

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


.should be treated like a case

Sukrarman (Opacity of

of

An

the cornea or a flimy and flesh)- growth in the eye).

Arman which

is

very thick

and covered over with


as

well

of the

and looks

fibres

like a piece of skin

of flesh

and nerves

as

f,

one occurring on the Krishna-mandala (region

The eye

should be excisioned.

iris)

former and natural colour and

function,

assu nes

its

and becomes

from pain and other complications by the proper

free

excision of an

Arman.

Treatment
pidaka
(.Sira)

5-8.

and Sira-

of Si ra- Jala

in a case of Sira-Jala, the hardened veins

should be hung

down with

hook

(Vadi.s'a)

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

amenable

ing

to

be excisioned as
instrument.

the

a case

in

and not

of

Arma

with a Mandalagra

Pratisarana (rubbing) as in a case of

and Lekhana (scraping) with due regard


of the deranged

Doshas involved

recommendad

in

both the

in

(Sira-Jdla

of junction

(of

Fur Lekhya Anjana see Cliapler XII, para l6 of

Some

:J:

The

here

read 'f%TT' (veins) in place of* ^jf'

'junction'

is

the junction

.^'iikla-mandala of the eye.

Dallaiia.

and

9.

Treatment of Parvanika : In
place

Arma

to the nature

each case, are also

disea.ses

Sird-PidakA) under discussion.

Parvanika the

pro\"-

application of medicines, should

of

the

a case

of

the

lachrymal

this

UUara Tanlra.

Krishna-mandala

and

the

62

SUSHRUTA

rilK

should

and the cornea)

sac

SAMlllTA.

be

Chap. XV.

duly

fomented.

quarter part only of the protuberance or growth

should

be kept apart, while the remaining upper three quarters

hook and cut with a

be secured with a

should

Half of the aforesaid quarter part should

away

quent lachrymation) would otherwise

compound

conse-

The

set in.

subsequently

be

should

operation

of

knife.

be cut

lachrymal sinus (and

as

(very carefully),

then

rubbed

seat

(Prati-

honey and Saindhaua-sdAi.


Scarifying (Lekhana) powders should then be applied
sarana) with a

the

to

part

affected

of

the

for

disease (an)- comp'aint

still

complete recovery of the

remaining).

lo.

Churna-Anjana : Powders
(conch-shell), SiDnitdra-pJiena,

ruby,

coral,

marine

oyster-shell, crystal,

As'mantaka, Vaidurya (Lapis

lazuli), pearl,

iron,

copper and Srotonjana (antimony) taken

parts

and mixed together, should be

horn* and then

let

anjana (powder)

S'amkha

of

stuffed

equal

in
in

a ram's

the intelligent one apply this Churna-

to

the affected locality,

morning and

evening everyday, as such applications are extremely


types of Armans,

efficacious in all

ArsAs, Sushkars'as and Arvuda,

e!.c.,

Pidak;^s,

in

the eye.

Treatment of inner part


lids

below.

The

of the

Vartma

affected part should be

ir.

of the eye-

The mode of treatment in a case of

tion in the inner lining

Sir^-jala,

any

(eye-lid)

first

is

affec-

given

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

should cut

it

at

its

root or base with the help of a sharp

Mandaldgra instrument.
should be rubbed with a

After that the affected


pulverised

Ddllana explains Meih^i' ringd as a kind


'

compound
ot lugtidi tree.

part

consist-

Chap. X\^

UTTARA-TANTRAM.

6^

ing of Saiiid/iova, Kdsisa (Sulphate of iron) and Pippali.

The

affected eye-lid should then be

bleeding.

The

residue of

carefully cauterised

complete) cessation

with a (red-hot) rod after a


its

root or base,

if

of

the

any, should

be scarified with a scarifying alkaline (caustic) preparaDecoctions of strong emetic and purgative drugs*

tion.

should be (internally) administered for the

elimination

Doshas (from the Vrana ulcer). The measures


and remedies mentioned in connection with x'lbhishyanda (Ophthalmia) should also be prescribed with
of the

regard to the nature of the bodily


the case.

The

patient

and conduct

diet
tion.

for a

shall

month

Doshas

observe
after

strict

the

involved

in

regimen

ot

surgical

opera-

12.

Thus ends

the fifteenth chapter

Samhita which

treats of the

in

the Uttara-Tantra

of the

Sus'ruta

remedies of eye-diseases requiring excisions or

surgical operation.

Some commentators

say that emetics and purgatives should

he inter-

nally administered, but Dallana and the Panjika-kara oppose this view.

CHAPTER

XVI.

Now we

shall discourse

remedy

of diseases occurring on the

the

eye-lashes

(Pakshma-kopa

hence on the eye-lid

shedha).
Surgical

on the curative measures

for

and

Pl'atl-

i.

Treatment : in

Pakshma-kopa which

is

of

case

an affection of the eye-lid

and

which has been described before as admitting only of


palliative treatment, the patient should be

with a Sneha and

position).

should be

made

(pupil)

to take

in

the

his

and

eye-lid

seat

treated

proper

(in

size of a barley corn

horizontally parallel to

Kaninaka

of the eye-ball lying between) the

part

(the

made

cut in the shape

first

and the Apanga (exterior corner of the eye)

leaving

two parts below the eye-brow and one part

above the eye-lashes. The surgeon should then diligently


suture up the two edges of the

incisions

with (horse's)

After the application of honey and clarified butter

hair.

to the operated part,

it

should be treated in the

of an (incidental) ulcer.

manner

piece of linen should be tied

round the forehead and the horse's hair sewing up the


operated part should be attached thereto.

The

adhesion* of the two edges of the incidental

Cauterisation
mined and

lifted

up

in

an

inverted

carefully

posture

diseased cyst (Bali) should be very carefully

*
fifth

fire

or

According
day.

alkali.

to

ulcer.

2.

:--In case of the failure of the

preceding measure, the eye-lid should be

with

stitching

be carefully removed after the complete

hair should

As an

alternative,

Vagbhata, the stitching

liaif

exa-

and the

cauterised

the Pakshma-

should be removed on the

Chap, XVI.

mal4

UTTARA-TAMKAM.

(eye-lashes) should be all

65

removed and the affected

having been carefulU- secured with three hooks

eye-lid

(Vadis'a) should

pasted

Haritaki and

aforesaid

measures* as

be rubbed with

The

Tiivaraka (Lodhra).

four

well as

purgatives,

eye-drops (xAs'chyotana), medicinal

snuffs,

inhalations

(fumigations),

Sneha and

Rasa-kriya,

be

should

beneficialf in cases of Pakshma-kopa.

Thus ends

the sixteenth chapter of the

Samhita which

*
(c)

The

four

treats of the

measures

CoUyrium,

Plasters,

likewise held

as

3-5.

Uttara-Tantra

in

the

Sus'ruta

remedies of Pakshma-kopa.

are

(a)

operation,

[b)

cauterisation with

fire,

cauterisation with alkali, and [d] application of medicinal drug?.


t It should be noted that this disease cannot be radically cured,

amenable only

to

palliative

treatments

(?jixg).

but

is

CHAPTER
Now we

on the curative treatment

discourse

shall

the

of

diseases

of the

XVII.

and the Crystalline

pupil

(Drishtigata Roga Pratishcdha).


Of

included

the diseases

i.

within the present group,

three are curable, three arc incurable, while the


ing six admit only of palliative
tive

remedies of the disease

(smoky or dusky
(in

vision)

conne:tion with the

Ophthalmia) *
of deranged

All

the

lens

known

as

remain-

The

treatment.

cura-

Dhuma-dars'i

has been already described

medical treatment of Pittaja


remedies applicable

in

cases

and Kapha as well as application of


Seka (sprinkling), Anjana (Collyrium),

Pitta

Nasya

(snuff),

A'lepa

(plaster),

Puta-paka

and

Tarpana

(soothing)

remedies with the exception of surgical operation should


be respectively administered in

cases

of

Pitta-affected

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

Traiphala-Ghrita should be prescribed

vision.

of Pitta-vidagdha-Drishti

and Traivrita-Ghrita

are

clarified

equally

butter

efficacious

as

well as

in

both

Collyriums

Gairika^ Saindhava,

Pippali,

and the charred remains (Masi) of cow's

or with

beef,

or wdth

the

MaricJia, S^in's/ia-'-^eeds

of a

Kapitthi

Chapter X,

9,

Traiphala-Ghrita,

teeth,

and Manali-sild,

fruit

together with

honey, or with Atmagnptd pasted with honey

* See

of Tailvaka-Ghrita

cases ^.

(Anjanas) should be prepared with

stalk

in

Potions of old and

case of Sleshma-vidagdha-Drishti.

matured

in a case

these four

Uttara-Tantra.
Traivrita-Ghrita

and

Tailvaka-Ghrita should

be prepared with both the decoction and Kalka of Triphala, Trivrila and
of Tilvaka respectively.

Chap. XVII.

UTTARA-TANTRAM.

6/

ADJanas may be used with advantage


under discussion.

Pushpa'njana : Powders
Kubjaka, As' oka,

S dla, Amni,

Utpala, as well as powdered

of

flowers

of

Priyangu, Nalini and

of

eye

the

cases

in

manner

the

diseases.

butter,

applied

of a collyrium (Anjana) in

and Sleshmd-vidagdha eye-

Pitta-vidagdha

of

clarified

bamboo and

hollow

the

Rcimkd, Pippali, Haritaki

and Amlaki mixed with honey and


should be kept inside
to

both the types

in

2-3.

4.

Dravanjana and Gudikanjana : As


an alternative, Reniikd pasted with the expressed juice

Amra (mangoe) and Jambu

of the flowers of

and mixed with honey and


used in both the above

may

Anjana

of day-blindness
is

Treatment
gairika

night-blindness.

be

should

honey,

Tdlis' a-patra

and Svania-

pasted together with the


(in

Pitta-affected

place

manner

the

vision

i.e.

of "4Tt3I3i?l"

^='"^'- ^^^'^

According

of Jdti flower.

place

of

to

Dallana,

According

"tti".

Rasa

to others,

day- blindness.

(lit

^^>

:^uice)
it

S'ita

list.

"jTt^Wrf"

however,

Rasa of

of an Anjana) in

^^e liver

which may mean a cow or any animal, such as goat, sheep,

A'malika.

This

5.

Chakratlatta doca nol read '(iairika' in the

t In

:J:

secre-

(Gudikd)

of Day-blindness \Rasdn'
^,

cow-dung and applied


cases of

and

called the Gudikanjana.

Jana, Rasa (Juice)

'

pills

be profitably applied to the eye as an Anjana alike

cases

in

Rasa (watery

and made into large

-f-

Pollens of

Utpala (blue lotus) as well as

Gairika * pasted together with the

cow-dung

butter, should be

clarified

cases as an Anjana.

Nalini [red lotus) and of

tions) of

(black-berry)

means

means

of a "jji"

etc.

the juice

of

the juice of the leaves

Chakradatta, however, reads *gcl" (clarified

butter)

in

THE SUSHRUTA SAMHITA.

68
(Rasanjana,

according

or

in the

bile

It

in

should then be soaked

of a tortoise or

and reduced

powder.

to

Chap. XVII.

some Camphor), and


Rasa (meat-juice) * and

to

soaked

Saiivira should be

then pasted together.

of a

The

RoJiita fish

present

compound

Kds'man

flowers,

Rasanjana,

should

Pitta-vidagdha-Drishti).

Ddrvi, Rodhra

and

mixed

together and

always efficacious

with' honey.

Used

may

be

(in cases

of

Yashti-madhu,

pounded
Anjana it is

be

as an

the affections of the eye.

in

called

is

the Churna-anjana (powdered CoUyrium) and

used beneficially for the pacification of Pitta

again

and dried

6-8.

Treatment of nocturnal blindness

-The application

of a medicinal Varti (stick) composed

of Sauvirdnjana, Saindhava, Pippali and

Renukd pasted

she-goat would

prove

highly beneficial in cases of nocturnal blindness.

Simi-

with

together

of a

urine

the

medicinal Varti (stick) com-

larly the application of a

posed of Kdldnu-Sdrivd, Pippali, S'tmthi, Yashti-madhii,


the

Tdlis'a-patra,

with

pasted
in the
s'ild,

two

kinds of Haridrd, and Musta,

Rasa

the

shade, proves

of

beneficial

cow-dung
in

and

i*

dried

ManaJi-

such cases.

Haritaki, Trikatu, Bald, Kalanu-sdriva and {S'amii-

Phcna pasted together with the milk of a she-goat


and similarly prepared in the shape of a Varti is also
dra-)

recommended.

9-1

1.

Rasa-Kriya'njana : The

urine,

dung of a cow \
the manner of Rasa-kriyanjana preparation)

(in

Rasa may

also,

from the context,

mean

and

bile

together with wine, should

be boiled
in

the

watery secretions of

the

cow-dung.
t

Dallana's heading

meaning the
X

the

is

evidently

'n?(liiffT^'

which he explains

as

juice or serum of the liver of a goat, &c.

text has

"jft^i^f^Tl"

a cow, here stands for

The term

"jft"

any female quadruped, such

which

literally

as a she-goat, etc.

means

Chap. XVII.

UTTAKA-TANTKAM.

expressed juice of Dhdtri, or


liver of

an animal

Triphald.

It is

(e.g.

be applied to the affected organ

Anjana

the decoction

the

in

An Anjana

(collyrium).

Rasa (serum) of the


in

manner

consisting

of an

of cow's

Samudra-phcna, Pippali, Katphala,

urine, clarified butter,

Saindhava and honey mixed together should be

first

bamboo and subsequently applied


a collyrium.
The Medas (fat)

kept inside a hollow


(in

of

Kshudrainjana, and should

the

called

in the

a goat), or

69

night-blindness) as

and

liver of a goat,

skimmed

butter

together with a quantity of clarified

milk of a she-goat, mixed

out of the

with Pippali and Saindhava should be boiled and cookwith the (expressed)

ed

Amalaka

of

juice

the

(in

manner of Rasa-kriya preparations). It should then be


mixed with honey and kept in a closed vessel made
of KJiadira (Catechu) wood.
The use of this (compound), known as th-e Kshudranjana, as an Anjana
(collyrium) would

be

attended

with

good

results.

Harenu, Pippali-sQQds (without pericarps), Eld and the


liver (of a goat, etc.)

in a case of

Godha(a kind

efficacious

of wild lizard) should be

opened and stuffed with Pippali and roasted

(ha\ ing been coated with clay

fire

compound
*

would prove

Kapha-affected vision (Sleshma-Vidagdha-

liver of a

partially
in

it

12-14.

Dri.shti).

The

pasted with the Rasa of

should be

cow-dung. Used as an Anjana,

* for only

According

once

i*

).

The

use of the

as an i^njana (with

honey)

Dallana ihc Pippali so roasted should be used

lo

with

honey as an Anjana.
t Both Vrinda

and Chakradatta read

'g^jrf'

in place of

'^ffgfjff'

commentators of both of them say that "the sentence means


should

Anjana.

be

taken internally

The commentator

use both of

and the Pippali


of Vrinda further

them together as an Anjana.

should

and the

the

be used

liver

as

says that the practice

is

an
lo

THE SUSHRUTA

yo

would be found

Anjana made of a
and roasted

in

goat's

as

fire

highly beneficial

be

to

Similarly a

iiight-blindncss.

SAMIIITA.

single

of

an

of

Pippali *

with

case would

the preceding

in

cases

in

application

stuffed

liver

Chap. XVII.

speedily and certainly cure an attack of night-blindness.

As an

and

alternative, both the spleen

the liver (of a

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


oil

and

and roasted on a

butter,

clarified

internally or used

Used

spit.

Anjana with mustard

an

as

oil,

would speedily cure an attack of night-blindness.

An Anjana
S'imhi (D,

R.

or a

it

15-17.

composed of Nadija (Saindhava),


conch-shell), Kataka, Anjana

pill

Samkha

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

together with the juice

of the liver

mixed with red-sandal paste


case of day-blindness.

Treatment

of

in

types :

palliative

should be resorted

(local) veins

kinds of ocular affections

treatment

palliative

recommended

is

18.

Bleeding by opening the


to in the six

cow) and

(of a

"I*

is

all

that

patient should be as well kept

which the

in

open

is

to

The

us.

constantly purged with

draughts of matured clarified butter duly cooked with


the admixture of suitable purgative drugs.

In a Vdtaja

Both Vagbhata and Dallana plainly say that the roasted

Pippali

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


t

There

of "5J5fi5%

'

confusion

is
^'-*

pasted

in

with

the reading

of this

of the

the juice

other animal), Chakradatta reads "Ty^j ^^(^^


a

cow (and

of no

animal) should

other

reads and his commentator


of an animal other than a

accepts the

cow)

. ;

ground of a faulty construction.


secretions

of cow-dung,

commentators

of

is

yet

^^-

be

to

taken.

"3i3i5%''

i-

e.

another variant

Vrinda and of Chakradatta.

is

cow

(of a

say

the

Vrinda,

reading "'^[jr^

but this reading

In

couplet.

liver

??ifT

'

place

any

or
liver

of

however,
('^e

li^er

objectionable on the

pasted
noticed

in

the

watery

by both

the

UTTARA-TANTRAM.

Chap. XVII.

/I

type (of any of these six affections) purging should


induced with castor

re:ommended

while

purgative

for

cooked w

butter dui)-

duly cooked with

oil

Purging with

t\-pes.
itli)

in

(clari-

be induced

Trivrit should

deranged Kapha,

the

in

also

is

especially

purposes,

having their origin

types

in

Traiphala-Ghrita

of

blood-origined

the Pittaja
fied

taken through the vehicle of

oil

Administration

milk.

l:c

Trivrit should

be adminis-

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


origin in the concerted action of

The

Doshas.

use

in

clarified butter, kept

all

the

deranged

three

an\-

shape of old and matured

an

iron vessel, proves beneficial

in

Timira of any type. Clarified butter cooked


Kalka and decoction) of Tripliald or Mcs/tasringi always proves efficacious in Timira of any type.
The patient should be made to lick a compound of

in cases of
^\

(the

ith

powdered TripJiald with a copious quantity of


butter in cases of I'ittaja blindness, with
type,

and

Kaphaja

with

copious quantity of
disease (Timira

type, of this

of vision).

The

oil in

clarified

the Vataja

honey

loss or

in

the

darkness

19-21.

use as

Navana

of a

(errhine)

medicated

oil

cooked and prepared with the decoction of

cow-dung

would be attended with beneficial

all

of Timira.

Clarified

the

type

IMttaja

butter *

similarly

by churning the milk

(^f

results

alone

is

in

clarified

butter

ewe or

types

beneficial

in

prepared

and

she-goat

cooked with the admixture of the drugs of the Maihiira


(Kikolyadi)
Pittaja

of

the

of a

t\'j)e

group

\\()u!d

of Timira.

Stiiirdli

or she-go^t

b\iltor

beneficial

cooked

Vidari-gandhadi

Sopie say thai this clarified

cwc

Oil

prove

i.s

to

with
or

the

be prepared

the

in

the

drugs

I\faii/iura

from

iho

uiilk

THE SUSIIRUTA

;2

group

as

A medicated

oil

Vayu and

Ati-vald, S'atdvari, Trivrit

Ghrita,

substances,

fatty

mentioned before

vitiated blood of the

duly cooked with an admixture

of Sahd, As'va-gandJid,
the three

of V^ataja

milk

dul\-

VI,

Chapter

Timira.

an

errhine

Vataja Timira

The

fowl

be prepared and

manner

or

employed
cases

in

of

22-23.

and of a deer of the Ena

honey and

applied (to

should

clarified butter

the

of Puta-pa(ka (see next

vultures, snakes

be

in

of the

aquatic

of an\-

should

beast

out

prove curative

vulture

species, SaindJiava salt,

an errhine

as

churned

flesh

(loss of vision).

of a

flesh

or

would

it

Sthdna)

Chikitsita

Butter

cooked with the

marsh-frequenting

and marrow,

lard

might be advantageously employed


cases

and

connection with the treatment of

(in

Mah^-Vata-Vyddhi,

as

Chapter V,

(see

the t}-pes of the disease due respectively to

in

the action of the deranged

system.

Chnp. XVII.

might be prescribed with the greatest

Chikitsita Sthana),

advantage

Anu-taila

the

as

well

SAMIIITA.

affected

Chapter).

the

eye)

in

The

lard of

and cocks and Yashti-madim should be

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

organ)

the

in

manner

Atl'tidotCS
soaked
*
last

part of the

text

The commentator

say that this part

is

(eye-salve)-|'.

milk and

24.

clarified butter

within the two *s from

page to 'group' in this page

Chakradatta.

Anjana

Srotonjana should be successively

meat-juice,

in

The

of an

is

not

to

'Similarly'

in

in
the

be found in either Vrinda or

of Chakradatta,

moreover, does clearly

an interpolation and cannot be

found in some of the

Mss. of Sus'ruta Samhita.


t According

may be

But

at a time.

madhu.

to

Dallana

jointly or separately

It

in all cases

the

of vultures,

lards

used taken

either one,

they should be

snakes

two or

all

and cocks
the

mixed with honey and

should be noted that the lard of a

three
Yashti-

Krishna-Sarpa (venomous

serpent) should be used.

J Plesh of those animals which give strength


used in the preparation of meat -juice.

to the

si^hl

should be

Chap. XVII.

UTTARA-TANTRAM.

73

manner of Bhavand saturation and used as a Pratyanjana * (in cases of V^ataja Timira unattended with
the

In cases of Vataja Timira

redness).

attended with red-

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


inside the blades

month
it

of

Kusa

mouth

inside the

grass and

should be taken out and

As an

salt

should

It

alternative, Srotonjana should be soaked in milk

disease

in a

days and applied to the seat of the

case of (Vataja)

by experts

said

Kacha
by

to be remediable

Treatment
fied

(Jati) flowers.

Then

an Anjana to the affected organ.

as

for three successive

is

for

cobra.

mixed with SaindJiava

and the burnt ashes of Mdlati


then be applied

preserxcd

of a (dead) black

which

(cataract)

Anjana.

this

skimmed from miik (and not from

butter

25.

of Pittaja- Kacha : Claricurd)

and duly cooked with the drugs of the Madliura (Kakolyadi)

group

or as a

The

should be employed as

-|-

Tarpana

flesh of

the

in

snuff (Nasya),

Pittaja type of this disease.

Jangala animals (deer,

of the Kdkolyddi group

should be

etc.)

and the drugs

used in

manner

the

of Puta-pa'ka in the Pittaja type of Kacha.

Kshudrdn-

jana composed of Rasdnjana, sugar, honey Manah-sild,

and Yashti-madhu

Anjana

of an

taken

in

may

in

the

The

use

composed of Rasdnjana and Tuttliaka

equal parts and

mended by experts
soaked

be applied.

likewise

\ in

finely

pounded,

such cases.

is

decoction of BJiiUota and

Pratyanjana (secondary eye-salve)

is

also recom-

J^owdcred Tutthaka

an antidote

the drugs of

for

the

over-use

of an Anjana.
t According

to

some

commentators

cooked with the drugs of the Muilhura group,

the

milk

should

he

first

and hutlcr should then be

churned out of that milk.


X

A benumbed

condition

salves calls for the use of this

of

the

Anjana

eye

through the

abuse

as an antidote.

10

of

eye-

THE SUSHRUTA

74

the Elddi-gana would

would be found

SAMIIITA.

be used

Chap. XYII.

Pratyanjana, and

as a

The

beneficial in such cases.

use (as an

Anjana) of MesJia-s' ringi and Stotonjana taken

and two parts of conch-shell pounded together

parts

efficacious in the

The

MadJmka

Rohita and

juice of Palds'a,

manner

the

(in

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

drugs

known

duly

cooked

employed

the purposes

would

cooked with

exuding
holy

The

the

trees,

fig)

with

medicated

those

of the

Haridrd and

should

honey,

of Ptita-pdka (and applied

Trikatu,

Manah-s'ila

should

be

milk-

(the

Indian

of

species

Us'ira (as

Kalka).

(forest) animals,

with

saturated

prepared

be

type

Ghrita duly

Vanaspati

of

meat of Jdngala
Pippali and profusely

with

be
in

Ingiidi-\iz.x^

Kaphaja

part

affected

of the

Saindhava and

manner

e. g.,

the

in

the

decoction

with pasted

essence

mixed

The

(Timira).

and

KiniJii

beneficial

likewise lubricated

should

oil)

snuffing (Nasya)

Fumigation (Dhumana) with the

prove

also

of cataract

Tila
of

Vidanga, Pdthd,

vapours of

26-27.

and Priyangii

TripJiald

together (with

Kaphaja Type.

the

(taken
of Rasa-

Kaphaja Type : The

of

as Us'ira, RodJira,

for

(flower)

surface layer of wine

equal parts) should be prepared

Treatment

is

type of this disease (Kacha).

Pittaja

mixed with honey and the


in

equal

in

in

to the affected

Saindhava, MdksJnka

the
part).

(hone)'),

S'amkha, Kdslsa and Rasdnjana should be combinedly


used for the purposes
discussion).

Kdsisa, Rasdnjana,

ed treacle) and
benefit.

of Rasa-kriyd

Ndgara,

may

(in

Guda

the type

(old

be likewise

under

and maturused

with

28.

of Tri-doshaja Ka'cha :
Anjana (Antimony) many times heated and (subsequcntl)-)

Treatment

soaked

in the

decoction of TripJiald prepared with

(the

UTTARA-TANTRAM.

Chap. XVII.]

eight kinds of) urine, should

(marrowless) bone of
vulture,

and kept

etc.)

be

used with

advantage,

the measures

Puta-paka,

etc.)

and remedies

applicable

in

As an

alter-

Tarpana,

(e. g.,

Doshas

the three

all

should be employed in such cases.

with

of Mesha-

flowers

Tri-doshaja types of Kaicha.

native, all

in

thus prepared

combination

in

the

as

month

for

The Anjana

Madhiika (Yashti-madhu) and the


s'ringi in the

(such

bird

immersed

unruffled (currentlcss) water.

may

hollow

be put inside the

nocturnal

75

29.

Treatment Of blood origined Parimlayi

Measures and

ployed

remedies mentioned

in

the Pittaja t\'pe of Timira should

nection with
in a

case

alternative,

the

ParimWyi.

of blood-origined

remedial

con-

be emIn the

agents prescribed

the

for

treatment of the different kinds of Ophthalmia (Abhi-

shyanda) should be as well prescribed according to the

deranged Doshas involved

nature of the

the

in

case.

Do-has are not thereby subdued,

In case the deranged

Nasyas of the proper drug, as well as the many other


Anjanas

(coll3-rium)

mentioned

Diet
matured

A person

clarified

from

all

dreadful

Pdyasa \ prepared with

in

According

to

such cases are

some,

the

or

cooked with

the measures and

and

Patola,

immunity

Simply the

Timira.

S'atdvari,

or a meal of barley corns


*

of old

S'atdvari,

TripJiald,

(barley) as diet enjoys

of the

attacks

30.

carefully partaking

butter,

Mudga, Amalaka, Yata

Chapter on

in the (next)

Kriya-kalpa should be employed.

with Amalaka
decoction

the

remedies

to

measures oi Rasa-kriya applicable

be applied
in

cases

of

Vataja, Pittaja and Kaphaja Timira.

The PsCyaSa

of S'ala'vari and A' malaki should

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


sugar.

According

to others,

however,

it

means

may

be prepared

be,

by

with milk and

the gruel (YaViigu) prepuretl

with the CApreoocd juice uf S'ala'vari ur A' malaki.

THE SUSIIRUTA

76

of Triphald and

would remove (an attack


edibles

A'a

meat

as well as

sidered as invigorating

Vdstuka,

Kdravella,

may

of

use

the

be) of Patola, Karkotaka,

Tarkdri, Karira

Vdrtdku,

should be con-

The

eye-sight.

leaves or fruit (as the case

(tender

bamboo

Artagala, cooked with clarified butter,

S'igru or

plant.s),

use of such

(such as Lava,

of birds

(e g. deer, etc.)

to

butter

clariiicd

The

Timira.

of)

and Jangala animals

etc.)

of

Jivanti, Sicnishannaka, Tandnliyaka,

Mulaka

Chilli,

quantity

a copious

Chap. XVII.

SAMIIITA.

proves beneficial (invigoratiog) to the sight. 31.


Blood-letting (venesection)
a case

to in

eye

affected

in

much

as

should never be resorted

marked by the redness

of Timira,

as

it

of the

might bring about an

aggravation of the deranged Doshas ending

in blindness

of the patient. 32.

Prognosis

A case of Timira

marked by the

absence of any redness of the eye and


first
is

Patala (coat) of the organ

The

curable (Sa^dhya).

a bright red hue and the

organ

is

curable

the seat of the

which the

in

the seat of the

or Patala of the organ

case in which the eye assumes

may

disease,

The
is

by the redness of

disease,

second coat or Patala of the


be regarded as a

one though only with the greaterst

(Krichchhra-Saiclhya).

terised

is

difficulty

case in which the third coat

the seat of the disease


its

outer

coat)

should

(charac-

be

re-

garded as (an incurable affection) admitting only of


palliative treatment (Yapya).

Proper palliative measures

and remedies mentioned before should be employed


cases of Timira

marked by a redness

organ), and leeches

may

also

of the affection (to relieve

Dosha

in cases of

it

emergency).

be

applied

of

its

in

(of the affected

to

the region

exuberance of the

},2>-

Kaphaja
Surgical treatment of
Linga-nas'a Now we shall describe the (surgi:

UTTARA-TANTKAM.

Chap. XVII.]

cal)

measures to be employed

of the deranged

cataract) due to the action

thin

become

painful

be

be made to

tip

leaving

does not

if it

is

neither too

etc.,

at

nor

cold

season

too

of the

hot

patient

his

of)

off

Then

nose.

the

intelligent

two portions of the white part of


end of the Apanga (the end of

the

having fully and carefully drawn apart

the eye) and

eye-lids with

middle

does not resemble

looking simultaneously (with his two

sit,

the eye-ball from

the

nor

secured with proper fastenings and he should

(the

eyes) at

surgeon

it

Then the hands,

purpose.

should be

where

Sneha and Sveda

with

of the year which


for the

i.e.,

and red coloured, the patient should

treated

first

organ,

the

in

a drop of \\ater in shape, or

or

In

nor marked by a large number of

irregular (in shape),

lines or a variety of tints, or

a pearl

Kapha.

middle, nor, fixed, (hard)

the

in

Linga-

organ docs not appear semi-

of the

part

the affected
circular or

Dosha

the deranged

where

cases

for curing a case of

choking up at the pupil with a

or

naisa (obstruction

77

fingers,

thumb and

his

should

insert the

the

index and the

Yava-vaktra (needle)

instrument* through the sides of the natural apperturepoint

like

near

external

the

angles

of the

eye,

neither above nor below, care being taken not to pierce

the veins.

The

left

eye should be pierced with the

right hand, and the right with the

nature of the

sumed from the

operation

(perforation)

characteristic

emission of a drcjp of water

i*

following upon the perforation.


*

Bolh S'rikanlha Dalla

ively of

left.

and

The

satisfactory

should

be

pre-

report or sound

and the

from the affected

region,

34-35-

S'ivaiUsa, the conimcnlalurs respect-

Vrinda and Chakradatta, read

'aTwff^JJi fTT'?T'2Jl' '"i-iining that tire

S'alaka (rod) should be marlt; of copper.


t

Blood would come out

if

the perforation be not aatibfactorily done.

THE SUSHRUTA SAM HIT A.

;78

Instantly with

the

the

perforation

place and the

its

organ

affected

The Salaka

should be sprinkled over with breast-milk.


should be retained in

Chap. XVII.

growth

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
of the Drishti-mandala should be

with the (pointed) end of

phlegm (Kapha) accumulated

The mucus

SaUkA.

region

subsequently scraped
or

eye should

in the affected

be removad by asking the patient to snuff

it

by

off

closing the nostril on the other side of the operated eye-

The

ball.

when

it

part should be regarded

scraped

as properly

would assume the glossiness of a resplendent

cloudless sun

and would be

free

from

Then

pain.

the

Salaka (rod) should be gently withdrawn as soon as

would be able to perceive

vision,

and then the

eye should be sprinkled over with

bandaged with a piece of

linen.

the patient should be laid on his back

chamber

(free

this

in a

comfortable

from dust and smoke), and be warned

against indulging in
eructation,

butter and
period *

clarified

During

all

those bodily

such as

functions

coughing, yawning, spitting, sneezing,

The regimen

it

(affected)

of diet and

etc.

be

conduct thereafter should

the same as observed by one internally treated

Sneha (See Chapter XXXI,

Chikitsita-stha'na).

with a

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

The eye should be (mildly)


fomented on every fourth day as before, so that the bodily
Vayu might not be aggravated. This rule should be
again with a fresh one.

'seven

The

period

days'

the period

during

which

these

according lo Vagbhata.

during which the operation

rules

should

Bui according
lastii.

lo

l)c

lollowed

D.dlana

ii

is

is

only

UTTARA-TAXTRAM.

Chap. XVII.]

followed for ten days, as

Tarpanas,

etc.)

Persons declared unfit


old men, etc.)

of food

not be subjected to any


Niliksi except at the

36.

infants,

(viz.,

venesection * should

surgical operation,

place

vigour

errhines,

and be given

for venesection

chapter on

in the

fresh

snuffs,

employed and the Diet

articles

moderate quantities.

in

as

(such

should then be

should consist of light

only

would impart a

it

After-measures

to the sight.

79

cases

in

mentioned before

(viz.

of

the

Daiva-krita Chhidra). 37.


Symptoms and treatment

natural aperture

of the
disorders resulting' from an injudicious operation If the incidental haemorrhage
:

(from a puncture
the eye,

in

wrong

case

the

in

that

sprinkled over with

clarified

place)

in the

fill

cavity of

eye should be beneficially

cooked with

butter duly

Yasliti-madhu and breast-milk.

An

incision

(puncture)

(Apanga) of the eye would


pain, lachrymation and redness of the

close to the exterior corner

usher in swelling,
eye,

which should be remedied by poulticing (Upandha)

the part

between the arches of

sprinkling (Sechana) the


butter.

In

the

event

the

eye-brows,

eye over with tepid


of the

and

clarified

organ being punctured

near the Krishna-mandala (region of the

iris)

and the

Krishna-mandala being affected thereby, the affected


part should be sprinkled over with clarified

gative

means

should be administered and


of leeches)

part

of the

eye

distressing

the upper

(Krishna-mandala) and

this

should be

on the scat of affection. ICxccssi\e laclirymation


S'arira-Slhana, Chapter \\\.

(by

to.

cured by sprinkling drops of lukewarm clarified

pur-

made on

should be resorted

pain ensues from the puncture being

butter,

blood-letting

butter
sets

in

THE SUSIIRUTA

8o

SAMIIITA.

with pain and redness of the eye

made on

puncture being

the

in

lower

the

Chap. XVII.

event

part

of the

eye

of the

(Krishna-mandala) and such cases should be treated

Emulsive (Sneha) application

manner.

preceding

the

in

and fomentation (Sveda) of the parts as well as applicaremedies

of an

(of the eyc-lashcs)

removed

n^s'a) the

in

Dosha

have an

to

of Linga-

(in a case

upward course

in the red-coloured

specks or

Sukra (white part of the

the

in

the

37-3!^.

stage

liable

is

and produce relapse


(opacity)

acute

its

numb-

in the eye, as

and improper handling of the

excessive

instrument during the operation.


If

be considered as

should

of redness, lachrymation, pain,

in cases

ness and bristling


result

enema

Anuvasana

tions of

eye),

films

and

it

tends to give rise to an excruciating pain in the locality

and completely obstruct


such a case consists

the

The remedy

vision.

sprinkling the eye

in

butter duly cooked with the drugs of the

and

in

Meat

Siro-vasti (errhine).

patient

the

coming

same

the application of the

As

Dosha meets

so the fully aggravated

upon with the surgeon's Salaka


;

is

caused by a

its

(rod).

Causes of Relapse A
ranged Dosha

the nianner

destruction,

its

doom,

if

operated

39-40.

relapse

of the

by an

its partial!}-

of piercing

developed (D. R. immature) stage.

Care should

remove the cataract with


as

it

might usher

affected organ.

in

fits,

or

the Linga-nas'a (cataract) during

Symptoms produced by the


of the S'alaka'

de-

blow on the head, physi-

cal exercise, sexual excesses, vomiting, epileptic

act

of

cloud

full-bodied

with the wind meets

in contact

with clarified
Madliura-gaiia,

should be prescribed for

diet

such cases.

in

in

in

41.

defects

be taken

a roughly shaped

an

to

Salakai (rod)

an acute and aching pain

rod with

not

in the

unsmooth body might

UTTARA-TANTRAM.

fChap. XVII.

Si

lead to an aggravation of the deranged Doshas.

thick-

topped rod would necessaril}' create an extensive ulcer,


whereas a sharp one begets the apprehension of hurting
the

eye

sets

in

in

many

An

ways.

top or mouth, whereas

lar

for the

its

unsteadiness

purpose

Salaka (rod) should be

made

and

injuries,

to

measure eight fingers

The

bud.

rod

copper, iron or gold.

its

should

thumb

of the

ends terminating

(Salakd)

be

form

in the

prepared

of

43.

Derangements
operation

Redness

sucking pain, (appearance

eye (Sukarakshita) *

to the

in

middle part being covered with strings of

its

circumference and

like

43.

^aiaka: The

the

of

thread and resembling the upper section

of a

one.

such a manner as to preclude the

in

Description

in

irregu-

the course

Salakd (rod) should be constructed and used

possibility of the foregoing defects

length,

(in

makes the operation an abortive

of the operation)

Hence

lachrymation

excessive

from using a rod with an unequal or

due

to

of the

eye,

Arvuda

defective
local

swelling,

Vudvuda, hogand ophthalmia &c. are due


of)

or

improper handling of the rod or to the use of

improper regimen of diet and conduct.

These should be

remedied according to the nature of the deranged Dosha


involved in each case.

44.

Their treatment :Now


discourse

on the
pain

in cases of

plaster

pasted
*

(specific)

redness

or

again

hear

me

medicines to be employed
in

the

eyes.

medicinal

composed of Gairika, S'drivd, Durvd, and barley


with milk i" and clarified butter, should be

Both

Virinda

antl

Chakradatta reads

"Kekardkshita''

;.

e.

squinting look.
i

Vrinda and Chakradatta following Vagbhala do not read

(milk) and they read the

first

^^Payas"

line of this couplet in a different form.

II

THE

82
applied
of pain

Rl'SIIRUTA SAMIilTA.

[Chap. XVII.

lukewarm (about the eyes) for the subsidence


and redness. A plaster (Lepa) prepared of

SiddhdrtJiaka (white

mustard seeds) and

slightly

fried

sesamum seeds pasted with the expressed juice of


Mdtuhmga, or one prepared of Payasjd (Kshira-kdkoli),
Sdrivd, Patra, Manjishthd and

together with the

warm

to

the

affected

is

S'ujithi,

region,

redness of the eyes.

maka, and

plaster

of Drdkshd^

composed

KusJitha

Yasliti-mad/ni,

luke-

in

of

Dam,

the

and

Pad-

same way
plaster

SaindJiava

Cow's milk cooked with Snhi-

should be likewise used.

dhava should also be used

for

and redness of the

Clarified butter duly

eye.

with the admixture of

pasted

applied

purpose.

the

for

if

removes the pain and

and used

prepared

recommended

likewise

Yashti-madhii

milk of a she-goat,

the

S'atdvari,

alleviation

of pain

cooked

Prithak-parni, Ulusta,

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


be applied (cold) to the affected organ (eye) for the
alleviation
Clarified

and

pain

of

butter

burning sensation

therein.

duly cooked with the Kalka of the

drugs of the Kdkolyddi group with a quantity of milk


four times the weight

of the clarified

butter, previously

cooked with the drugs of the Vayu-subduing {Bhadra-

manner

ddrvMi) group

(in

considered

efficacious

as

the

externally in cases

in

of ocular

of Kshira-paka) should be

any

form (internally or

The

affections.

affected

organ should be treated with Sneha emulsive (applications)

(SirA)

and (Sveda), fomentation and opening of the veins


or

cauterisation

treacle) as described

cases

(by honey, clarified

before,

should

effect.

hear

me

fail

to

in

pro-

45-46.

Eye sight invigorating


Now

be resorted to

where the foregoing remedies would

duce an)'

or

butter,

describe two

beneficial

Anjana :
recipes

of

Anjana

Chap.

WII.

UTTAKA-TANTRAM.

which would invigorate the eye-sight and impart a


ness of vision. Flowers of Mcsha-S'ringi, S'iris/ia,

and of

J/V^?// together

should

made

be pounded and

addition
thus

with pearl and

of the

week and then made


Varti

be

into

lengths and applied to

Vaidurya (ruby)
a

milk of a she-goat.

prepared should

Anjana.

into

clear-

Dhava

paste with the

The compound

kept in a copper vessel for a

Vartis

the eyes

(stick)

(sticks) of
in

the

convenient

manner

of an

should be similarly prepared

with Srotonjana, coral, Sanmdra-phcna, ManalL-s'ild and


MaricJui and used similarly as an Anjana (eye-salve).

imparts steadiness of vision.


to be described in

the next

The many

other

Thus ends

Anjanas

Chapter (Kriya-kalpa)

also be beneficially applied for the purpose.

It

may

47-48.

the sevenleenlh chapter in the Uttara-Tantra of the Sus'nita-

Samhita which
Drishli (pupil).

treats

of the

curative

measures of the diseases of the

CHAPTER
Now we

shall diseourse

XViri.

on the Chapter which treats

of the preparations and uses of the

(external

applications) to be

treating

ocular

kalpa).

affections

measures

medicinal

adopted

employed

or

in

(KriySL-

general

in

I.

Here follows a general exposition of the

instructions

which the sainted lord of Benares, the holy Dhanvantari


of profound

intellect

of Vis'v^mitra

son

imparted to

(Sus'ruta)

his

medicinal measures (Kriyd) such as

the

disciple

regarding

the

different

Tarpana

(soothing),

Seka (sprinkling), A'schyotana (eye-drops), Puta-patkas


Anjanas (eye-salves), etc., mentioned before in different
places to be employed in diseases of the eye. 2-3.

The Tarpana
known

as

Tarpana

IVIeasure : The

affected eye either in the fore-noon or

under
after

the auspices

of propitious

the after-noon

in

astral combinations,

having purged the head and bowels of the patient

and subsequent

The

taken.

to the digestion of

patient

chamber not exposed

should

any food previously

be laid on

atmosphere

with minute particles of floating dust.


(i.

e.

Mdsha

his

to the rays of the sun,

of the wind, and where the

eye

measure

should be employed in respect of an

is

The

in

and the gust


not

charged

region of his

eye-lids) should be thickly coated with

pulse, pasted (with water) in the

back

powdered

form of a circular

wall which should be even, hard and compact.

Then

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.

85

long a period as one would take to count


six hundred, eight hundred,

of healthy

cases

respectively in

with Kapha-origined,
of the

diseases

persons

According

the periods of such retention

syllabless

and persons

and V^yu-origined

Pitta-origined

e}'e.

hundred,

five

and ten hundred

to certain authorities,

(of clarified butter) should

vary with the seat of the affection

(in

The

the eye-ball).

mentioned above should, according

clarified butter

them, be retained

in

to

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

Vartman, Sukla, Krishna,


general (Sarva-gata) and the Drishti of the

to the region of the Sandhi,

the eye in
eye*.

The

clarified butter

should then be secreted through

the interior corner of the affected organ which should be


purified

by applying

poultices

The

of pasted barley.

Kapha, deranged by the use of this Sneha-Purana should


be then conquered by making the patient inhale some
kind of Kapha-subduing

sion.

the

days

in

-f

succes-

of satisfactory, excess-

unembarrassed waking, cessation of

tion, clearness of vision,

ameli(;rati()n

five

and defective Tarpana : Sleep

first call,

According

period

This rule

(smoke).

4.

Symptoms
ive

Dhuma

be observed for one, three or

.should

fjf

to

agreeable sensation,

the disease, and

lightness

secre-

perceptible

of the

some, the 'Parana' shoi:Id be retained

at

in

(jraan

the eye for a

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

days in cases of the jireponderance of Vayu, Pitta and

pectively,

and according

attack respectively.

to Jejjata, in cases of nnld,

one,

three,

Kapha

res-

moderate and severe

THE SUSHRUTA SAMHITA.

^6

which

are the .symptoms

from

result

satisfactory Tarpana of the eye.


of heaviness

a sense

glossiness

the

(of

in

eye),

the

Chap, XVIII.

and

proper

Cloudiness of vision,

affected

organ, excessive

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

the

in

affected

lachrymation,

profuse

organ, cloudiness of vision,

sensitiveness

aggravation of the disease are the


act of defective

Tarpana

which follow an

evils

(of the eye).

and an

light

to

5.

Treatment of excessive and defective Tarpana Cases of defective and excessive


:

Tarpana should be remedied with the application


medicinal

Anjanas, washes and

snuffs,

smoke and by adopting dry

may

the cases

require).

emulsive

or

measures, (as

6.

Cases for Tarpana : Shrivelling


of the

pilation
vision,
tion,

eye-lashes,

cloudiness and

the

application

be applied
cold.

person

in
It

of the

eye are amenable

Tarpana measure

should

not be

to

fear,

not to

excessix eU' hot

the

c\'e

of a

nor before

symptoms (Upadrava)

the

of

y-S.

The Puta-pa'ka : The


should be applied

day

applied

engrossed by anxiety or

the eye-disease.

as giving

The Tarpana measure should

a cloudy day, nor in a

subsidence of the supervening

is

dc-

parchedncss of the eye, hardness of the eye-lid and

t(Mie to the eye.

or

and

darkness of

archedness of sight, absolute want of lachryma-

a severely diseased condition of the


to

of

inhalations of

in

Puta-pa'ka measure

the aforesaid cases.

The Puta-paka

not applicable in cases w^iere Nasya (errhines), Tarpana

and the internal application of Sneha (Sneha-pana) are


forbidden.

After a complete

the Puta-pdka should be

subsidence of the Dosha,

applied

to

the (affected)

eye

UTTARA-T ANTRA M.

Chap. XVIII.

would be found capable of

in cases \vhere the patient

being treated with


divided

into

Lekhana

(scraping)

87

The Puta-paka measure may be

it.

three

classes,

Snehana

viz.,

(.emulsive),

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 Lekhana (scraping) ones are
efficacious

in

.Sneha to
the

b\'

the

of

cases

eye

Ropana

excessive

applications

while the eye-sight

is

of the

invigorated

(healing) Puta-paka, which restores

Vata, * the Pitta and the blood of the affected


to their natural conditions,

the

locality

and (consequently) heals the

9-10.

ulcer.

Preparation of Snehana, Lekhana,


and Ropana Puta-pa'kas : The Snehaua
(emulsive) Puta-paka should be prepared with

Sneha

-f

and with

and Medas
it

the

flesh

animals frequenting marshy places) abounding in

(of

(fat),

the

Vaira

Majjan (marrow),

(lard),

and the drugs of the MadJiura group and

should be retained in the eye so long

take to

utter

two hundred

syllables.

as

one would

The

scraping or

Lekhana Puta-paka should be prepared with


and the

liver

the

flesh

of an animal of the Jangala species and

the drugs possessing the Lekhana or scraping properties,


as well
shells,

as

powders of black iron

Vidrmna

S'aindhva

(corals),

Kdsisa (sulphate of

iron)

(steel),

copper, conch-

Samudra-^hena,

salt,

and Srotonjana (pasted

to-

gether) with the cream of curd.

The

should be exposed to a Lekhana

Puta-paka as long as

In

differenl reading, mentiori'^d

place of

"^vi^tfr'

different reading "j^fqjfjl^fi" (

Dallana.

e.

affected

localit)'

by Dallana, does not read "Vata."

meaning

flesh

clarified butter

abounding

in

and

is

(lesh)

Sneha, a
quoted by

THE SUSHRUTA SAMHITX.

88

Chap, XVIII.

one would take to utter a hundred syllables at most. The


healing

Ropana Futa-paka

or

cooking the

flesh of

breast-milk,

drugs,

should be prepared

by-

an animal of the Jangala group with

honey*, clarified

and

butter

and should be retained

in

the

period three times as

much

should be retained

for a period as long as

i.e.,

as

bitter

eye for a

the affected

Lekhana-Puta-paka

the

require to utter three hundred s\-llables.

one would

11-13.

The fumigating measures mentioned

in

connection

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

Snsha and Sveda, should be resorted

cations of

to in the

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

Ropana Puta-paka.

application of the

of the

cases

in

Puta-paka applications ma\' be made on one day only

may

or

strict

for

be

two or three days.f.

continued for

regimen of diet and conduct should be observed


twice

period

long as the preparatory period

as

(beginning with the time of administering the Sneha

him

the patient for preparing

Puta-paka

Putapaka

time of actually administering the

the

till

to

for the application of the

14-15.

itself).

Prohibition and Remedies for in-

fringement
and Puta-paka

After the

not catch glimpses of the light,

any other luminous object


* In place

of

'

a variant ''^-t^jjsg"

fire,

lit.

of

Tarpana

patient

should

sky, looking-glass or

nor he should expose the eye

f^^j^" (honey and

application
eye) the

(to the affected

sacred clarified

clarified butter)

butter

e.

Dallana quotes

clarified

bu'ter pre-

pared from cow's milk.


t Dallana

should

be

explains that

made

for

the

Puta-paka be a Lekhana one


in Pittaja eye-diseases, or

Vataja eye-diseases, or

application

one day only

if it

if it

and

in
it

of

the

Kaphaja
should

be a .Snehana one

Puta-paka measure

eye-diseases, or

be continued
;

and

be a Ropana Puta-paka.

for

for

three

if

the

two days
days

in

UTTARA-TAXTRAM,

Ch.^p. XVIII.]

The unfavourable symptoms

to the blast of the wind.

incidental to

89

and induced by an infringement of the

rules to be observed after the application

two

of these

(Tarpana and Futa-paka) measures should be remedied


with the applications of Anjana (colly rium), A's'chyotana

and Sveda (fomentation) to the deranged bodily Doshas,


underlying each particular case.

16-17.

Satisfactory, excessive and detec-^


tive application of Puta-paka ".Freshness and clearness of the colour
bilit\-

of the

the

(of

ing and a lightness of the organ are

the benefits which

from Satisfactory Puta-paka applications.

are derived

Darkness of

and swelling of the eye and

pain

vision,

appearance of eruptions (Pidaka)

organ,

the

arc

measure

lachrymations of the eye and


in

the

the

in

affected

which mark an excessive applica-

evils

tion of the Puta-paka

(Harsha)

and wind,

light

and an unembarrassed gladsome waken-

refreshing sleep

the

capa

cornea),

organ (eye) to bear heat,

while suppuration
a

thrilling

organ, as well

affected

and

sensation
a further

as

aggravation of the Dosha (involved) are the characteristic

features of a deficient Puta-paka application

IVIode of
I

shall

describe

remedy.

mode

the

Two Viha

of preparing

(Pala) measures

pasted meat, one Pala measure


pasted together and one
(jf

licpiid

made

into

well

ball),

(half a seer)

clay,

burning charcoal

it

(fire)

together (and

wood

Kataka, As'mantaka, Eranda, Pdtald,


Kshira-Q.yi\\^\x\^ trees,

Padma

should be duly scorched


of catechu

or

in

the

fire

and

measure

with the leaves

Kadali, Kdsmari, Eranda, Ktimuda or of

Coated with

Puta-paka

medicinal drugs

be mixed

covered

of cleansed

of the

Kudava

should

ingredients

18,

preparing Puta-paka : Now

or

of

plant.

in

the

in

that of

''dsa/ca,

Vadara,

of the dried cakes


r3

THE SUSIIRUTA SAMHITA.

90

When

of cow-dung.

taken out of the

fire

well

[Chap. XVItl.

cooked the

and broken and

bail

be

should

contents with-

its

drawn and squeezed. The fluid extract should then be


collected and applied (to the affected organ) in the
manner of applying a Tarpana. 19.

The mode
being

laid

of application :~-The

on his back at the time, the

fluid

(Tarpana and Puta-pdka)

both the cases

patient

extract in

should

be

dropped cold into the Kaninik^ (Cornea) of the eye

in

derangement of the blood and the Pitta


it
should be used lukewarm when the Vdyu and the Kapha
cases of

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.

numbness
affected

the

in

and

thrilling sensation (Harsha), pain

locality

and lachrymation from the

organ originate from the use of a cold and

mild-potencied Puta-paka

or

Tarpana eye-drop.

ness and contraction of the eye attended with

and throbbing sensation therein are the


excessive (over-dose) application of the

Red-

a jerking

effects

of an

Puta-p^ka and

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


produces an aggravation of the deranged bodily Doshas
in

the locality.

Properly applied, the}- 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

and Tarpana measures should be applied in such a way


The
as would give health and happiness (to the eye).
evils resulted

by a course of

injudicious application

Puta-paka or Tarpana, are to


application

of errhines

Nasya

of

be remedied with the


),

Dhuma and Anjana

UTTAKA-TANTRAM.

Chap. XVIII.

remedial

the

to

Doshas involved

The

specific
in

affected eye should be

of a Puta-paka
cloth soaked

in

fomented before the use

Tarpana measure with a piece of


hot water (and rinsed). Fumigation of
the

end should be prescribed

marked by an aggravation

of the localit}-.

Dosha or

bodily

20.

or

the affected organ in


case

deranged

each case.

91

in a

Kapha

of the deranged

21.

As'Chyotana and Seka : Properly

pre-

pared and applied, the As'chyotana and Seka measures

would respectively subdue cases of


attacks of the eye.

Like the Puta-paka measure these

two also arc devided into three

Snehana and Ropana).

the

in

classes w'-c,

(Lekhana,

Seven or eight drops of the

medicinal fluid should be used


(for the

and violent

slight

Lekhana-As'chyotana

in

purpose of scraping the affected eye)

ten drops

Snehana (for emulsive purposes) and twelve


Ropana As'chyotana ( for the purpose of

drops in the

up a granulative process

setting

The maximum

wound).

in

period for which

an

eye should be subjected to the Seka measure


long as

is

sore

local

or

(affected)
is

twice as

Puta-paka measure,*

enjoined in respect of a
is

gradually and wholly removcd.-f"

]>oth the As'chyotana

and the Seka applications should

or until the disease

made

be

The

in

the morning or evening or at noon (in accord-

period for which an

As'chyotana measure,

is

affected

should be

eye

not given in the

text,

subjected

to

the

but Dallana says that

should be the same as ob.served in cases of Puta-psika-

Some,

it

however,

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

This

t
disease

but

is

rule for

subjecting

according to some

I'uta-pi^ka

the affected

gradually and wholly removed

and Tarpana,

it

cle.

is

eye

is for

to

the

measure

till

the

Seka and As'chyotana only;

a general rule which aliplies also to cases of

THE SUSIiRUTA SAMUITA.

92

[Chap. XVIII.

ancc with the aggravation of the deranged Doshas),*

whenever there would be pain

or

The symptoms
deficient)

of proper and

(in

applications of a Sneha

identical with those of

Siro-vasti

Tarpana.

The

the head readily yeild


application

of

very good

(emulsive) Seka

are

peculiar to

diseases

and arc conquered by the

to

known

eye),

22-23.

serious

which

Siro-vasti,

effects

the affected

improper (excessive and

as

produces the

also

Murdha-tailika ones

the

The

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

patient

having been treated with purgatives and emetics (according

requirements

to

according
erect

sit

in

should be given

the nature

to

the

evening,

a proper diet

and made to
when an animal bladder (the

of the

disease,

bladder of a goat being usually used for the purpose)

with the proper

filled

crown and firmly


filled

Sneha, should be placed on his

times as

long

as

is

retained

Ropana

on the head ten

necessary for Tarpana measure,

according to the nature of the disease.

Anjana

24-25.

Proper Anjana for Lekhana (scraping),

(healing),

or Prasadana (invigorating) purposes

should

be applied after the cleansing

of the

system

cases

in

A
'^

etc.)

in the region

of the

26.

in the aggravation of

applied in the afternoon

Kapha,

DiUana

be applied

in the aggravation

holds, that both th;

when

ver there

is

pain

should

be applied in

of Vayu, the Ropana


Blood and Pitta.

Sjka and As'chyotana


in

ihe

while the Snehana one should be

being applied at noon in the aggravation of


t

purging,

Lekhana- Anjana should be prepared with the

The Lekhana-seka and As'chyotana

morning

where the deranged bodily

Doshas would manifest themselves


eye only.

The Sneha-

up with a bandage.

tied

bladder should be so

the

that this rule applies only in cases of Seka.

affected

eye,

m:asiue.s
but

ones

may

others hold

UTTARA-TANTRAM.

Chap. XVIII-]

drugs of one or more

93
except the sweet

tastes (Rasa)

in five different ways accordDosha or Doshas involved in


Dosha accumulated in the regions

one and should be used


ing to the nature of the

each

The

case.*

and the

of the eye

and

in

gristle

the

of

mouth, the

as

well

as

eye,

would be secreted

nose

nostrils

the ball, the passages,

in

eye-lids,

capillaries of the

the

the

in

through the

and the corners of the

by

eyes

Ropana-

Aujana should be prepared with the drugs


and astringent tastes ( Rasa ) mixed with

of bitter

of a

application

the

quantity of
purposes.

cooling

in

clarified

Owing
its

Lekhana Anjana.

to the

effect

and

butter

good

is

colour and vigour to the eye.

little

healing

Sneha,

presence of the

and consetjuently

for

gives

it

is

natural

Prasa'dana-Anjana, pre-

pared wath the drugs of sweet taste and with

profuse

(a

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

and should be used with advantage

sooth-

for all

The application
should be made in the

ing purposes connected with the organ.


of the different kinds of x-Xnjana

morning,

evening or

in

night

the

Vayu,

In cases of the derangement of the local

be prepared

with the drugs

of acid

and saline

the

taste

those of astringent, bitter and

cases

In

Anjana should

(Rasa)

tastes

derangement of the Pitta with those of astringent


pungent tastes

accordance

in

i*

in

of the

the

in

Kapha

with

derange-

ment of the blood, the Anjana should be like that in 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

or

three

of

the tastes required.

The Anjana should be applied

and

in

in the night respectively in the cases ol

Viiyu and the

Pitta.

According

the

morning,

in the

the derangement of the

to the others,

the S'odhana, the

evening

Kapha
Ropana

and the Snchana Anjanas should be respectively used in the morning, in


the evening and in the night.
different limes should be

Others, however, are of opinion

judiciously selected in

the year according to requirement.

the

different

that these

seasons of

THE SUSHRUTA

94

SAMIIITA.

[Chap. XVIII.

with the nature of the deranged bodily Dosha or Doshas


involved in each case.

27-30.

Forms
an Anjana

of Anjana : The forms in which


may be, are those of pills, liquid (Rasa-kriya)
*

and powder
cious

each succeeding, one being more

than the one preceding

meration.

order of enu-

in the

it,

31.

Their sizes and doses : The


Ropana

a Lekhana, Prasadana and

size (dose) of

Varti(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


the quantity to be

used in

Varti

that of the

As

a dose

disorders

should

be equal to

cases

respectively.

the different

in

regards the dose of the

powders

(to

be used

eye-

in

should be respectively twice, thrice and four

diseases)

it

times as

much

Salaka

effica-

(rod).

as

would be contained

end of a

at the

32.

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

should be

Vaidurya

(a

as

well

made

as the

of gold,

Salaka (rod) for the

kind of precious stone), bell-metal and iron

respectively (in accordance with the

the drugs the Anjanas are

Dallana

copper,

horn,

silver,

says

that

made

Pill-Anjanas,

Anjanas should be preseribed

tastes

The end

Liquid-Anjanas

cases of severe,

in

different

of), -f

of

of the

and Powdei'-

intermediate

and mild

attacks respectively.

According

to

Dallana the

Anjana of sweet

taste should be

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

in a vessel

made

of horn (of a sheep),

either of copper or lion, that of

that

pungent

that

placed

of saline

taste

of astringent taste, in a vessel

laslc in a vessel

made

of Vaidurya,

UTTARA-TANTRA.M.

Chap. XVIII.

rod should terminate


of that of a

Kaldya

bud-shaped ball with the

in a

pulse,

eight fingers only.

95

length

entire

its

^jirth

measuring

would be well polished, slender

It

at

the

middle and capable of being easily handled.

rod

prepared of

Vaidurya,

etc.,

beneficial,

'^i.

precious stones such as

copper,

and horns or bones,

etc.,*

How to apply an Anjana


the affected

prove

will

: The

lids

of

eye (of the patient) should be slantingly

drawn apart with the

hand, and

left

the

Anjana

should be carefully applied by holding the rod with the


right

moving the rod from the


the Apanga and vice versa ( along the

hand and

Kaninika to
inner side

repeated

constantl)-

b}-

of the

eye-lid

twice or

thrice

The Anjana should be


would be necessary

use

in

process

should

be

according to requirements.

with the finger when

applied

to

The Anjana

eye-lid.

This

).

it

on the outer side of the

it

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


in the Kaninika and

ed in the corners of the eye

Apdnga from

the

should be washed
ed (bodily)

fear of

till all

Dosha

hurting them), nor the organ

the aggravations of the derangthe

in

locality

much

are

completely

might
removed thereform,
a
fresh aggravation and impair the strength of the eyein as

bring on

it

After the subsidence of the deranged local Dosha

sight.

and that of

The

as

bitter taste should

he placed in a vessel

S'aldka (rod) for the use of the

different

made

of bell-metal.

kinds of Anjana should he

also accordingly prepared.

According to Nimi, however, as quoted by Dallana and S'rikantha


Datta,

in

their

commentaries,

Anjanas should be placed


ively of iron, copper

and gold.

Ropana,

the

in a vessel

Lekhana and Prasad ana

and used with a rod prepared respect-

The

other materials

may

be,

however,

used with discretion by an experienced physician.


*

The

word '^fq'

used with benefit

in the text

Dallana.

shows that a rod of gold may

also be

THE SUSHRUTA SAMHITX.

g6

and of lachrymation, the eye should be


water, and

[Chap. XVIIT.

Pratyanjana should then be used

dance with the nature of the

specific

Dosha

each case.

Doshas underlying

or

in

prohibited in cases of persons suffering

is

of anger,

well as
in as

of

from

much

as

the
of

application

The

the

Adhimantha (Ophthalmia) and

of

disease of the

the

The

head.

it

fail

eyes.

It

to

any

eyes

Applied

usher in an

leads

of an

after

fixedness

to

in

the

any

Anjana

bath,

or

in a

of the deranged

Similarly, the application of an

to produce

the

on redness,

applied

if

of

eye-

windy day

may

application

applied before sun-rise,

bodily Dosha.

of the

bring

it

giddi-

case

would rather aggravate the

very cold day, owing to the

would

the

disease,

would be abortive, nay,


if

in

local secretion.

of an errhine (Nasya)

use

aching pain and swelling

Dosha,

the loss

may

as

in

Application

eye-sight.

blindness

well

Anjana

the

dust or smoke,

affected with

aggravation

as

urine,

cases) lachry-

pain,

application of an Anjana in

impair

after the

these

locality,

followed by

insomnia might be
sight*.

(in

pain), redness,

in

and

retention of stool

might produce

it

swelling

An

ness.

of the

Sula (aching

(Timira),

weeping and intoxication, as

fear,

grief,

cases

in

mation,

may

34.

application

Udavarta, and the diseases of the head and during

fever,
fits

accor-

in

deranged bodily

Forbidden Cases ; The


Anjanas

washed with

first

effect in a case of

Anjana

indigestion,

owing to the sluggish condition of the internal passages


of the
*

body (during the continuance of the

disease).

is an additional
text
"f^TSM?! ^ ^<i%
verb
which
supplies
complete
and makes the sense
a
f^fif^ g'^TT^Ti?"

In some editions there

complete.

The

line

means

the application of an

case produces loss of sleep (insomnia) in addition

mentioned

in the preceding line).

Anjana
(to

in a forbidden

redness,

pain etc,

UTTARA-TANTRAM.

hap. XVIII.]

Anjana

The application of an

97

an aggravated stage

in

of the deranged bodily Doshas, ushers in the distressing

symptoms
tion of

Hence, the applica-

peculiar to each of them.

an Anjana should be carelully made

manner

as not to induce

these rules should be

washes

be treated with

plasters,

Dhuma

evils,

and

connection

in

These distressing symptoms

with a Lekhana-Anjaiia.
should

observed

specially

such a

in

any of the aforesaid

(fumigation),

As'chyotana,

(lotions),

Nasya and Kavala

(gurgle)

with due regard to the specific nature of the deranged


bodily Dosha or Doshas involved

each case.

in

35-36.

Symptoms

of satisfactory, excessdeficient use of a Lekhana-

ive and
Anjana Lightness,
vision

eye,

clear-

by the improved power of


of secretion and all
other dis-

symptoms, are

the

to the fact that the eye has

of the accumulated

which

indications

been

satisfactorily

point

purged

Doshas (by the proper application

An

Lekhana Anjana).

of a

pristine

marked

and absence

tressing

and

whiteness

ness of the

excessive purging

of the

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

lachrymation, archedncss of the organ


constant dryness in

its

such instances consists

cavity.
in

the

the socket,

and a sense of

The medical treatment


employment

(Santarpana) and other Vayu-subduing remedies.


insufficient

or

Anjana leads
bodily

deficient application

to the

Dosha

the

which should

be

fully

crrhines,

secreted

Anjana

and

out
local

37-39.

Symptoms Of satisfactory,
ive

An

Lekhana

aggravation of the local deranged

by employing medicinal
fumigation.

of

in

of soothing

and deficient use

of

excess-

Prasadana

THE SUSHRUTA SAMHITA.

9S

Chap^

XVIIL

(Snehana) and Ropana Anjanas :~The


action of the satisfactory application

(Snehana) Anjana

to soothe

is

healthy tone to the organ


natural colour and

gloss,

the

of

of a Prasaidana
eye,

and to make

impart a

to

to

sight,

restore

strong

it

its

and

unclouded and free from the aggravation of any Dosha,

Any

excess

in

the

application

by

followed

is

identical with those of excessive application of

(soothing measures)* to the organ, and the

results

Tarpana

remedy con-

employing mild but parching remedies antidotal

sists in

Dosha (Kapha) involved in the


The symptoms which mark a satisfactory and

to the deranged bodily


case.

excessive

application

Ropana

of a

as well as the medical treatment

Anjana,

(healing)

to be applied in

of excess, are identical with those mentioned in


tion

with the

Anjanas

of both

Deficient applications

to

(respectively).

the Snehana (soothing)

and the Ropana (healing) Anjanas


affections) are sure

respect of ocular

(in

prove abortive

in their

Care should, therefore, be taken to apply


if it is

connec-

and excessive application

satisfactory

Prasadana (soothing)

of the

cases

hoped to get the wished-for

result.

it

effects.

properly,

4043.

Thousands of remedial measures and remedies may


be devised and employed in the manner of the
Puta-pdka and other measures on the basis of the
fundamental principles herein inculcated.

Now we

shall describe the

of several principal Anjanas

crowned heads
eye-sight

(Kdcha,

and

etc.)

for the

for the

fit

recipes
for

44.

and preparations

the use of kings and

purpose of giving strength to the


amelioration

amenable only

to

the

of ocular affections
palliative measures.

Eight parts of Rasdnjana (Antimony) having the hue of

See S'loka

of this Chapter.

Ciiup.

X\

UTTARA-TAiNTKAM.

IIJ.J

a (full-blown) blue lotus flower,

99

as well as one part

each

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

and placed
be burnt

an earthen crucible

inside

b\-

of catechu

should then

It

being covered with

the burning

or

or in the

^-///^?///'c7/vVMvood,

cakes of cow-dung

charcoal
of dried

fire

and blown (with a blow^-pipe

would glow with a blood-red effulgence)

after

they

till

which the

expressed juice (Rasa) of cow-dung, cow's urine, milk-curd,

honey,

clarified butter,

oil,

urine, lard,

marrow, infusion of

the drugs of the Sarva-gandJid group, grape-juice, sugarcane-juice, the expressed juice of Triphald

pletely cooled decoctions of the

and the comSdrivddi

drugs of the

and the Utpalddi groups, should be separately sprinkled


over

it

in

succession

alternately

each time with the

more

explicitly, the crucible

after being

heated and then one

heating thereof, (or to put


should be taken

down

it

of these draughts should be sprinkled

over

contents

its

and then again heated and again sprinkled over with


another draught, and so

be fully washed by the

After that, the preparation

on).

should be kept suspended

in

the air for a week, so as to

rains.

The compound should

then be dried, pounded and mixed together with proportionate parts (quarter part) of
corals
is

made

Anjana and should be kept


of

ivory,

crystal,

crystals,

should then be purified

(lit.

of the purification of the


It

may

then be

worshipped)

Sahasra-Paka-Taila described
prescribed

king to become favourite with


continue invincible to the last day
45.

a pure

S'amkha

Asana wood. It
in the manner

even for a

Applied along the eye-lids as a collyrium,

ocular affections

in

Vaidurya,

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

before.

pearls,

and Kdlanii-sdriva. The compound thus prepared

a very good

vessel

powdered

his

it

subjects

of his

life

king.

enables a

and
free

to

from

THE SUSHRUTA SAMHITA.

lOO

as

Chap. N.VU1.

Bhadrodaya-Anjana : The

drugs

Kushtha,

Yashti-madhu,

Cha?idana,

Eld,

Patra,

known

Chakra (Tagara),

Rasdnjana, flowers of Mesha-s'ringi,


the seven kinds

of jewels*, the pollens of the flowers of

Utpala, Brihati,

Kaittakdri and of lotus, Ndga-kes'ara,

Us'ira, Pippali, the shells

Haritaki,

Vibhitaka-s,QQds

of hen's

Maricha,

Gorocliond,

and the

powdered together

equal parts and should be preserved

purified

Anjana

(sanctified)
is

called

in

preceding

the

in

the

of

(which are found

flesh of lizards

to scale the walls of rooms), should be


in

Ddru-haridrd,

eggs,

n^arrow or kernel

and

vessel

manner.

This

Bbadrodaya-Acjana and should

always be used by a king.

46.

Equal parts of Chakra (Tagara), Markka, Jatd-mdmsi

and S'ailcya with Manah-s'ild equal

combined

the

to

of Patra

weight of the preceding drugs, four parts

with

Rasdnjana (antimony) twice the combined w^eight


the

all

preceding

drugs and

of

Yashti-madhu of equalf

weight with the last-named drug (Rasanjana) shoiild be

powdered together and used as an Anjana


going manner.

the fore-

in

47.

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

Eld, Mdkshika, Sdvaralca Rodhra, dead iron and copper,

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


in equal

parts

should

be powdered together, resolved

a paste with milk

into

quate

size.

Diseases

sensation in the eye,

and made

of the

eye

into

such

of ade-

pills

as

the

Timira, Suklarma and

itching

Raktardji

readily yield to the curative efficacy of this Anjana.

48.

The seven kinds of gems are (l) Padmaraga, (2) Marakata, (3)
Mukta (pearl) (6) Pravala and (7) Hema (gold).

Nila,

(4) Vaidurya, (S)

t According to
this

some the weight of the Yaskti-tnadkit

Anjana should be equal

to that of all the other

to

be used

drugs combined.

in

Chap. XVIII.

UTTARA-TANTRAM.

An Anjana
ing

it

by

should be prepared

made

black on a vessel

lOI

lamp-

collecting

Indian bell-metal, and mix-

of

with one part each of

YashtimadJiu, Saindhava,

Tagani and roots of Eratida, as well as two parts of

compound should be pasted

This

Brihati.

continued

This process should be


succession

made

into

and dried

for

shed.

It

seven times

together with cold water.

It

should then be

Vartis and would be efficacious

An

relieve

Yashti-madhu

Haritaki,

sixteen parts of Maricha should be pounded and

affections.

experienced

in

all

physician

with
pasted

made

the

to

case,

the
in

of ocular

may

with care
anti-

Dosha or Doshas involved in


manner of preparing the Rasa-kriya

specific

the

preparations.

Thus ends

into

sorts

and discretion prepare Pindstnjanas with the drugs


dotal

in

be

49.

each of

part

plate.

should then

Vartis and (used as such) would

pain in the eye.

One

in the

together

on a copper

with goat's milk and thinly plastered

50-51.

Uie eighteenth chapter of the

Uttara-Tantra in the Siis'ruta

Samhita whieh deals with the preparations and uses of the medicinal
measures to be used

in different ocular affections.

CHAPTER
Now we

discourse

shall

to be adopted

in

XIX.

on the medical treatment

of hurt

cases

eye

to the

injury

or

(Nayanabhighata-Pratishcdha).
A violent and intolerable pain in the eye

i.

accom-

panied by redness and swelling therein, resulting from


a blow or from any sort of hurt or

injur}-

Nasya

and

other measures

before, as well as the measures prescribed


Pittaja

and Raktaja Abhishyanda

mentioned
cases

in

The

affected

of

remedial to the

lit.

by the deranged blood and

pain (Sula) caused


in the locality.

organ,

of medicinal

and Tarpana

sprinkling

plasters,

(errhines),

(soothing measures),

the

to

should be remedied with the application

Pitta

eye (Drishti) should

also

be soothed with the help of cool, sweet and fatty drugs.

This kind of treatment should also be followed

cases

in

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


fomentation, smoke or glare-fire, or affected on account
These measures

of fear, mental agony, pain or injury.

should also be resorted

during the

first

to

the

in

stage

first

week) of the hurt or injury

After this period

the

affected

eye should

(/.

c,

in the eye.

be treated

Abhishyanda with due regard to the


specific
deranged bodily Dosha or Doshas
the
nature of

as a

case

of an

involved in the case.

slight

hurt

in

the

eye

be instantaneously relieved by the application of


2-4.

breath-fomentation.

Prognosis

Any ulceration

Patala (coat) only of the eye


ulcer invading

three

may

restricted

Patalas

difficulty,

should

be

may

one

to

be easily cured

two Patalas of the organ

only with the greatest


ins

may
warm

an

be healed

while the one affect-

regarded

as

incurable.

Chap. XIX.

UTTARA-TAXTRAM.

IO3

Palliative measures arc all that arc possible

looseness,

and the

sunkenness

dislocation,

cases of

in

thi

ashed

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


Hata-drishti

of

(loss

marked by the

erroneous vision,

affected

in

(eye-ball)

its

power

medical treatment.

in its

proper place and

prove

of vision

cases
is

not

amenable to

5-6.

may

sunken eye

is

or

dilation of the pupil,

redness and those

absence of an}- considerable

where the eye

Cases of wrong

eye-sight).

be uplifted cither by holding the

breath (Prana-vayu) or by inducing vomiting or sneez-

by

ing, or

throttling or obstructing the wind-pipe.

the eyes would be found to be hanging

the measures and

sockets,

should be resorted

to,

down from

remedies prescribed

to take in long breaths of air (through the

Symptoms and treatment


:

The seventy-six kinds of

nostrils)

of

in (the

Pitta,

to

of deranged

blood, sometimes manifests itself

as

Kuliunaka.

Its

exciting

cause

vitiated condition of the breast-milk of the


this disease, there

is

there

is

is

the

mother.

In

excessive itching in the eyes, and the

child frequently rubs his eyes, nose


fist

herein
infants,

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

known

is

Kapha and

Kuku-

eye-diseases

but a peculiar disease, due to the action

and

mentioned before, occur to adults as well as

Vdyu,

the

before*

and the patient should be made

cold water should be poured on his head.

naka

Where

and forehead with

his

constant lachrymation and the child cannot

bear the least light of sun's rays.

The organ

should,

in

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


scraped (with rough leaves).

be rubbed with

Tri-kntu

The organ should

further

and honey pastgd together.

* Seo Chikitita-sthana, CH.apter II,

Tara

20-

THE SUSHRUTA SAMHITX.

104

The mother
manner

(or the nurse) should also

Chap. XIX.

be treated

in the

prescribed before (in cases of an affection of the

Compounds

breast-milk).

as those of

powdered Pippali\

salt,

honey

seeds,

as well

Saitidhava

of

and powdered Khara-manjari (Apimarga)

and honey

Saindaava-?,d.\i

with the vehicle of breast-milk should be given to the


child for emetic purposes, but this should be discontinued

as soon as vomiting

To

who

a child

solid food, the

would

8-10.

set in.

both breast-milk and other

takes

emetic should be administered with the

admixture of Vnchd, and to a much older child

who has

Madana

be given with the admixture of

Decoction of the tender leaves

and Amalaki should be used


purposes.

{i.e.,

one

given up taking breast-milk) the emetic should

for

Clarified butter duly

or with Gudiichi should be

As'chyotana measure.

fruit.

1 1.

of Ja7nbu,

Amra

washing and sprinkling


cooked with

Tri-phald

dropped into the eye as an

12.

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


(conch-shell),

Rasdnjana

and

Saindhava pounded

to-

gether and pasted with honey and treacle should be


applied to the affected

Compounds

organ.

of Miirvd,

honey and powdered copper should also be used as


Anjana. The compound prepared by burning black iron
(steel),

clarified

tive,

milk and honey mixed together

butter,

should be similarly

used as an Anjana.

made up

the Gutikatnjana

(onion),

Yashti-madhu,

Gairika (earth) pasted

Anjana made of

* ^'Ddrv^ generally

ofVideha,

should

Havidra and Dj.'rii-haridrd.

to

mean

alterna-

Paldndu

(lac)

be used.

and

The

Yashti-7nadhu, Ddrvi, *

means Dani-haridrA
it

As an

Trikatu,

Ldkshd

Saindhava,

together,

Niniba-\Q:?i\e.s,

Dallana takes

of

but, here,

the two

on the authority

VxaAi, oi

HaridrA,

viz.,

Chap. XIX.

UTTARA-TANTRAM.

copper (powdered) and Lodhra taken

pounded together,

An Anjana

is

also efficatious.

SaindJiava

of half a fortnight, *

period

equal parts

in

affected organ of the

13.

be applied to the

should

Kaphaja-Abhishyanda

by experienced physicians

should also be followed

such cases of the eye-disease of children.

Conclusion
incomprehensible

Dull

The
the

as

Science of medicine
ocean.

It

cannot be

import of the Science of reasoning would

principles (of the Science

of medicine),

these pages, would, therefore, sprout and


fruits

as

fully
verses.

to acquire

fail

Science of medicine

with elaborately in thousands of verses.

good

is

incapable of catching the real

are

a proper insight into the

genius.

in

14.

hundreds and thousands of

in

who

people

and the

of Sukra,

cases

child in

together for a

kept

directions given under the head of

described even

and

prepared with Rasdnjana (Antimony),

curd and

S'amkha,

IO5

dealt

if

The

occult

as explained in

grow and bear

only under the congenial heat of a (medical)

and experienced

learned

man

(medical)

would therefore try to understand the occult principles


herein inculcated with
to other Sciences.
Thus ends

due caution and with reference

15.

the nineteenth chapter of the

Uttara-Tantra in the Sus'ruta

Samhita which deals with the medical treatment

to

be adopted in cases

of hurt or injury to the eye.

The method

of

preparing

on the authority of Videha,


Saindhava should be

first

is

pasted

this

as

Anjana,

follows

to the eye as

Varti

as explained

with

by

Dallana

S'amkha (conch-shell) and

together with

quantity of Rasdnfana should be soaked

days and a half and

curd (Dadhi) and then a

this preparation

should then be prepared

for

seven

therewith and applied

an Anjana.

CHAPTER XX.
Now we

shall discourse

the

ear

the

on the chapter which treats

symptoms

of the causes and

organ

of

of the diseases

peculiar to

(Karna-gata-

hearing

Roga-Vijnaniya).
Classification : Twenty-eight
i.

noticed

of ear-diseases arc

Vadhirya
of pus,

from the

ear),

the two

Prati-niha,

Karna-Kandu

the

ear),

in the

(itching

(vermin-infested

ears),

ear),

four kinds of Ars'as (Cysts

Puti-karna (fetor in
or polypuses

in the

seven kinds of Arvuda (tumour) and four kinds of

ear),

Sopha

(swelling).

Symptoms
nada
ear and

of

Karna-^ula and Pra

The violent aching pain

tympanum

inside the

Vayu,

local

aggravated and

deranged Doshas
(ear-ache).

into the

the region

in

obstructed by the

in the locality is called the

Vayu

sound-carrying channels of the organ.

Symptoms
;^Vaidhirya

nuance

other

Karna-Sula
in the ear

of the locality

wrong way and remains there

called the Pra-n^da.

of the

caused by the deranged

Ringing and various other sounds

are heard when the deranged

da

Karna-Sula

in

kinds of Vidradhi (local abscess),

Karna-paka (suppuration of
ear),

e^^cr.,

Kshveda, Karna-Srdva (discharge

(deafness),

etc.,

noise

or

Karna-gutha, Krimi-karna

ear),

the

practice,

in

Pra-nada (ringing

(ear-ache),

different forms

gets

stuffed in

This disease

the
is

3-4.

of

Vadhirya and Kshve-

(deafness)

in the sound-carrying

results

from

the

conti-

channels of the deranged

Vdyu in combination with the deranged local


Kapha in those localites without anyway being remedied

local

or subdued.

An

attack of

Karna-kshveda (expresing a

Chap. XX.

107

UTTARA-TANTRAM.

peculiar sound in

the

may

ear)

be attributed to such

any cold thing or exposure to


being treated with a head-purging remedy

causes, as to the use of

cold

after

continuance of the deranged local

(errhines), or to the

Vayu

in

aggravated by excessive

the sound-passage,

by any wasting process

labour,

in

the system

by

or

taking articles of fare of astringent taste or of parching

(Ruksha) property.*

5-6.

Symptoms

Any

and

Karna-Srava

of

Karna-kandU

discharge or secretion

pus from the ear caused by the deranged bodily


stuffing the ear-cavity,

owing

to

a blow

of

Vayu

on the head or

a long immersion in water or a spontaneous suppuration

(and bursting) of an abscess in the inner

The

Karna-sraiva.

excessive itching

ear due to the aggravation of the local

Karna-kandu.

liquefied,

ear

(and

and

-f

Tha

by the heat of the local


when the dried accumuKarna-gutha becomes

of

in the

I it is

Karna-

called

"Karna-nada" and "Kshveda"


is

[jroduced by

of various kinds, whereas, in the latter

and blood.

the

called

9-10.

difference

of a wind-pipe

is

comes out through) the cavity of the

former the sound in the ear


is

cases

in

produces head-disease

Prati-naha.

Kapha

called
in

Any mucous accumulation

Karna-gutha

called

of the

lation

nose

ear dried and hardened


is

sensation

Karna-gutha and

of

Kai*na-Prati-naha
Fitta

is

7-8.

Symptoms
in the

ear,

the exciting cause

the
it is

i.s

that

in the

deranged Vayu alone and

of a special kind, viz., that

being the deranged local Pitta, Kaplia

Videha.

Some

explain

"gT*!!^^"

^ nic'an the cavity of the nose

and of the

mouth.
X In
in

his

disease

place of "fajT^fsfVifn'T'T:" (producer of head-disease)

Nidana

known

as

reads

''fiitT^stw^gifl''

Ardha-vedhaka

(see chapter

^-e,,

Madhava

producer of the head-

XXV).

THE SUSHRUTA SAMHITX.

I08

Symptoms

Krimi-karna

of

Karna-Vidradhi : Germination
other local parasites in the

impairs the

pletely

Chap. XX.

of the

cavities

and

of vermins or of

faculty of hearing

ear

and

comcalled

is

Krini-kiraa from the existence of worms in the ear.


Any abscess caused by any local ulcer or by a blow,
as well

ear

is

any idiopathic abscess

as

known

in

Karna-vidrathi

as

the

cavity of the

is

marked by a

It

choked and burning sensation, and piercing and


ing pain, and

secretes red, yellow

it

Symptoms
karna, etc.
any of these

Karna-paka and Puti-

of

A process of suppuration

marked by a blocked
condition of the passage of the ear.
The

and putrid

is

setting in

through the aggravated

boils) in the ear

condition of the deranged Pitta

disease

bloody

reddish

11-12.

discharges.

(in

or

suck-

called Karna-paikaL

is

(suppuration of the

ear).

discharge of condensed and fetid pus whether accom-

panied or not with pain

accumulation
liquefied

disease

in

the

is

set

up by the

local

mucous

passage of the ear having been

by the heat of the aggravated Pitta.


is
called Puti-karna (pus in the car).

symptoms
described

before

experinced

general

in

as

have been

should be carefully understood by an

physicain

to

be

the

diseases in the region of the ear.


Thus ends

The

tumours (Arvuda) and

of swelling (Sopha),

polypoid growths (Ars'as) *

This

the twentieth chapter of the

Samhita which deals with

the

causes

symptoms

these

the

Sus'iuta

13-15.
Uttara-Tantra

in

and symptoms of the diseases

peculiar to the ear.

* See chapter VI, XVIII and XXIII,

of

Chikitsita-Sthana.

CHAPTER XXL
Now we

shall discourse

on the chapter which treats

of the medical treatment of the diseases peculiar to


car

the

(Karna-g-ata Roga-Pratishedha). i.
General treatment : Potions of clarified

butter (after

nunciation

use

meal),

of

of

Rasayana-measures*
physical

of

sorts

all

exercise,

re-

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.

Treatment
seases
pursued

The

in the four

2.

the Vataja Ear-di-

of
course

of medical treatment

forms of the ear-diseases

(all

to

be

due to

Vayu) viz., Karna-s'ula, Prana'da, Vaidhirya


and Karna-kshveda is the same and is as follows,
Sneha should be first administered (both internally and

the action of

externally) and the patient purged with emulsive purga-

which the affected locality should be fomented


with Vdyu-subduing drugs administered in the manner
tives after

of Nadi-sveda or Pinda-sveda.

3.

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

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

shdbhu, Kapittha, Dhustura, S'igru, Ajagandhd, As'vagandhd, Jayanti, barley and bamboo, boiled in Arandla
(fermented rice-gruel) and administered in the manner
of Nddi-sveda (fomentation through a pipe).

of

Karna-s'ula
* In

place

of

(ear-ache)
"Rasayana"

(use of mcat-ijoup with meal).

yieds
(use

to

of tonic)

the

An

attack

application

of

some read ''Rarias'anam"

no

THE SUSHRUTA SAMHITA.


made with

Pinda-sveda

of boiled

pieces

Chap. XXI.

of

flesh

fish,

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

condensed) milk.

4-5.

bowl-shaped cup should be made of the leaves

of the As'vattha soaked


it

in

and Dadhi-mastu* and

oil

should be heated by means of charcoal-fire.

made

thus heated and

to

burning pieces of

Kshauma

Aguru and Guggulu mixed

Draughts of

cloth)

(linen

clarified butter as

as

well

the

well

as

rice diet

draughts of

should be foregone

application

its

stead.

(y-y.

the night, and

by potions of milk

clarified butter followed

should be taken in

in

as

together.

of Siro-vasti after meal are also found beneficial,

The

of ear-ache.

a case

fumigated with the fumes of

with

clarified butter,

oil,

drop into the affected organ,

gives instantaneous relief in


affected organ should be

The

The Sata-paka

Vala-Taila-f*

should also be prescribed as Siro-vasti, errhine, as well


as Mastikya-Sirovasti

given internally.

kdri
fat

(in

manner

the

(Vasa) of a cock

ear-ache)

The

if

and sprinkling.

Goat's milk

first

may

of Kshira-paka) and then


is

extremely efficacious

used as an ear-drop.

four

It

kinds of Sneha

also be

cooked with Kaiitawith the

(in cases

of

8-9.
lard

clarified-butter,

(oil,

and animal marrow) duly cooked together with the

Kalka of Tanduliyaka, Amkota

fruits,

Deva-Ddru, Las'tma

Ahimsrd, Kmdrakd-

(garlic), S'tinthi

and

the scrapings of bamboo-skin and with the liquids of

acid:|:

roots, Sarala,

"Mastu" (curd-cream)

Chakrapani.

According

to

is

mentioned neither

by

Vrinda nor by

Videha's recipe, clarified butter should be used

in place of oil in cases of the aggravation of the Pitta.

t For "Vala-Taila" See chapter

XV,

Chikitsita Sthana.

X The liquid acids here are Dadhi, Takra, Surd,


of Kanjika) and the expressed juice of Mdltihinga.

Chukra

(a kind

UTTARA-TANTRAM.

Chap. XXI.]

ITT

should be used as an ear-drop

taste (instead of water)

order to alleviate the aching pain therein.

in

lo.

The expressed juice of Las'wia, S'igni, Ardraka,


Murangi, Midaka and (branch of) Kadali jointly or
severally poured lukewarnn into the cavity of the organ

an excellent ear-drop

acts as

As an

alternative,

(in case of

the expressed juice

acute ear-ache).
of S' ringa-vera

mixed with honey, Saindhava, and oil should be used


lukewarm as an ear-drop to alleviate the pain therein.
duly cooked with the scrapings of

butter*

Clarified

bamboo-skin and the urine of a ewe and of a


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

she-goat-j*

cases

of ear-

roots

of the

11-13.

Dipika-Taila : Pieces
major Pancha-mida

measuring

fourths of the whole) with

lighted

in

the

fingures

be covered (extending only

length should

soaked

of

eighteen

The

oil.

and the

oil

a piece

in

three-

and then

of linen

stick

so

formed, should

pouring

in

drops therefrom should

be used lukewarm (as an ear-drop).

removes the pain, and

is

It

may

then be

instantaneously

know n as the

of Dipika-Taila

Different kinds

to

Dipikai-Taila.

be likewise pre-

pared with pieces of Deva-ddru, KushtJia or Sarala wood,

same manner in cases of ear-ache. 14-15.


Tender sprouts of Arka plants pasted with Kdujika
(Amla) should be mixed with oil and salt. The paste
and used

in the

thus prepared should be placed inside the


in a

hollow

branch of Snuhi tree and wrapped

* Both

Vrinda and

".Sarpih" (clarified

Chakrapani read

butler).

But

we have

"Taila"

(oil)

the authority

quoted by S'rikanlha Datta in his commentary

made

up with the

in

place

of Videha

on Vrinda)

of
(as

in favour of

clarified butler.

t Clarified butter should

then with that of a she-goat.

first

be cooked with

Dallapa.

the

urine

of a

ewe and

THE SUSHRUTA SAMHITX.

112

Chap. XXI.

same plant. It should then be scorched


in fire in the manner of Puta-paka.
The juice should
then be squeezed out of it and used lukewarm as an
leaves of the

ear-drop to alleviate the pain

the car.

in

i6.

Different kinds of Ear-drops : The


expressed juice of Kapittha, Mdtulunga

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

As an

in a case of ear-ache.

alternative, the affected ear

should be judiciously dusted

phcna

in

As an alternative, the
made lukewarm and used

such a case.

of officinal urines

drop

with powdered

may

prove efficacious

Similarly, a case
virtue of an

composed

officinal urine

and acids (wine,

an ear-

four officinal

different kinds

sour-gruel,

Vayu-subduing drugs.

the curative

to

of the

kinds of Sneha duly cooked with the

as with the

eight kinds
as

removing an ear-ache.

in

of an ear-ache yields

ear-drop,

Samudra-

of

as well

etc.,)

17.

General and Specific treatment of


Pittaja Ear-ache The above-mentioned mode
:

of treatment (ear-drops

and fomentations,

Pitta-subduing drugs should

be

etc.)

followed

in

with the
Pittaja-

Karna-sula (ear-ache). The use of the medicated Ghrita


duly cooked with milk weighing ten times as much and
with the drugs of the Kdkolyddi group,
Ghrita* duly
(bitter)

cooked

with

the

drugs

group would be found beneficial

Clarified butter duly

the

as well as
of the
in

Tikta

such cases.

cooked with the tender sprouts of

Kshira-vriksha (milk-exuding

trees),

as

well

as

with

Yashti-madhu and Chandana wood, or that cooked with


the decoction of Vimhi with (the Kalka of) sugar, Yasthi-

Dallana

says

unauthoritative.

that Jejjatacharya

holds

these

two

recipes

as

Chap. XXI.

UTTARA-TANTRAM.

II3

madJin and the purgative drugs would


beneficial.

Treatment
SUla

be found

also

18-20.

of the

In cases of

or Ingiidi oil

Kaphaja Karna-

Kaphaja-Kama-sula mustard

be found beneficial

will

used

if

as

oil

an

Decoctions (Yusha) of the drugs of the bitter

ear-drop.

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


as well as the

oil

cooked with the drugs of the Surasddi,

or the major PancJui-^nula group would

The expressed

ficial.

or the

Ardj-aka, as well as S'ltkfa^

of

Las'una and

cooked with any

oil

them should be used as ear-drops

The
is,

be found bene-

juice of Mdtulufiga,

such cases.

in

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

likewise,

The

recommended

in

such cases.

treatment

medical

case

in

21-24.

ear-ache

of

due to the vitiated condition of the blood should be


just the
s'ula.

eame

case

as that in the

of a

Karna-

Pittaja

25

Thus wc have given a general outline of the course


of treatment and remedial measures to be adopted in
the four kinds

of

ear-affisctions,

-hall

to

(Vaidhirya).

26.

be

Treatment

Karna-s'ula

employed

of deafness : The

cooked with water, milk and

Vilva

oil

with

pasted

urine (as Kalka) should be used as an car-drop


of deafness.

Oil

should

be

first

milk or the decoction of Vimbi


Yashti- madhii

cooled

down

and) the

and
(it

Sncha

Vimbi

should
(oily

be

fruit

deafness

of

cases

in

in

duly
cow's
cases

cooked with goat's

fruit

with sugar and


Kalka).

(as

churned with the

portion) should

This oily part, after being stirred

(ear-

Now we

and preparations

special recipes

with the

deal

of ear-drops

viz.,

and Karna-kshveda.

ache), Pra-nada, V^dhirya

in

be

the

When
hand

separated.

decoction
15

of

THE SUSIIRUTA SAMHITX.

114

[Chap. XXI.

Vilva* should again be cooked with milk weighing ten


times and with (the Kalka

wood.

(red) sandal

used

an ear-drop

as

and remedies, which


with

Pratisyaya-f

cribed

in

the

be thickened and

of deafness.

cases

in

Yashti-madhu and

of) sugar,

should then

It

be mentioned

will

in

Measures
connection

or have been already des-

(catarrh)

chapter on Vdta-Vyadhi
Chikitsa may
employed with benefit in tlie present
:J:

be

well

as

instances.

27-30.

Treatment of Puti-karna, Karnasravaand Krimi-karna : The general mcde


employed

of treatment to be

Puti-karna and Krimi-karna

in

is

here (me describe) the general

employed

in

cf Karna-srava,

cases

above.

Now

of treatment

to be

same

the

mode

as

Errhines, fumigating, filling up the

them.

cavity of the ear (as

an

^s'ith

and

cleansing

ear-drop),

washing should be employed according to the exigencies

The

of each case.

affected ear should

be washed

^\

ith

the decoction of the drugs of the Rdja-vriksJiddi or the

Surasddi group and

with the powders of those

of Kama-Sra'va, the cavity of the

case

In a

drugs.

filled

affected organ should be filled in with the powders (D. R.

decoction) of the

honey and the

* In

P ancha-Kashdya

drugs mixed

expres'-ed juice of Kapittha.

Chap.

XXIV,

A'ragbadha,

S'irisha,

Jambv, Sarja and

Dallana, on the authority of the

two commentaries)

means

refutes

of

,,

Dallana.

in this chajJter,

means

Asvamdra

the

this

barks

(Palas'a),

authors of the Tika and the

of
Ijut

Pan ilka,

and holds that "Pancha-kashaya"

the barks of lindiika, Abhayd, Lodhra,

enumerated b^low

fruit.

Uttara-Tantra.

X Chapter V and VI, Chikitsita-Sthana.


to
some,
"Pancha-Kashaya"
According

(the

31-32.

place of "Vilvarabu-gadham" some read "Vimbi-gadham",?.

mixed with an abundant quantity of powdered Vimbi


i

with

Samanga! and of A'ma/aka

Chap. XXI.

UTTARA-TANTRAM.

II5

powders of Sa)ja-ba.vk mixed with


honey and expressed juice of the Kdrpdsi fruit is recom-

The

use of the

Karua-Srava. A compound conLdkshd and Sarja-rasa (D. R.


sisting of pulverised
Rasanji.na) should be used in filling up the cavity of the

mended

cases of

in

affected organ in the said

The

disease.

oil

duly cooked

with the tender sprouts of S'aivdla, Maha-iriksha, Jambu

honey

and of Amra, as well as with Karkata-S' ringi

and Manduki

highly

is

efficacious

these

in

cases.

Ponders of the barks of Tviduka, Abhayd, Rodhra,


Sainangd and of Anialaka mixed with honey* and
the expressed juice of Kapittha should be similarly
33-36.

used.

The expressed juice of Antra, Kapittha, Madlmka


flower, Dhava and of S'dla, or an oil duly cooked with
these is likswise recommended as ear-drops in these
The oil cooked with Prijangu, YasJiti-madhu,
cases.
S'ita-parni,

Aihbdlikd, DJidtaki,

and Ldkshd

(as Kalka),

the sprouts of Kapittha


arrests

ear-drop,

srava.

the

the

as

lic[uid,

secretion

in

rubbed and dissolved

standing cases
charge.

case of

in

the breast-uiiik and

The

of Puti-karna

in

an

as

Karna-

mixed with

attended with fetid

the expressed juice of

of

39-40.

Krimi-karna : \ermi

fugcs should be employed tor

the

treatment of a

.S'rikantha Dalta in his conuucnlaiy <n\ Vrinda quotes


ii'H

dis-

compound composed
Nirgundi and honey mixed

use as ear-drops of the

Treatment

but cloos

of

chronic and long-

together arrests an attack of Puti-karna.

used

of Puti-karna iRasdnjana

honey proves highly efficacious even

oil,

if

juice

37-38-

Treatment

of

LodJira,

Ma^ijisJitJid,

and with the expressed

read 'honey' there.

He

this

case

cou[)lcl,

reads "rioji" in place of ''jf^"

THE SUSHRUTA SAMHITA.

Il6

Fumigation*

Krimi-karua.
with the

fumes of (dried)

mustard

oil

is

ear-drop)

as

well

organ)

affected

and Haritdla

Viclauga

orpiment) mixed with

an

as

parts

affected

of the

also beneficial in such cases.

(yellow

the

Chap. XXI.

Vdrtdku, or (the pouring of)

cavity

the

(into

of

cow's

(and used

urine

fumigating the affected

as

organ with the fumes of (burnt) Guggulu tends to destro}-

due

in the ear

the fetor

to local

smoke-inhalation and gurgles

tion of emetics,

beneficial in such cases.

Treatment
dradhi, etc.
is

oil

afifected ear

so

as

soften the

to

of

Dallana explains

oil

made

same

is

head-purging (errhines), as

Application

also

to

in cases

Karna-pratinstha,

of

mean fumigation

in the

cases

recommended.

of

of

the affected

organ,

manner of smoking.

recommended

Kaphaja Vidradhi

Dallana,

of

head-purgatives

in cases of abscess in the ear.

In cases of acute and painful Vataja Vidradhi sesamurn


in

parts

Kapha-subduing measures should be

this

as well as the use of the

the

tube (Nadi-sveda), exhibitions of

of Karna-kandu.
Sveda and then of

(errhines) should be

use of

of

cases

resorted to in

whereas

director

Karna-kandu and
:- Fumigation

smoke-inhalations,

Sneha and

The

or a

.43-45-

well as all kinds of

filth)-

cavity of the ear, after which the filthy

the

with the help of a

abscess

should be sufficiently fomented

Treatment of
karna-pratinaha
emetics,

car-drop

An

should be treated as an ordinary

matter should be extracted with a probe


(S'alaka).

an

as

Kama-kshveda.t

after being filled in with oil

deposit in

also

Karna-Kshveda, Vi-

of

Use of mustard

(Vidradhi) in the ear

The

are

41-42.

efficacious in cases of

abscess.

Administra-

parasites.

the

use

oil

of

should be used,

mustard

oil

is

Chap. XXI.

UTTARA-TANTRAM.

II7

conform to the

and the treatment thereafter should


nature of the

deranged Dosha of the body

specific

involved in the case.

Treatment

46-47.

Karna-paka,

of

Remedies and remedial measures described


Pittaja Visarpa*

with

in a case of

profit

tion of the

in

used

connection

with

equal

Karna-paka (inflammatory suppura-

Any

ear).

be

should

etc. :

filth

or vermin,

etc.,

lodged

in

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


a probe, or

(b}'

cutting

remaining cases of affections


described

before

in

the

XVIII, VI and XXIIl).


Thus ends

the

twenty-first

Sus'ruta Samhita which' deals


liar to

Cures

\\ith a horn.

it)

in

the

ear

Chikitsita-sthana,

the

for

have been
Chapters

48-50.

chapter

with the

of

the

treatment

Utlara-Tanfra
of the diseases

in

the

pecu-

the ear.

In

place of 'Pitlaja-Visarpa',

'KshatajaA'isarpa".

both Vrinda and Chakvadatta read

CHAPTEllXXn.
Now we

shall discourse

on the chapter which deals

with the causes and symptoms of diseases of the nose

(Nasa-gata-roga-Vijnaniya).

Nomenclature and Classification :


Diseases which are specifically found to affect the organ

may

of smell

groups,

viz.,

be

into

classified

Apinasa,

Thirty-one different

Puti-nasya, NdsA-paka.

Sonita-

Pitta,Puya-s'onita,

Kshavathu, Bhrams'athu, Dipta, Ndsa-

naha, Pari-srava,

NdsA-s'osha,

polypoids

will

and the

Thus the

thirty-one in

types

five

of

all.

which

Prati-s'yaya

hereafter with the

be described

of each.

kinds of Ars'as

four

the four kinds of swelling, the seven types

),

of tumours

the

specific

treatment

diseases of the nose are said

to be

2.

Symptoms of Apinasa and Puti-nasya Chokedness and burning sensation in the


:

nostrils attended

mucus

of smell

and

which

are identical with

of Pratis'yaya

The
the

of

action

concerted

time being, are

the

taste for

obstructions

the

(catarrh).

the

mouth and

blood

is

nostrils

It

is

due

the

to

deranged Vayu and Kapha.


is

emitted through

the nostrils owing to the presence of the

V^yu mixed up

Kapha and
the palate

the specific

in the

symptoms (of the same

disease in which the fetid breath

deranged

slimy

filth\'

thereby deadening the faculty

of Apinasa,

indications

type

with dryness and deposit of

in their passages,

in

with the other Doshas

Pitta,

the throat and about the root of

called Piiti-nasya.

3-4.

Symptoms

of Nasa-paka, Rakta
Puya-rakta - A purulent inflam-

Pitta

and

mation

and the presence

vf pimples

(Arush)

in

the

Chap. XXII.

UTTARA-TANTRAM.

owing

nostrils

to the vitiated condition of the local Pitta

attended with sliminess and fcetid

The

paka..

II9

odor

is

called Natsa^-

h;-emorrhages)

Rakta-Pltta

four kinds of

with the two different origins and two different courses


will

be dealt with again later

The

on.-''

bloody or blood-streaked pus

disease in which

discharged through

is

the nostrils either as the effect of a blow on

of the local blood, Pitta


(

blood}' pus

and Kapha

5-7.

).

Symptoms of KshavathU
which

in

condition

Puya-rakta

called

is

region

the

of the fore-head or through the highl\- heated

Kapha

charged with

\"ayu

the

: The

disease

repeatedly

gushes out of the nostrils accompained by loud


or sounds,

owing

anywise affected,

is

called

trickling sensation in the

the insertion of a thread,

any pungent
sneezing.

smell, or

Dipta

The

Bhramsathu

of
disease

which

in

and

undigested

thickened

accumulated

in the region of the

saline

disintegrated and dislodged from

heat of Pitta and

The

as their

is

called

matic.

due

its

The

deranged
previously

is

and the lower

dissolved

or

seat

through the

off)

through the

affection in

Vayu, Pitta and

origins

and

the

orifice,

Kapha

the spleen

arc {a)

Amas'aya (stomach) and the Pakvas'aya

which
as

(intestines).

or (d) the

well

and the

The

mouth and

(2)

sneezing

Here

to vitiated

The two

are (a) the upper

the nostiils.

The

causes

Kapha

head

expelled (sneezed

Bhramsathu.

four kinds are

liver, or (3) the

is

concerted action.

two courses

sun

the

to

to the

of fare, or of

articles

of looking

A
to

<S-9.

Symptoms

nostrils

owing

into the nostrils, or

etc.,

being

(sneezing).-]-

the nose

gristle of

any strong (Tikshna)

of

action

Kshavathu

reports

Marma

nasal

to the fact of the

is

here said to be of two kinds (i) Doshaja and (2) trau-

the former

is

Doshaja, while the latter

is

of traumatic origin.

THE SUSHRUTA

120

the shape

the V<iyu, in

comes out of the

nostrils

of

SAMfllTA.

warm

Chap.

vapour-like

breaths,

accompanied by an excessive

burning sensation in the locality

passages of the nostrils, and

The

disease

in

through the

ting (inhaling

called

more

in

transparent,

Kapha)

(of

particularly at night,

called

is

of respira-

Difficulty

and exhaling) caused by the drying up

and consequent thickening of the Kapha (mucus)


mulating

the

stuff

Na(sa(-Pratinaiha.

secretion

(fluent coryza).

passage

its

to

constant,

is

water-like

nostrils,

Natsai-Parisraiva

seems

is

which there

discoloured

slightly

deranged

is

Kapha,

of

Uddna Vdyu

up-coarsing

the

head

of the

surcharge

Nasa-

Nasa-Parisosha : The

condition under .which

by a

lo-ii.

called Dipta.

is

Symptoms of Nasa-Pratlnaha,
parisrava and
of the region

XXIL

in the

passages

of the

Vayu and

action of the deranged

accu-

nostrils,

through the

Pitta,

called Na'sSk-

Paris'osha (parchedness of the nostrils

).

is

12-14.

Local Arsas (polypoids) as well as local Sopha (four


each)

due

are

Doshas

the

to

action

of the locality jointly

ent kinds of

Arvuda

of the three

deranged

and separately. The

(nasal tumour) as

mentioned

diffisr-

in

the

Sdlakya-Tantra, with the one of Sannipdtika origin are


seven in

The

all.

mentioned here

five

will

t}'pes

of

Pratis'yaya (catarrh)

be dealt with

in

chapter

XXIV.

Remarks made in the chapter on the causes and


symptoms of swellings in general (Sopha-Vijn^na),
as well

as

those of Arsas (hemorrhoid growths) in the

Niddna-sthAna should be understood to apply to those


diseases affi^cting the locality of the nose as well. 15-18.
Thus ends
Sus'ruta

the

twenty-second

chapter

in

the

Uttara-Tantra

of

the

Samhita which deals with the causes and symptoms of the

diseases of the nose.

CHAPTER
Now we

XXIII.

on the chapter which deals

shall discourse

(NaSSL-gata-

with the therapeutics of nasal diseases

Roga-Pratishedha).

Treatment
nasya

Apinasa and Puti-

of

in cases of the
and

Apinasa)

first-mentioned disease

of

those

in

Sneha and of

r.

Pati-nasya,

ij-.e,

applications

Svcda

to the affected part, and


and purgatives should be made.
The diet should be light and moderate in quantity.

of

of emetics

application

The
use,

be

water

drinking should

for

indulged

in

katu, Ijidra-Yava,

Kushtha,

the

at

^lustard

Hingu,

Tri-

Ldkshd, Katphala,

Vacha,

should

the

in

manner

Avapida-

of

be duly cooked with the

should

oil

before

Vidanga, and Karanja

be used daily with benefit

Nasya.

boiled

proper time.

S'ivdti*,

S'obhdnjana,

be

smoke (Dhuma-pana) should

and inhalation of

aforesaid drugs together with cow's urine and be used

an errhine (Nasya).

Treatment

Nasa-paka,

of

cases of Nasa-paika,
for internal

as

2-3.

all

etc. : In

the Pitta-subduing measures both

and external use should be duly employed.

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


should be duly employed as wash and

clarified butter

plaster after a

local

bleeding.

The medical treatment

of Sonita-pitta (Haimorrhaege) from the nose

hercafterf

described.

case

charge of bloody pus from the nose

* S'ivdti

may mean

cither white

Chakrapdni nor Vrinda reads


t .See ch.

XLIV

it

shall

Puya-Rakta

of
)

should

Pimarnavd

be
dis-

be treated

or S'iphdliki.

in the text.

of the Uttara-Tantra.

16

Neither

THE SUSIIRUTA SAMHITX.

122

of sinus (Nddi) *

as a case

for

[Chap. XXIII.

practical purposes,

all

and Avapida-nasya as well as inhalations of smoke

(Dhuma)

and Nasya (snuff or

of keen-potencied drugs
of drugs

errhines)

should be
emetics.

used

of correcting

the

after

or

purifying

of

4-5.

Treatment
S'athu

Kshavatu and Bhram-

of

^Powders

of

head-purgaing drugs

form of snuff should be administered into


through a pipe

of

cases

in

the

in

the

nostrils

Kshavathu and Bhram-

The head should be duly fomented with Viyu-

s'athu.

well as

inhalation of Sneha-Dhuma-f as

drugs and

subduing

measures remedial to

other medicinal

similar

VAyu

the deranged bodily

should be resorted

a case of Dipta, and

all

Treatment

in

cooling remedies and the drugs

of sweet taste should also be prescribed.

6-y.

of Nasa-naha, etc. The

Sneha (Sneha-pana) forms the principal

internal use of

remedy

All

to.

measures should be employed

Pitta-subduing

the

virtues

exhibition

satisfactory

of Na(sa-uailia,

in a case

in

which fumigations

with lardacious drugs as well as head-purgings

The

likewise employed.

use of Bala-Taila or

remedy mentioned

Vclyu-subduing

in

the

may

be

any other

chapter on

the treatment of Vdta-vy^dhi (Ch. V. Chikitsita Sth^na)

may

used with beneficial

be similarly

dered

snuff should

be introduced

the nostrils

through a pipe or tube, and strong and keen

Nasya should be used


applied

to

the

found beneficial

* See ch.

XIV

t See ch,

XVII

in

affected
in

Avapida-

cases of Nisi-Sra^va.

Deva-ddni and

fumes of (burnt)

8-9.

of the Chikitsita-Sthdna.

of the Chikitsita-Sthan^.

Strong

Chitraka should be

Goat's

part.

such cases.

Pow-

results.

into

flesh

is

also

UTTARA-TANTRAM.

Chap. XXIII.]

Treatment of Nasa-^osha : The


clarified butter

of the

oil

Anu-taila arc

use of

churned out of milk, as well as that

as an

of Ndssi-^osha.

23

errhine

prepared

in

the

pre-eminently the best cures

manner
in

of

case

Potions of clarified butter, meals with

Jdngala meat-soup, applications of Sncha and of Sveda,


and fumigating the affected part with lardacious drugs

be similarly prescribed with best advantage. The


remaining nasal diseases should be duly treated accord-

may

ing to the specific treatment


before.

of each case as described

10- 11.

Thus ends

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

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

CHAPTER XXIV.
Now we

on the chapter which deals

shall discourse

with the (symptoms and) medical treatment of catarrh

(Pratisyaya-Pratishcdha).

CauS6S

Excessive

heating

course,
particles

sexual

in

inters

the head, entrance of the minute

of

of dust

r.

indulgence

smoke

or

into the

nostrils, excessive

application of cold or heat, voluntary retention of stool

may

and urine are the causss which

instantly

usher in

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


principles of Vayu,
Pitta and
Kapha, jointly and

becoming aggravated by
bring on an attack of nasal

separately, as well as of blood

various aggravating

causes,

catarrh in course of time

2-3.

Premonitary Symptoms: Heaviness


the head, sneezing and aching in the limbs,
of

goose-flesh

different

upon

the body, as well

kinds of supervening

appearance

many

as

symptoms

are

Specific

accompanied by a thin mucous


throat, of the palate

and of the

in

the

secretion, dryness
lips,

to

4.

Symptoms: Hoarseness of
and obstruction

other

seen

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

a sense of stuffedness

of

voice,

nostrils

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 of Vaitaja

type

mouth

are the character-

of catarrh (Pratis'yaya).

and yellowish secretion from the nose, heated

hot

skin, thirst,

emaciation and yellowness of the complexion, as well


as the

secretion being

sudden, hot and

are the characteristics which

smoky

these

mark the Pittaja type

of

catarrh. Constant running at the nose, the secretion being

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

Chap.

XXIV.

UTTARA-TANTKAM.

whiteness) of the
of the

e)-es,

heaviness of the head, flabbiness

and tickling and itching sensation

face*

regions of the head,

throat,

the features which

mark

disease.

12$

lips

Kaphaja

the

the

in

and of the palate are


type of the

5-7.

The spontaneous disappearance,


appearance of

Pratis'yaya

be

as

symptom of Tri-doshaja
specific symptoms of all (the

the charracteristic

wherein the

well

of Apinasa are present.

Symptoms

as

re-

acute or chronic

it

is

Pratis'yaya,
three) kinds

8.

of Raktaja Pratisyaya:

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


a bruised pain in the chest which seems as

if

struck with

a blow, fetid smell in the breath and the mouth,

and

loss

are the characteristic symp-

of the faculty of smelling

toms of the Raktaja type of Pratisyaya which has


origin in the deranged condition of the blood.
In

its

these cases

lities {vis.,

:^'

worms

hosts of extremely small

i*

or blackish

hue are found to

infest

the nostrils) which show

symptoms

with those of the head-disease due to the


of parasites in that region,

Prognosis

of whitish

the affected

loca-

identical

germination

g.

: The

malignant

disease (Dushta-Pratis'ydya)

nature

of

the

should be inferred from the

constant alternate sliminess and dryness, as well as constant alternate contraction and expansion of the nostrils,

* In
i.

"the

e.

"j^^q^

place of

man

'

f^fl^?^:

(patient) gets

flabbiness of the face

t According

is

this

is

the

X
of

first

fi^;'

'

^f^^^^ffij?:! ^j;;"

In this case

the

symptom of another
symptoms of the Raktaja type as

sight.

M^dhava Kar

*^nffi;

'

head."

characteristic

kind of Pratis'yaya, and not one of the


appears at the

read

not separately mentioned.

some

to

some

heaviness of the

'

reads '^fll; f^>^l'

'

^..

gl<3ssy

whitish and blackish in hue.

white in hue, in place

THE SUSHRUTA SAMHITA.

126

and

fetour in the breath

loss

XXIV.

[Chap.

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,

may

bring on

time gives
in its

of malignant

cases

number

to

rise

deafness,

train

any type of catarrh

Pinasa,

of diseases

blindness,

(Pratis'ydya)

loss

which

in

and produces

of smell,

violent

ocular affections, cough, dulness of appetite, and

Sopha

lo-ii.

(swelling).

General Treatment of Pratisyaya :


Potions of clarified butter, various sorts of emetics, and

fomentations (Sveda)
(Pratis'ydya), except

may

be prescribed

in fresh

(Nasyaj of Avapida type


time,
diet

if

and acute

may

also

catarrh

in nasal

cases.

Errhines

be employed

in

Fomentation should be applied and

required.

should be taken

in a tepid

state with

acid taste, and draughts of milk should be

articles

of

administered

with green ginger* and with any modification of the


expressed juice of sugar-canei" for the purpose of thick-

ening and maturing the secreted mucus,

in

cases

where

that maturing process has not already spontaneously


The mucus found matured, thick and pendent
set in.

should be

made

(Siro-vireka).

by applying head-purgatives

to secrete

Purgatives, Vasti of the

Asthapana kind,

smoke-inhalations and medicinal gurgles should also be


prescribed

of each

case

consideration of the nature

and

according to the

under treatment and

in

intensity of the deranged

Some

explain "A'rdraka" lo

while others explain


f-

it

to

In place of "f^^^IT^f^T"."

juice of sugar-cane, such


i.

e.,

mean

exigencies

Dosha involved

mean

the

the expressed juice oi fresh ginger,

powder of dried gingtt.

with any

modification ol the expressed

as treacle, sugar, etc

with articles of pungent

taste.

therein. 12-14.

sonic read

"^Z^tq^fli;"

UTTARA-TANTRAM.

Chap. XKIV.]

12/

Regimen of diet and conduct : in


case of Pratis'yaya the

about

should

patient

and thick turban on

He

his head.

(Haritaki) and partake of meals

without

clarified

should

take

consisting

He

butter.

move

of

sexual intercourse, anxious

Paldnna*

as

Use of new wine and

of smoke-inhalations.

Vij'ayd

should also be

subjected to a course of strong head-purging

cold baths,

or

lie,

and windless rooms and wear warm

in closed

cooked

sit,

well

as

cold drink,

cares,

lamenta-

tions, voluntary retention of stools and urine, as well as

partaking of fares which are excessively dry (and


dryness in the system), should be foregone by
suffering

from an attack of Pinasa.

beget

a person

15-16.

Fastings and employment of digestive (PAchana) and


appetising (Dipaniya) remedies should

treatment
such

b\-

Pinasa (nasal catarrh) accompanied

in cases of

symptoms

distressing

Atisara

be

made

liquid

to

food,

case of an

adult

The

in

due

Pinasa

Vayu and Kapha,

vomit by taking

substance.

of

aching,

non-relish for
In

(diarrhcea).

person suffering from an attack


concerted action of

vomiting,

as

heaviness in the limbs, feverishne.^s,

apathy, and

be the medical

to

the

the patient should

a large quantity of any

complications (Upadrava)

in-

volved therein

should be remedied by appropriate diet

and remedial

agents and after

patient should

be

given before.

17-18.

their

treated according

subsidence,

Treatment of Vataja Type : In


Vataja-Pratisy^ya

officinal

Palanna

is

salts

should

generally prepared

clarified butter as well

should not be used.

butter duly

Viddri-gandhddi

the drugs of the


five

clarified

group or with the

by cooking together
in

cases of

cooked with

be prescribed

as other spices, but

the

to the instructions

this

case

for

rice,

internal
meat and

clarified

butter

THE SUSHRUTA. SAMHITA.

I2S

according to the rules of taking

use,

XXXL,

should also be

etc.,

The

Chikitshita-Sthana).
resorted

to,

case of Ardita (Facial paralysis).

if

XXIV.

[Chap.

Sneha

(see chapter

process

of snuffing,

necessary,

as

in

19.

Treatment of Pittaja and Raktaja


types : In

Pittaja and

the

Raktaja types
be given

should

patient

Pratis'yaya) the

(of

draughts*

duly cooked with the drugs of the

of clarified butter

Kdkolyddi group. Coldf washes and plasters

should

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

also be used.

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


Goji,

and

S'ri-parni

be

should

and purgings (errhines

gurgles,

cribed as

Yashti-madlm

pres-

should be

?)

induced with the help of the drugs of sweet potency


(such as Drdkshd,

Aragbadha, honey, sugar,

duly cooked with

(a

S'ydmd,

Tri-phald,

composed

paste

Rajani, and with milk weighing ten

should

oil,

of)

S'ri-parni,

much

times as

preserved for a time and

be

Dhava-h3.xk,

Yashti-madhu,

Ti/va/ca,

errhine (Nasya) in either of these cases.

Oil

etc.).

used

as

an

20.

Treatment of Kaphaja Type : in


case

as

Kaphaja- Pratis'yaya, emulsive measures

of the

(Sneha-karma) should be performed with

and the

patient

YaVJlgU

(gruel) prepared

should

be

made

to

clarified butter,

vomit by using

with Mdsha-^vXse and

Tila,

(sesamum-seed), after which the general Kapha-subduing

measure should be employed.


the two
*

Some

kinds
read

of Bald, the

f^f'^:' in

place

clarified butter for use in this case

Oil

two

of 'q-q^,'

duly cooked with


kinds of

Brihati,

This word means that the

should be duly cooked

with the fj^^

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

t Both

term

the

commentators of Vrinda and

^1fi%T (cold) to

mean

'prepared

Chakradatta explain the

with the drugs of cold potency

such as the drugs of the Nyagrodhadi and Utpalddi groups.'

'

UTTARA-TANTRAIsr.

Chap, XXIV.]

Vidanga,

Tri-kantaka,

Ddru, Nikumbha

errhinc. Sarald, Kinihi^

together and duly;

These Vartis should be duly

formed as Vartis,
for the purposes of

smokhig (Dhuma-pdna)

Treatment

tastes, inhalation

used,

21-22.

Type

of Trs-doshaja

Clarified butter duly prepared with

pungent

should be

Vai'shdhJiii

(Danti) and Iiigudi should be pasted

and

(Mudga-

SaJid

S'vctd-roots,

Bhadrd (Gambhari) and

parni),

employed as an

129

drugs of bitter

the

smoke

of the

of strong-

potencied drugs as well as the use of articles of pungent

and

taste

appropriate

other

would prove curative


catarrh)

(nasal

in a case of

prescribe as

and

An

physician

intelligent

an errhine the medicated

prepared

Ati-vishd,

preparations

Tri-doshaja Pratis'yaya

brought about by the aggravation of

the three Doshas.

all

medicinal

with

admixture

the

Mttsta and

Bhadra-ddru.

with the decoction of Musta,

of

Rasdnjana,

Gargles

Tejovati,

should

duly cooked

oil

prepared

Pdthd, Katphala,

Katuka, Vachd, SarsJiapa (mustard), Pippali-mula, Pippali,


Saindhava, Agnika
Salt and

(Ajamoda),

Tuttha,

Karajija-seeds,

Bhadra-ddru should be prescribed.

cooked with the preceding drugs

Oil duly;

recommended

is

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

for

23-24.

Flesh of birds and beasts of the Jangala group, aquatic


flowers

and the Vayu-subduing drugs (Bhadra-ddrvddi)


in milk mixed with water weigh-

should be duly cooked


ing

half as

much

as

the

milk. *

The

li(|uid

in

this

case should be reduced to the original quantity of milk,

when

it

should

Clarified

butter

be taken down and allowed to


should then

milk and should be again


of the Sarvagaiidhd

Some

be

prepared

duly cooked

(i'^ladi)

say that milk and water

\\

ith

cool.

from
the

this

drugs

group, sugar, Aiiautd, Yas/iti-

in ccjiial parts

should be taken.

THE SUSHRUTA SAMHITX.

130

madhu and
ten times

(red)

its

All

types of nasal

of milk
catarrh,

Oils medicated with the

drugs remedial to the specific deranged

each case under treatment

should

Dosha involved
also

be

pres-

25-26.

cribed.

the foregoing preparations should be surcharged

All

with the urine and bile of a cow and used


to the existence of local parasites

a palliative measure.*

Thus ends

the

in cases

and vermifuges

drugs of the Suras^di group) should be

Sus'ruta

XXIV.

of this medicated Ghrita,

efficacy

used as an errhine (Nasya).

in

Chap,

Chandana and with a quantity

own weight.

yield to the curative


if

due

{c.

g.,

administered as

27,

twenty-fourth chapter of

the

Uttara-Tantra in the

Samhita which deals with the (symptoms and) medical treatment

of Pratis'yaya.

In

errhine.

places

He

of

"gj^TT^' Chakradatta reads

also reads "^^T^ffq^T*."

and thus does not read the


reads

^'^S(T^f\\f^^\''

be used

for

bile of a

''^

cow

in place of "?ijxj7fj^'

washing purposes.

''sriefll^'

^ ^-y

as

an

pasted with the urine (of a cow),

(fqfl) in the text. Vrinda,

however,

which means that vermifuges should

CHAPTER XXV.
Now we

on the chapter which deals

shall discourse

with the symptoms of diseases

peculiar to

the region

(^iro-roga-Vijnaniya). r.
Classification Diseases which are peculiar

of the head

head number eleven

to the region of the

in all,

viz.^

the

four kinds respectively due to the action of the deranged

V^yu,

Pitta,

Kapha, and

those which are

combination, as well as

their

respectively

incidental

waste (Kshayaja), or to the vitiated

any bodily

to

condition

of the

blood (Raktaja), or to the existence of parasites (Krimija),


the remaining four being

Ardhdvabhedaka

v^ta,

known

The symp-

Samkhaka.

and

Ananta-

as Surydvarta,

toms of these eleven kinds of head-diseases are given


below.

2.

Symptoms of Dosha-origined types

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

of i"omentation round

head, should be

the

the action of the deranged Vatyu, and

Vataja-Siroroga.
in the

head, in

sense

nostrils,

which the scalp seems

and which ameliorates

deranged Pitta, and

Siroroga.

fit

In

place

of

adopted by Madhava.

have been

to

accompanied by

is

in

the night

or

on the

ascribed to the action

known

as

the

of

Pittaja-

of headache in which the head (palate)

and the throat* seem


"

as the

vapour being emitted from the

of scorching

application of cold, should be


the

ascribed to

known

burning and aching pain

violent

strewn over with bits of live charcoal,


a

is

to be covered with a coat of sticky

"fjijftJTfif"

some read "fajft wtf|".

There seems

sthp word faiTJ^ (head)

may

to

This reading

is

be no difference in the meaning

include both the palate and the throat.

THE SUSHRUTA SAMHITA.

132

mucus, and

cold and heavy,

feel

[Chap. XXV.

and cannot be turned

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

should be attributed

action

to

the

is

called

and

bodily Kapha,

the deranged

of

the

Kaphaja-Sii'oroga.

marked by the concerted action of all the three


preceding Doshas exhibits all the symptoms peculiar to
case

and

of them,

all

known

is

the

as

Tri-doshaja-Siro-

2-6.

roga.

Symptoms
and Krimija

of Raktaja, Kshayaja
types of ^iro-roga :

case of headache due to

the

vitiated

local blood manifests all

the

symptoms

type,

of the

Pittaja

and the head becomes incapable of (bearing) the


This

least touch.

of the

condition

known

is

the

as

Raktaja-Siroroga.

case of headache incidental to the waste of the

VasA

Kapha*

(fat) or

is

The

roga.

This

known

is

is felt

poisonous

inside the

insect),

the

as

head

disease of the

and tingling pain


(by some

pain

intolerable

aggravated by the appli-

is

fumigation, errhine, emetic and

cation of fomentation,
blood-letting.

marked by an

head which

("Abhf-tapa) in the

local

in

Kshayaja-Siro-

which a pricking

head as

and which

if

is

being stung,

accompanied

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


the nose, should be attributed to the
parasites.

known

This disease

as the

Krimija

is felt

eyebrow

the eye and the

Dallana

comments

here

fatty substances in the

Majjan,

etc.

reading

is

There

is

body,

Kapha and Vayu.

a variant

This;,

that

e.g.,

'?l^ig?lT'^mj^lT<^TTt

in

which
(^-

^-i

however, seems

brain
is

and

is

7-9.

^iro-

which a severe pain

just

term

the

the

of local

one

Suryavarta

of

The disease of the head

in

existence

dangerous

(Parasitic) Siro-roga.

Symptoms
rOg"a

is

at

''Vasai"
substance,

sunrise,

means

and

all

the

Medas, semen,

not recognised by Gayi.

^T '^^ waste) of

blood,

to be the better reading.

That

Vasa

Chap.

XXV.

UTTARA-TA^JTRAM.

33

which goes on growing worse with the progress of the


day and begins to abate only when that great luminary
begins to set

western sky,

in the

is

called Suryaivarta.

abates on the use of cold articles but some-

It (generally)

warm

times on that of

things as well.

It

to the concerted action of the three Doshas.

Symptoms
fOgSL
pain

is

The
felt

in

which a violent

and the Ghata

j\Ianya

the

lo.

Ananta-vata ^iro-

of

disease of the head

at

ascribed

is

(the

two

nerves

on the backside of the neck) which ultimately

affects

the

region

the

of

the

eye,

eyebrow and the

temples and specially produces a throbbing of the cheek,


as well as

paralysis

disease

known

is

of the jaw-bone

and the

Anaiita-Vita and

as

concerted action of the three Doshas.

Symptoms

of

^amkhaka: The
makes
no

felt

is

periodicity

of ten days

or

of

bhedaka and
three Doshas.

due to the

is

and more especially

the

recurs

or of a fortnight,

violent
in the

which

in

of a piercing or aching

is

which

cranium

giddy, and which

the patient feel

distinct

head

of the

disease

one half

in

due to the

ir.

Ardhavabhcdaka and

a violent and excruciating pain

nature

is

The

eye.

at a

cither follows

regular interval

called

the

Ardhaiva-

concerted action

pain

caused

'in

of the

the

temples by the local

bead

Vayu

in

combination with the deranged Kapha, Pitta and blood


is

designated by the

S'imkhaka.

It

holy sages of A)'urveda as the

produces a very great pain, and

is

very

hard to cure even by the joint advice of thousands of


physicians and
Thus

erifls

is

as fierce as death

itself.

12-13.

the twcnly-fiflh chapter in the Uttara Tantia of the Sus'ruta

Samhit:i which deals with the

symptoms of the diseases

of the head.

CHAFER XXVI.
Now we

on the chapter which deals

shall discourse

with the therapeutics of the diseases of the head (Siro-

roga-Pratishcdha).
Treatment of Vataja-^iroroga : Rei.

medial measures described

ment

in

connection with the

Vdta-Vyadhi should be employed

of

all

medicinal compounds of

oil

or clarified

butter should be followed by a potion of milk.

Kulattha, or
thing,

Mdsha

as well

as

pulse,

pungent

and heat-making

of tepid milk should be taken in


or the paste of

Mtidga,

any other

unmixed with

saturated with clarified butter and

oil

their

Vayu-origined types of the diseases of

entirety in the

the head, and

treat-

in

sesamum may

followed
the

articles,

by potions

night.

Sesamum
Milk

be taken.

also

duly boiled with the Vayu-subduing drugs should be

employed
locality,

in a

lukewarm

state in

washing the diseased

and a plaster composed of the powders of the

same drugs boiled with milk should be applied

warm

In the alternative, the scalp

to the scalp.

over with the boiled

plastered

Kris'ard (preparation

with Saindhava

salt,

of rice
or

flesh

lukewarm

state).

and sesamum) saturated


of)

Chandana,

powdered together

2-3.

Oil duly prepared with Kulira (crabs) should


for

Nasya

ment

(snufifing)

of the

diluted

be used

purposes subsequent to the employ-

(above) fomentation.

with the

be

or with

of fish

with (the paste

Utpala, Ktishtha and Pippali, finely


(all in

luke-

may

addition

of half as

quantity of milk

much

of water

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

Varimddi group and taken down from the

fire

when

the water has evaporated. Butter should be skimmed out

UTTARA-TANTRAM.

Chap. XXVI.J

of

it

when

and

cool

clarified butter

135

therefrom

prepared

should be again duly cooked with the paste of the drugs


of the

MadJmra

Nasya

(snuff)

discussion.

The

group.

highly

is

use of this Ghrita

efficacious in

Clarified butter duly

as

under

the type

cooked with the decoc-

tion of the preceding drugs (of the

Varunadi group) and


Snaihika

with milk should be taken with sugar.

Dhuma

XL.) should be administered in time when


and Traivrita Ghrita and Bala Taila should
be prescribed as a draught and as an errhine, as
(Chikitsa,

required,

well as for

purposes of anointing, sprinkling and

the

The food

Vasti-Karma.

disease should be taken

subduing

Sneha

drugs

and

Treatment
fied

of the

Vdyu-

in

with

the

present

meat-soup saturated with

^-5.

(clarified butter).

^iro-roga

type

with milk cooked with

of Pittaja

Cooling plasters

butter should be

and Raktaja
saturated with clari-

applied to the scalp and

head-washes should be prescribed


Raktaja types of Siro-roga.

in

the

cooling

Pittaja

and

Milk, the expressed juice of

sugarcane, fermented rice-gruel (Dh^nyamla), curd-cream


(Mastu),

honey and sugar mixed

be used for sprinkling

purposes.

in

water

these

Plaster

should

the head

for

Nala, Vetasa, Kahldra (red


S'amkha (conch-shell), S'aivdla,
Yashti-?nadhn, Musta
and lotus taken together and
mixed with clarified butter, and the plasters described in
should be prepared with

lotus),

Chaiidana, Utpala,

connection with

the treatment of Pittaja and

Visarpa (Erysipelas) should also be used.

Raktaja

Fhe drugs

Madhurn group should be used in a tepid state


plasters and the Sneha (oil or clarified butter) duly

of the
as

cooked

witli the

same drugs should be used

as an errhine,

and appropriate medicines should be used as purgatives


as well as in
Astliapana and Sncha-Vasti measures.

THE SUSHRUTA SAMHItX.

136

Vasd

skimmed

butter

Clarified

of J^ngala

(lard)*

animals

cooked with

errhines, and,

from

XXVI.

Clmp.

milk,

and

should

be used as

drugs of the

the

group, should be used in the

manner

fresh

Utpalddi.

of Asthapana-vasti.

Food should be taken with meat-soup

Jangala ani-

of

mals, and clarified butter should be used

manner

in the

Anuvdsana Vasti. Clarified butter skimmed from


milk and du'y cooked with the drugs of the Madhura
group and mixed with sugar should be used for emulsive
purposes (Snehana), and all measures and remedies
of an

which

remedial

are

may

Pitta

Treatment

vireka)

Kaphaja ^iro-rogas

of

head-purgatives (Siro-

and gargling should be resorted

parent upper part of


to drink,

clarified butter

The

to.

trans-

should be given

-|-

and fomentation should then be frequently


Head-purgatives should then be

applied to the head.

administered with the

with Meslia-s'ringi

in

these

in

Kaphaja-Siroroga, the Kapha-subduing

of

case

measures, such as strong emetics,

made

and

blood

6-7.

cases.

In a

deranged

the

to

be likewise employed with profit

pith

and

of

Madhuka wood,

Ingudi bark.

Vartis

of Mesha-s'ringi and Ingudi barks should be

smoking.

Snuffs

of

powdered Katphala

or

(sticks)

used

should be

taken, and gargles with Kapha-subduing drugs should be


used.

Plasters

prepared with Snrald, Kushtka, S'drn-

gashtd, Deva-ddru,

and RoJdsha pasted together with

the alkaline water and

applied

be

consist of

*
|-

lukewarm

mixed with Saindhava


to

the

head.

cooked barley or Shashtika

The
rice,

salt

diet

should
should

which should

In place of '^^[' (laid) some read '^^y' which means meat-soup.

According

in this case.

to

variant

matured

clarified

butter

should

be used

Chap. XXVI.

UTTARA-TANTRAM.

Yava-kshdra and powdered

be judiciously taken with


Tf'i-katii

13/

Patola

and with the soup of Miidga,

Kulattha pulse.

and

8.

Treatment of Tri-doshaja and Kshayaja S'irorOg"a


remedial

The Measures which are

should be employed

in

a case

severally-

Doshas of the body

three deranged

the

to

marked by

of Siroroga

concerted action of the three Doshas (Tri-doshaja"^

the

and draughts of old and matured


said

clarified

butter

specially efficacious in such instances.

to be

are

Em-

ployment of nutritive (Vrimhana) measures and remedies

is

due to

recomm.ended
an\-

in cases of the diseases of the

waste or atrophy of the local

(Kshay-

fat, etc.

butter duly cooked

Clarified

aja siroroga).

head

with the

admixture of the drugs of the Vayu-subduing and the


Madhiira groups*
errhines.

Any

should

drinks

as

and

cough would be found most

cases of consumptive

in

be given

medicated Ghrita which acts as a remedy

efficacious in the present (Kshayaja) type.

Treatment

9-10.

of Krimija S'iroroga :

In a case of head-disease (head-ache

?)

due

to the germi-

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

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

be

means

of tongs,

pulverised

Kdnsya (dead

of Hrasiva (small) S'igni

brass)

should then be used,

(Vidanga,
*

etc.)

According

Head-purgatives composed of the

etc).

seeds

and
if

Nili (indigo)

mixed with

pounded together

necessary, or an)- \-ermifuge drug

pasted \\ith the urine of a cow should be

to

Videha the

clarified

butter in this

case should

be

cooked with the decoction of the Vayu-subduing drugs and with the Kalka
Ol

the

Madhura

drugs.

18

THE SUSHRUTA

138
stufifed into

the nostrils in

SAMIIITX.

the

manner

Chap. XXVI.

Avapida

of an

Fumigations should be applied into the nostrils


with the fumes of burnt sordid fishes and vermifuge
Nasya.

foods and drinks of various kind should be given.

1.

Treatmcntof Suryavarta and Ardh^Vabhedaka Errhines etc. (plaster, gargle, etc.)


:

should be prescribed

The

Siroroga,

and milk

rice

in cases

of the

Suryavarta type of

diet should principally consist of boiled

with clarified butter and the essence

or extract of the meat of Jangala animals.

These and

similar other suitable remedial agents should be employin cases of

ed

Ardhavabhedaka type

the

or

Vacha and Mdgadhi, or

or

Manah

manner

stuffed

patient should be

the

nostrils

the

in

a case of Ardhavaof the

above, the

snuff in the medicated clarified

MadJmra \ (Kako-

drugs of the

both the above cases.

group, in

(pasted)

a case of the Suryd-

in

After the use

made to

butter cooked with the


lyadi)

or

type of Siroroga as well as

bhedaka headache.

honey,

into

Avapida Nasya

of an

and honey,

YasJiti-madJm

with

pasted

slid,

Chandana should be
varta

of Siroroga.

and Miilaka seeds or bamboo-roots camphor,

Sirisha*

com-

Plasters

posed of Sdrivd, Utpala, Kushtha and YasJiti-madhu pasted with Kanjika(acid gruel) and surcharged with
butter

clarified

cases,

if

are to be found efficacious

applied to the

affected region.

employed with equal success


type
*

in the cases of the

both the

may

be

Kaphaja

of Siroroga. 12-14.

Sripati

S'ivadasa

in

This

and

oil

DaUa,

Sen,

the

the

commentator of Vrinda, prescribes the bark and

commentator of Chakrapani, prescribes the seeds

of

S'irisha.

mean "?j^t"

Some

In place of the Kaphaja type some read

it is

take "ff^fijjf"

not accepted by Jejjata.

the Vataja type.

to

the Kshayaja

Others again read

type.

"Anilatmake"

i.e.

But
in

UTTARA-TANTRAM.

XXVI.

Chap.

Treatment

Ananta-vata

of

be treated

Ananta-vata Siroroga should

as to subdue the

Vayu and

the

the Pitta and

Madhu-Mastaka, Sangydxa

made

kinds of confectionery
fied butter, etc.).

of

those

effected

be such

should

diet

39

".Cases of

like

Moreover blood-letting should be

Suryavarta.

(by opening a local vein) and

o{

should cossist

c.nd Ghrita-pura (different

of wheat, sugar, milk,

clari-

15.

Treatment

^amkhaka

of

: Clarified

butter churned from milk should be given for a drink and

used as an errhine

Samkhaka and

a case of

in

should consist of (boiled

mixed with)

rice

the diet

clarified butter

and the essence of the meat of jangala animals. Plasters


composed of S'atdvari, black sesannim, Yashti-niadhu,
Nilotpala, Durvd and Punaniavd pasted together, or of

Mahd-sugandhd (Utpla-asariva)

Pdlindi pasted with

or

Kdnjika should be applied to

the affected

locality.

Cooling washes and plasters as well as different Avapida

Nasyas prescribed

cases of Suryavarta should

in

be prescribed for this disease (Samkhaka).

Strong head-purgatives (errhines) composed

and honey should be

first

Then

Kshayaja types.

remedies would

patient

to

cases

should

In cases

oil.

fail

in

\\

oil

of Siro-

and the

Krimija

the

of

be

made

to

here the preced-

produce any

the

relief,

be treated with Sneha and Sveda, and

.should

bleeding should
vein.

of

the patient

snuff in drops oi mustard


ing

administered

exception

roga with the

also

r6.

then

be

by opening

cffi^cted

local

17-rS.

The Conclusion: The

causes,

symptoms

and the therapeutics of the seventy-six kinds of ocular


affection,

of the

twenty-eight kinds of the disease

the car, of the thiiU-due kinds

elc\cn

kinds

of the

disease

of nasal disease,
of

the

of

of the

head as well a?

THE SUSHRUTA SAMHITA.

I40

of the sixty-seven (sixty-five)


the

mouth have been

treatises

subject

[e.g.

XXVI.

kinds of the affection of

described

those of Videha,

[Chap.

etc.

in

detail

in

other

dealing with this special

the diseases of the over-clavicular region).

The

number, symptoms and therapeutics of these diseases


of the over-clavicular region are herein briefly described
in

accordance therewith.
Thus ends

19.

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

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

Here ends the ^alsikya Tantra (Surgery


Minor).

CHAPTER
Now we

XXVLi.

on the chapter which deals

shall discourse

with the specific features (of the nine diseases of infant


life,

which are attributed to the influences) of the nine


Grahas

malignant

nam),

(Nava-Grahakriti-Vi jna-

r.

Names

Different

me

".Attentively hear

des-

and medical treatment

Sus'ruta, the origin, cause

cribe,

of the diseases of infancy which are due to the influences


of malignant stars (Graha) or

demons

as

as

well

the

characteristic symptoms by which each can be accurately

The

diagonosed.

are

Revati,

diseases

Skanda-Graha,

called

number nine

Andha-Futana,

Putana,

mandikd and Naigamcsha

in

all

Skandapasmara,

Mukha-

Sita-Putan^,

or Pitri-Graha.

and

Sakuni,

2-3.

General course of attack : These

malig-

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


child in the cases
(in

the

where the directions

Sarira-sthana)

in

laid

mother or the nurse during the time the

up on the breast are not followed,


where proper benedictory
the child

is

down

rites

allowed to remain

are
in

child

and

is

brought-

consetjuently

performed and

not

an uncleanly

state, or

where the child becoming anyhow uneasy gets


rebuked, or begins to cry.

ened,

is

their

appearance for the purpose

respect

and

omnipresent

when they
fore,

worship.
are

not

They
capable

fright-

They (demons) make


of getting

proper

being omnipotent and


of

man

being seen by

enter the person of a child.

discourse

before

respect of the conduct of the

should,

there-

on the symptoms of their presence, as

derived from the authority of the sages of yore.

4.

THE SUSIIRUTA

142

Symptoms

[Chap. XXVII-

SAMIIITA.

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 are the indications of

The body

an attack by the Skanda-graha.


emits a bloody smell and

The

fixed or motionless.
his

(as in a

fists

fit

rolling

and moans a

and the

Alternate

and constipated.

ciousness, convulsive jerks


in

child looks frightened,

of convulsion)

become highly

eyes

dancing, foaming (at

of the child

one of the eyelids becomes

fits

of legs

closes

little.

The

becomes hard

stool

of fainting

and cons-

and hands

like those

the mouth), yawning and the

passing of stool and urine with the passage of wind are


the characteristic features of an attack by the

pasmaira-graha.

Skawda'-

5-6.

^akuni and Rcvati ; Looseness


which emit a peculiar

of

limbs

bird-like* smell are the indications

by the Sakuui Graha. The


up in terror and its body is
covered with a large number of secreting ulcers (Vrana),
of an attack of the child

child in such a case starts

or

of vesicles

eruptions

of

sensation

The

themselves.

looks as

if

with a burning

and

bursting

of

face assumes a blood-red hue, the stool

(as well as the urine)

child

attended

subsequently suppurating

becomes green and the body of the

of deep yellow or dark

brown

colour,

fever ensues with an inflamation of the mouth, a bruised

pain

is felt all

rubs

its

mark

over the body and

nose and

ears

these

the

are

a sure attack of Revati-Graha.

child

the

frequently

features

which

7-8.

Putana and Andha-putana : Looseness of the

By

the

limbs,

word f^^f=

eating aquatic birds.

disturbed

(lit.

sleep

whether

a bird) in f%'?^iifj*?l

is

by day

here meant meat-

Chap. XXVII.

UTTRA-TANTRAM.

or at nigh:, loose stools, emission

from the

i)ody,

the skin

and

of a

vomiting, appearance
thirst

crow-like

well

as

specific

symptoms

an attack

as

smell

on

of goose-flesh

by the Putana'-Graha.

attack of the child


the breast-milk

are the

I43

of an

Dislike
of

for

dysentry,

(Atis^ra), cough, hic-cough, vomiting, fever, discolouring

of the complexion, and swelling in the

an inclination

to lie

skin as

well

as

always on the fa:e are the symp-

toms which are exhibited

attack by

of an

case

in

9-10.

the Andha-Putana-Gralia.

^ita-putana and lYIukha-mandika :


Constant and frightened startling up, excessive shivering,

comatose
of
of

and bloody smell

sleep, constant diarrheic stools

the limbs are the symptoms which characterise a


an attack b)- S.ta-Patana. The child in this case

almost unceasingly, and a rumbling sound


intestines.

is

heard

case
cries

in

the

Paleness (emaciation) of the body (trunk) and

a glossy line (swelling) of the face and

the

extremities

voracious appetite, appear-

attended with frightful n ess,

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


of urine-like smell from the

body are the symptoms of an

attack of the child by Mukha-mandikai Graha.

Naigamesha -Graha

11-12.

Frothy vomits,

bend-

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


crying,

upward gaze of the

eyes,

constant emaciation

body and unconscioussymptoms which mark a case of an attack

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

ness arc the


b\-

the

Naigamesha.

13.

Prognosis A
:

stupified

state

of

the child

attended willi anavcrsion to breast-milk and constant


of fainting

as

well

as

specific

symptoms show

of the

disease.

the

if it

development of

the imminent

Otherwise

medical treatment,

full

it

may

fatal

all

fits

the

termination

prove amenable to

be not a case of long .standing. 14.

THE SUSHRUTA 3AMHITA.

144

Rules to be observed : The


be kept

in a clean

and

purified

should

be rubbed

or

anointed

butter.

clarified

Chap. XXVII.

child

should

chamber and its body


with old and matured

Mustard seeds should be strewn

all

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

mustard

should be kept perpetually burning therein.

oil

Libations of clarified butter with the drugs of the Sarua-

gandhd and Sarxoushadhi

groups and

garlands

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

and kept continually burning by


"Obeisance to thee,

incantations,
to

thee,

goddess

Skanda, obeisance to thee,


with deep

humilit}-,

accept the

offerings

it

has

the

favour.

been

hale and hearty again."

Thus ends

With

have made to
it

to

thee,

Grahas (which

lord of the

supplicate th\-

child get rid of the disease

Makest

influence).

obeisance

fire-god,

obeisance

KrittikA,

has cast this malignant

the following

reciting

of
fire

thee.

head down
Dost thou

May my

.-uffering

from.

15.

twenty-seventh chapter of the Uttara-Tantra in

the

.Sus'ruta-Samhita which deals with the snecilic features of an attack by the

nine (malignanl)

The drugs

Irahas.

of

the

Sr.rvaaushadhi drugs here

Eladi

mean

group

Ya-J3,

are

Dha'nya,

known
I'ila,

as
etc.

Sarva-gandha.

CHAPTER
Now we

shall discourse

on the chapter which deals


measures) of an

remedial

with the Therapeutics (and

(Skanda-Graha-Pra-

attack by Skanda-Graha

tishedha).

XXVIII.

i.

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

and

the decoction

duly

oil

cooked and prepared with

roots

of their

and with the drugs of the

Sarvagandha^ group and iwith Kaitaryya^' and Surdnianda as Kalka should be


of the child laid up

Draughts of

with

clarified butter

Rdsjid, the drugs of the

used in anointing

duly cooked with Deva-ddru,

Fumigation : Moreover
with the
of a

seeds, the cast-off skin

body of the

the

of

child

fumes of the mustard

snake,

VacJid^

and the hairs of a camel, a


cow mixed together and burnt. 4.

The twigs

milk,

2-3.

clarified butter

or of a

body

Madhura group and with

should be internally administered.

should be fumigated

the

an attack of Skanda-graha.

Soma-balli (Guduchi),

Kdkddani,

goat,

a sheep

Indra-balli [A.4-

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


the roots of Mrigddani,

should

be strung together

the shape of a garland) and tied (round

The

its

neck).

(in

5.

any other person acting on his


behalf) should bathe in the night and worship the god
physician' (or

vSkanla

fcM-

of the

house of the child or at the crossing of roads

three successive nights in the inner quadrangle

with various offerings,


flags, red
*

z/Z-c,

perfumes such as

garlands of red

Kumkuma^

Kaitaryy.\, accor.ling lo Dallana,

flowers,

red

edibles of various

means Nimha

or Oiuluchi.

19

THE SUSIIRUTA

146

newly harvested barley

and

kinds

SAMIIITX.

Chap. XXVIII.

grains,

cock should be sacrificed on the occasion

and

his wrath)

The water

bells

should be consecrated by

and the

sacrificial

dli rice.

appease

should be rung (for his propitiation).

be used for bath

to

vS

(to

should

fire

course of worship),

(in

the Gaj^atri Mantra

reciting

be dul}^

with (three,

lit

seven or ten) libations (of clarified butter).

IVIantraS : The body

of the

6.

should be

child

guarded by a careful physician against the influence of


the malignant Grahas by reciting every day a

which runs as follows

"May

changeless deity

who

energies produced

by

combination

the

receptacle of

Guha

gods and of the Grahas and

is

enemies of the army of the gods


been

installed,

gods).

deity

May

the

severally

lit.

he

from

all evils

army

of the

which rank he has

wedded, with the

sufifrage of all the

who

the begotten son of the supreme

is

acknowledges

exalted motherhood of Ganga,

god who

of the

(in

the Krittikas, give thee health and


beautiful

Guha

destroyer

the

god of the gods and who

the

pierced

with a

comfort.
single

Umd

and

May

the

shaft

right

through the heart of the mountain Krouncha and


is

of

May

be propitious to thee.

protect thee

the commander-in-chief both of the

is

all sorts

austerities, fame, valour, or organic

(vital energy),

the almighty

who

is

Mantra
Skanda, the eternal and

effulgent with the red

rays of his

own

divine

who

person

smeared with the paste of red sandal-wood and decked


with the garland
perils."

of

red

from

all

Uttara-Tantra in

the

flowers, protect thee

7.

Thus ends

the

Sus'ruta Samhila

twenty-eighth

chapter

of the

which deals with the Therapeutics of Skanda-Graha.

CHAPTER XXIX.
Xow we

shall discourse

on the chapter which deals

with the Therapeutics of an attack by

Skandapasmara

(Skandapasmara-Pratishedha).
A decoction of Vilva, S'in'sha, Golomi {Diirdlabhd\
i.

and the drugs of the Surasddi %xo\.\\} should be employed


in sprinkling the body of the possessed child in a case
of the present

Medicated

disease.

its

cooked

Sarvagandhd group should be

with the drugs of the


used in anointing

duly

oil

body. Clarified butter duly cooked

with milk and the decoction of the barks of the KsJiiri

drugs of the Kdkolyddi group

trees together with the

as Kalka* should be prescribed


The body of the affected

2 A.

for internal use.

child

should

be rubbed

(Utsadana) with the paste of VacJid and Hingu taken


The dungs of an owl and a vulture, human
together.
hairs, the nails of

an ciephant,

hairs of a bull should be

fumigating
and Kukkuti
(as a

clarified butter,

be strung together and fastened

charm) to the body of the

The

physician

for

Anantd, Vhnbi, Markati,

the child's body.


sliould

and the

mixed together and used

(or

child.

2B.

votary officiating for him)

the

should worship the presiding deity

of the

disease

in

ditch (dug out for the purpose) with the offerings of both

cooked and

uncooked

meat, fresh blood (of a

goat\

milk, and edibles prepared with the MdsJia pulse for the

and the possessed


by
the crossing of roads

ghosts,

child

should

physician

be bathed at
observing

Although Dallana prescribes ihe drugj of the Kdkolyddi group

used as Kalka,

we

are inclined

to

take

decoction of those drugs should be used.

the

sentence to

mean

that

the
to

be

the

THE SUSllRUTA SAMHITX.

148
necessary

Mantra
the god

one

fast,

"O

etc.

thou,

Skanda,

whom

may good

the world

with

the recital

the trusted and

of the

beloved

Skand^pasmara,

knows by the

Thus ends

the

Skandapasmara.

twenty-ninth chapter

of the

Chap. XXIX.

following
friend

of

thou ugly-faced

epithet

befall this child in distress."

Sus'ruta Samhita

of Visdkha,

2.

Uttara-Tantra in the

which deals with the Therapeutics of an attack by

CHAPTER XXX.
Now we

shall discourse

on the chapter which deals

treatment of an attack by SaT<uni

medical

with the

(^akuni-Pratishcdha).

should

physician

wise

prepared) of

sprinkle the body of the

by Sakuni with the

possessed

child

r.

Antra and

Vetasa,

decoction (duly

KapittJia.

duly

Oils

cooked with the drugs of the sweet and astringent groups


be

should

used

body.

Pradehas
Madhuka, Usira^ Hrivera, Sdrwd,
anointing"

in

its

composed of
Padmaka, Rodhra^ Priyangu, Manjishthd and

(plasters)

Utpala,

Gairika^ should be applied.

2A.

Various kinds of medicinal powders and diet and


remedial

measures

in

general

with the medical treatment

described

in

connection

of Ulcers * as well

as

the

fumigations (Uhupana) mentioned

in

the chapter on the

treatment of Skanda-graha (vide

ch.

XXVIII.) should
Drugs

be prescribed

such

the

for

AI rigddani,

S'atdvari,

as

disease under discussion.

NidigdJiikd, Lakshmatid,

Ervdru,

Sakadevd and

Ndgadanti,

Vrihati should

be fastened (as a charm) to the body of the child


the preceding manner).

The

presiding deity of the disease (Sakuni

should

be

inside

offerings

worshipped

Karanja
of

and the

by a physician of self-control
and be propitiated with

sesamum, garlands of
rpiment) and Manahs'ild

child should

down

rules laid

Skanda Graha).

The medicated

See Chapter

I,

flowers,

(realgar)

be bathed duly inside the bower

(according to the

Graha)

bower

huskless

Haritdla (yellow

(in

2B.

Chikitbhita Sthana.

the

treatment of

Ghrita prescribed

foi

THE SUSIIRUTA SAMHITA.

i50

treatment

the

Skanda Graha may

of

vantageously given

[Chap.

in the present instance.

XXX.

also be

ad-

2C.

Various sorts of worship should be made with the


offerings of various species of auspicious flowers.
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
:

the

May

sky

ethereal

in

her

flight,

be propitious to thee.

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

bellied,

and

spike-eared

into the heart of

with thee."
Thus ends

man

Sakuni,

who

strikes

terror

with her terrible voice, be pleased

2.

the thirtieth chapter

of the

Uttara Tantra in

the Sus'ruta

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

CHAPTER XXXL
Now

\vc shall discourse

on the chapter which treats

of the Therapeutics of an an attack by Revati

Pratishcdha).
The

prepared decoction o{ As'vagandhd, Sdn'vd,

dul)'

Punarnavd, the two kinds of Sahd

Ajasringi,

Viddr-i should be

body

the

by

(Rcvatl -

i.

employed

of the affected

Medicated

Revati).

and Sarjarasa

(resin) *

body.

the child's

oil

sprinkling (Sechana)

in

child

and

a case

(in

of an

attack

duly cooked with KusJitJia


be

should

used

in

anointing-

Medicated Ghrita duly cooked with

the decoction of Dhava, Asva-k-^m.-i, Kakiihha, Dhdtaki


Tindiika and

and

group

(as

with the

drugs of the

Kdkolyddi

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


of vultures

and owls mixed with

clarified butter.

ornament should be made with

(the

wood

or

Neckpith

of)

Varuna, Arishta (Nimba), RucJiaka, Sinduka (Nirgundi),

and Putranjivaka and should be always worn on the


neck

(as a

The

charm) by the

2-3.

child.

presiding deity of the disease

should be worshipped

in

known

as

Revati

a cow-shed by a self-controlling

ph)-sician with the offerings of white flowers, milk, parched

There

is

an acklilional text

in the

lihnvaprakas'ii

which

says

that

fiuggulu (I'alainkashd), Nalada (Khus-khus) and (liri-kadaniha should also

be used

in the preparation

of the medicated

oil.

THE SUSHRUTA SAMHITX.

152

paddy and
the

boiled

should

child

S'dii rice

be bathed

XXXI.

[Chap.

and the nurse as well as


in

junction

of

rivers.

The Mantra (to be recited in course of worship) runs


"May the goddess, Revati, of dark comas follows
plexion 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,

who

be pleassd with thee.

is tall,

May

the

goddess,

mother of many sons be always propitious


Thus ends

Revati,

drooping and terrible-looking, and who

is

to thee."

the thirty-first chapter of the Uttiira-Tantra in

the

the
2.

Sus^ruta

Sanihita which deals with the Therapeutics of an atticl^ by Revati.

CHAPTER XXXII.
Now we

treatment

medical

of the

on the chapter which

shall discourse

an attack

of

treats

by Putana

(Putana-Pratishedha).
A decoction of the barks of Kapota-bankd,
i.

Varii/ia,

Pdribliadraka and A'sphotd should

Araluka,

be

used in

washing, and medicated oil duly cooked and prepared


with (the Kalka and decoction of) Vacha, Vayasthd,
(Brahmi), Golomi, Haritdla, Manah-s'ild, Kushtha and
be

Sarja-rasa (resin) should

body

of the

Tdlis'a, KJiadira

Eld

2-3.

and CJiandana, and the drugs

Madhura group would be found

Dcva-ddru,

VacJid,

anointing the

in

cooked with the Tugd-kshiri^

Clarified butter duly

Kushtha,

used

by Putana.

of a child possessed

Kushtha,

and Harenu should be

beneficial.

Hingu,

used

fumigating the

in

Fumigation

4.

(iiri-kada7nha.

Gandhandkiili,
the
body
Kimbhikd, marrow of Vadara-fruits, shells of crabs,
and mustard-seeds pounded together and mixed with
of

child.

clarified butter

may

phald, Vmibi and


(as a

Kdkddnni, Chitra-

be used.

also

of

Gunjd should be worn on the body

charm) by the

5-6.

child.

Putana, the presiding deity

the disease,

of

should

be worshipped in the interior of a lonely chamber with


oblations and with the ofiferings of boiled

with the admixture of

fish

as well as those

prepared

rice

of Kris'ard,

and Palala (meat or puddings of sesamum) placed


saucer and covered with another,

be bathed with the \\atcr

slovenly

dressed

in

shag-huirod

is

as

goddess,

dirt\' clothes, rind

who

follows

in

shf)uld

behind after worship,

left

The worshipping Mantra


the

and the child

J'utani,

loves to haunt

20

7 A.

"Ma\'
wlio

is

lond)-

THE SUSHRUTA SAMHITA.

154
dwellings,
frightful

who

preserve

goddess

loves

to

is

haunt

as black as

lonely

XXXII.

Ma}- the fierce-looking,

the child.

who

[Chap.

dark

rain-cloud,

and dilapidated

human

dwellings and whose bod\- gives off filthy odours protect


the child from

Thus ends

the

Sus'nita Samhita

Putana.

all evils."

thirly-second

7.

chapter

of the

Utlara-Tantra

in

the

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

CHAPTER
Now we

shall discourse

XXXILI.

on the chapter which deals

vvith

the medical treatment of (an attack

tana

(Andha-putana-Pratishedha).

The

decoction

of the

leaves

of

by) Andha-pu-

the

i.

of the

trees

Tiktaka gana (trees of bitter taste) should

be used

sprinkling (the body of the possessed

Surd

Sonviraka

kind

(a

of

and

MauaJi-s ild

due proportion

acid

Sarjcxrasa (resin)

Ghrita should

medicated

Kalka and decoction

should

be duly

be

used

the child)

oil (for

cooked

with

of Pippali, Pippali-mida. the

of the JMadhura group,

in

(wine),

Knshtha, Haiitdla,

gruel),

medicating the

in

child).

S'dlaparui and the two

in

and
the

drugs

kinds of

VriJiati w ith the addition of honey (as an after-throw). 2 A.

Plasters of the drugs of the

group should be applied


should

eyes

its

The

be soothed

feces of the the

cast-off .skin of a

(Buddhist)

roots

of)

a charm.

should

The

with
its

snake and

monkf

child's bod\-.

cock,

of the
cold

be

child

and

applications.

and

feather

skin*,

the

garment of

the ragged

fumigating the
to wear (the
S'imbi and Aiiantd as

used for

child should

Ktikkuti,

Sarva-gandJid (Eladi)

body

to the

Markati,

be

made

2B.

Offerings of meat, cooked or uncooked, and of blood

should be

made

(to

roads or

inside

Some

Andhaputan^)

at

the

crossing

house for the [)rcservation

explain "|i^ti|" (hair) and

^^

(skin)

of

of

of
the

man and

as

thobe

^.

very old cloth. This

not of a cock.
i

Uhavaprakas'a reads '^1n^IHl'?'n^t

^Tfl'."

'

reading does not suggest that ihu cloth to be used should

by a Buddhibl monk.

have been

worn

THE SUSHRUTA SAMllITA

136
child,

which (with

its

the decoction of the


group.
ful,

The Mantra

[Chai-.

nurse) should also be

holy drugs of the


runs as follows

XXXIIT

bathed

with

Sarva-gandha

"May the dread-

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

wearing a red-coloured garment


this child."

Thus ends

be

pleased

the

Uttara-Tantra of the

to

save

2.

Ihe

Sus'ruta Samhita

thirty-third

chapter

in

which deals with the medical treatment

by Andha-putana.

of

(an

attack)

CHAPTER XXXIV.
Now we

on the medical

shall discourse

shedha).

The decoction
Viha,Prachivala
be used
a

cow and

(?),

Namii

of a she-goat,

and

KiishtJia

the

(for

as

well

as

in

Rohiiii.
Arjiitia

Jlliista,

should

urine of

Deva-ddrii,

Sarva-gaud/ui (Eladi)

medicated

medicated Ghrita should be

cooked with (three parts

dul\-

The

preparing a

dul\-

Vimbi,

B/iaZ/dta/ci

body).

child's

purpose) and

the

and

(Vata.)

drugs cf the

group should be used


oil

Suva/id (Rasna),

of KapittJia,

sprinkling tthe

in

treatment of

(^ita-putana-Prati-

(an attack by) S'ita-putana

of)

the decoction

of

Sdrjayasa (resin\ Khadira, Paldsd and barks of

and (one part

of) milk.

A.

Dungs of an owl and a vulture, the cast-off skin


of a .snake as well as Ajagandhd and Nimba leaves and
Yashtlii-madJiii should be used for fami gating purposes,
and Lambd (Tiktalavu), Gunjd and Kdkddani should be
be worn (as a charm) by the child.
2B.
The goddess Sitaputana should be worshipped with
the

offerings

of the

preparation

of rice

and Miidga

pulse (cooked together) as well as with Vdru;/i wine


blood, and the child should be bathed near a

river

and
or a

The Mantra is as follows


"May the goddess
Sita-putana, who is fond of the preparation of rice and
Miidga pulse, who delights in drinking wine and blood
and who resides by the side of a river or a tank, preserve
tank.

thee."

2.

Thus ends

the

Sua'ruta Samhila

by) S'itapulana.

thirty-fourlh

which deals

chapkr

n'ith the

in

the

medical

Uttara-Tantra u(
ttealment

of (an

the

attack

XXXV.

CIIAl^TER

Now wc

on the

shall discourse

with the medical

which deals

chapter

treatment of (an

Alukha-

attack by)

mandikd(lVIukha-mandika-PratishccIha).
The decoction

of A'^;/ />//<:;:, Viha,

Tarkdri (Jayanti),

Vamsa-lochana (D.R. Vas^), GandJiarva-Jiastakd (Eranda)

and

A'/ZTrr^'/^.s-///

(the

body of the possessed

(Patala) should

be

child).

gandh^) and be used


Medicated Ghrita

in

fat

equal

(in

and Harigandhd (As'wa-

anointing the

.should be

71?/_wrt-X'.y ///;-/

sprinkling

in

and

cooked with the expressed juice

parts) should be duly

of the Bhringardja, Ajagand/ui

(Murva),

used

Oil

body.

child's

duly cooked with Madkulikd

and the drugs of the Madhura and

the minor Panchd-fniila groups and with milk.

Fumigation with Vnchd, Sarjarascr and


mixed with clarified butter would be found
and the child should be made

to

2.

A.

KiisJitha
bsneficial

wear the tongue of a

CJidsa bird, a CJiiralli bird or a snake (as a charm).

lands of flowers,
S'ild,

be

Pdyasa

made

2.

Varnaka (Kampillaka), Chiirnaka,

Offerings of

K.

gar-

Rasdnjana, Pdrada (merciu'y), ManaJi-

(rice

boiled in milk) and

(to the deity)

puddings should

inside a cow-shed

and the child

bathed therein with water consecrated

should also be

The Mantra

with Mantra.

runs as follows

"May

the

and blessed goddess, Mukhamandika, who is


decked with ornaments, who can assume different

beautiful

forms at

and who

will

resides

in

cow-sheds,

preserve

thee".

Thus

ends

Sus'ruta Samhita

the

ihirly-fifth

which

by) Mukhamandika.

(kal.s

Chapter of the Ultara-Tantra

with the

medical

in

the

treatment of (an attack

CHAPTER XXXVI.
\o\v we

on

shall discourse

chapter which deals

tlic

with the medical treatment of (an


sha

(Naigamcsha-Pratishcdha)
The

decoction

should be used

in

of

Naigame-

attack by)

r.

Agnimantha and

Vilva,

child)

and sprinkling with Surd, Sauvira and

d^nla

(Kanjika)

medicated

is

advisable

also

should

oil

in

such

Dhdny-

cases.

duh- cooked with Priynngu,

be

Aiumtd, S'ata-piis/ipd and Kiitannata and with

Sixrald,

cow's urine, the liquid

the

of

milk-curd

(Dadhi-mastu)

Medicated Ghritas shoulJ

and Kanjika.
pared with the

with the head of a date-palm tree

The

made

child should be

be

duh- pre-

Mnd/iin-n group as Kalka,

drugs of the

with the decoction of the Dasdmiila and

Gflhnii

Piitikd

sprinkling (the body of the possessed

milk

ith

or

A.

2.

wear Vachd, Vayasf/id,

to

and Jatild as a charm and the utsadana measures

recommended

in

the

should be used

in

this

mustard), Vachd,

treatment
case

Ih'noii,

Skanddpasmara

of

SiddJidrtJiaka

also.

parched

k'lts/itlin,

rice,

(white
liJiaUd-

Ajamodd should be used in fumigating' the


body of the child. In cases of attacks b\- Navagraha the
dungs of a monkey, an ow and a \ulture should also
be used by persons wishing the good (^f the child for
taka and

a fumigating purpose

w hen

all

and that

persons are asleep.

Offerings of huskless

and

\arious

Xaigamesha

dishes
(the

of a Vntn tree on

child should be

2.

sixth

bathed

dead of the night

H.

sesamum, garlands
be

should

])rcservci'
the-

at the

made

of the

day

there

child)

of

to

the
at

of the foilnight
at

the

fool

flowers

the

deit\-

foot

and the

of the

tree.

THE SUSIIKUTA

l6o

The Mantra

runs as

god, Naigamesha, the


goat's face with

follows

Thus ends

the

by) Naigamesha.

"Ma}-

[Chap.

moving brow and

thirty-sixth

rolling

will,

chapter

of

XXXVI.

the far-famed

preserver of children,

can assume different forms at

Sus'ruta Samhita

SAMIIITA.

who

eyes and

has a

who

preserve the child."

the

Uttara-Tantra

in

2.

the

which deals with the medical treatment of (an attack

CHAPTER XXXVIL
Now we

shall discourse

\vith the oriL^-in of the (nine)

Adhyaya).
The
of the

on the chapter which deals

nine presiding deities

nine diseases

Skanda and

z'/.s.,

are

life

They were

otlicrs

possessed of

all

and

effulgence

own.

of their

distinction

of infant

divine

frames,

ethereal

(Grahotpattl-

Grahas

sex-

specific

created by

the

gods Agni, Mah^deva and the goddesses Krittika and

Uma

though protecting himself with


amidst the stems of
females

the

who

are

described before are


the

of the new-born

guarding the person

for

Rdjasa

essence

S'ftra

his

grass.

possessed

considered
of

own divine prowess


Of these Grahas

of
as

Guha

shapes as

\-arious

made

originally

the goddesses Ganga,

UmA

of

and

2A.

Krittika.

The Xaigamesha Graha who is possessed of a sheep's


was created by the goddess Parvati as the friend
and protector of the young god Guha and who was as
Skanddpasmara, the
dear to him as his own self.
presiding deity of the disease named after him, was
face

by Agni, the fire-god (Vulcan). He is as bright


as fire itself and is a constant companion of the god
Skanda and is also known by the name of Vis'akha,
created

The god

.Skanda, the tutelar divinity of the

disease

of

was begotten by His Holiness, the


Almighty Destroyer of Tripura and is otherwise known

that denomination,

by the name
deva).
It is

of

Kumara

(lit.

child, t'/c,

impossible that

the

Maha-

god springing from Rudra

and Agni, with his exalted parentage would


in

of

2JI

such a dangerous disease even

out

of

find pleasure

childish frolic21

THE SUSIIRUTA

l62

someness and

it

authorities on

the

SAMIIITA.

been asserted by eminent

has also

physical science that

gent persons have been

XXXVlI.

[Chap.

misled

some

mistake due to the identity of

unintelli-

through a

into holding,

the names,

that

author of the disease under discussion (Skanda)


other than the invincible Skanda.

On

the

no

is

2.

the effulgent god Skanda's being elevated to

the

leadership of the armies of Heaven, the presiding deities

upon him

of those diseases waited

palms asked
tence.

and with folded

him about the means

The god Skanda

His Holiness the god Siva

they went to the

of their

subsis-

them

referred

turn,

his

in

to

the answer, whereupon


body and made the same
for

latter in a

query. Mahddeva, the Destroyer of Bhaga's eyes, replied

"Gods,

men and

animals,

other

on the principle of reciprocal


to the

ter

wants of men and

different seasons

of

O, ye

beasts,

etc.,

minis-

by marshalling

by setting the

year and

the

Grahas, exist

The gods

benefit*.

air

motion and sending down the rain, and men, in their


turn, propitiate the gods by duly and reverentially perin

forming the

sacrificial rites,

blended palms, by bowing

by saying

down

repetition of prayers, religious

observances.

All

remains nothing

for

filled

you

to

and by

vows and other

religious

and

services

consequence have been

and

be

you

in

and there

settled

Your proper means

fiii.

(though the emoluments

emokmients

their

up

subsistence will, therefore,

their prayers with

reverence,

in

in

the

shall

life

of an

receive

of

infant

be

shall

stained with the tears of man\' an anxious, \vatchful

and night-worn
"

Exchange or

distinct

parent).

A.

reciprocity of services underlies

and cognitive existences, whether

the

beasts,

worlds are linked to one another by bonds of service.


the law of the universe.

Duty implies

obligation.

foundation

men

or

gods.

of

all

The

(Hve-and-takc

is

XXXVII.

Chap.

UTTARA-TANTKA.

163

Children of the tamilics in which the gods, the Fitris


(departed fathers), the Brahmans, the

pious, the precep-

and the seniors and the guests are not properly


worshipped and attended upon and wherein the rulc> of
tors

and virtues are not observed and the mem:

cleanliness

do not make daily

bers of which

and give alms

beggars and

to

to the aods
on food prepared by

ofrerin""s

live

others and eat from broken bowls and plates


bell-metal
strike

lay

with

them

Indian

of

whom you

might

and by your malign influence

impunit}-,

up with diseases peculiar to infant

(It

life.

be your dut\- to see that iniquities of the parents

shall

are

would be the proper persons

visited

on

their

children.

Attack

them without

means of
subsistence will be thereby secured to you).
There the
parents of tho^e children will worship you in their
calamities and you shall get plenty to live upon.''
3B.
Thus the Grahas came into being and began to
least

compunction

of

heart

and ample

attack the children (of iniquitious


therefore that a child attacked

becomes very hard


disfigurement of

to
an\-

be cured.

parents),

all

the

limb or organ

attack by any other


inciu'able.

Tliub

cndb

Grahas.

it

is

by a malignant Graha
Death or permanent
is

case

Graha should be

of

to ensue

sure

from an attack of Skanda Graha, since he


dreadful of

and

is

the

most

full-developed

likewise

held as

3.

llic

thirly-bcvcnth

chapter

uf

(he

UUdra Tanlra

Sus'rula .Samhila whicli dcalo with Uic origin of the Grahab.

in

the

CHAPTER
Xow

XXXVllI.

on the chapter which deals

\vc shall discourse

with (the symptoms and) the therapeutics of the diseases


of the female* organ of generation

(YonLvyapat-

Pratishcdha).
Causes : The

well

Vayu
build

i.

bodily (as

of a girl of tender years,

and dry organic temperament,

aggravated
organ, and

local)

deranged and

is

consequence of her excessive indulgence

in

man

with a

the

as

weakly constitution or

abnormally

of

developed

on getting into her organ

reproductive
of generation

(yoni) gives rise to different local vaginal diseases which

become manifest through the presence

of the

symptoms

of the aggravation of the three specific Doshas.

In the chapter on the enumeration


diseases which

affect

2.

of diseases, the

female organ of generation

the

(yoni) have been classified into twenty different

The

injudicious conduct of

life

females, menstrual disorders,

nature of the seed


accidental

cause

separately.

is

be fairly

Xow

of the
set

kinds^j'.

usually found

the diseased

(of the parents

may

these female diseases.

of

which

or

or an}-

girl),

down

in

defective

causes

as

hear them

discussed

3.

Enumeration and Classification :


Udavarta (dysmenorrhcea), Bandhya
(introversion of the

uterus),

(sterility),

Vipluta

Paripluta (retroversion

retroflexion of the uterus) and Vatala are the five


*

The term "yoni"

means
)

the

Tlicbe

Charaka
sihana).

is

three

lines

comprehensive sense and

here used in a very

whole female organ

of generation,

correspond

verbatim

Samhidl {vide Charnka Samhila.

or

kinds

/.

e.,

Uterus, Vagina, etc.

with

Chapter

three

lines

XXX,

in

the

Chikitsita-

UTTARA-TANTRA.

Chap. XXXVIII.]

of

Vataja

Vamini,
Pittaja

and

riiltraL^'lini

the

arc

PittalA

Atyanaiida (nymphomania), Karnini, the

iJiics.

kinds

i\\\)

Rudhiiakshara (mciiorrhrea),

vaccinal diseases.

Sramsini,

165

of

Charana and Slaishmiki

find their origin

Kapha, and Shandi, Phalini, Mahati, Suchivaktra


and Sarvaja arc said to be due to the aggravation of
in

the three Doshas.

4.

Symptoms of the Vataja types


Uddvarta

\'oni

discharges

and a Baildhyai yoni


of the

suppression

painful

marked

is

always complained

Paripluta yoni an excessive

by an aching and
.seems rough and numbed.

derangement of the V^yu


series.

the

is

marked

organ which

peculiar pain due to the

also

in

felt

the

first

four

of the Pittaja types :

Discharge of the menses


is

yoni

the

in

in

5.

Symptoms
the passage

The
is

and

is

experienced

is

A Vatalai
pain

piercing

pain

local

pain

local

at the time of sexual congress.

types of the

Viplutsi yoni

in

absence or

the

b}^

catamenial flow.
of

: An

and frothy menses

\\

burning sensation

ith a

symptom

characteristic

in

of Lohita-

kshara or Rudhira-kashra yoni. The yoni from which


the semen charged with the menstrual blood, is ejected
with

V^yu

(sound)

is

called Vaimiiii

(prolapsus) of the organ (uterus)


difficult

painful

or

Prasramsini
abortions

blood

due

during

.symptoms

to

the

An

Puttraghni.
suppuration

\oni.

in

arc the

[)arturiti()n

the

coming out

disturbed

and a

symptoms

of a

The>'oni\in the case of repeated


the excessive discharge of catamenial
of

period

extremely

the organ

which

when

mark

gestation

burning

attended
a

is

called

sensation

with fever are

Pittala

yoni.

The

and
the
four

previous vaginal diseases arc also marked by the specific

.symptoms of the aggravated

Pitta.

6.

THE SUSliRUTA SAMUITA.

l66

Symptoms
of sexual

XXXVIII.J

Kaphaja types :

of the

Atyauandai yoni knows no

All

[Chap.

satisfaction

matters

in

Hiemorrhoid growths or polypii

pleasures.

due to the aggravation of Kapha and vitiated blood


appear on the living membrane of the organ in a

Karnini
act,

and

semen

secreted before

is

other

the

in

not retained

is

Sleshmalat v^oni
itching

local

/.

very

disease

Kapha

types The

(lit.

and

canal) which

Shandhi.

A woman

of tender years,

mally developed genital

An

of a Plialini yoni.
called Mahaiyoni,

called

is

abnor-

vagina

while an extremely constricted one

vulva).

The yoni marked with


all

(lit.

the

The

is

is

a vagina with a needle-eyed

the

symptoms

three Doshas

four

passed

the illustration

extremely dilated

Suchivaktra

SarvaJEl yoni.

non-

of her

who has just


man with an

organ, offers

called a

aggravation of

the

vagina (vaginal

the

when ravished by a

her girlhood,

Tri-doshaja

time of coition

at the

is felt

7.

non-development

roughness of

the

deranged and

the

woman marked by

appearance of the menses,


breasts

of

the

of

vagina) are also

diseased

in the locality.

yoni of a

sexual

kinds of this

four

first

actions

Symptoms

of

and slimy and has a

cold

The

by the

characterised

completion

an Aticharansi yoni the

consequence of over-indulgence.

in

is

oni a greater quc.ntity

>

the
in

(-.,

sensation.

series of vaginal

aggravated

Acharaca

In an

yoni.

ovum

of

is

said

preceding kinds

of the

to

be

of vaginal

malformations or diseases are also due to the concerted action of the three deranged Doshas

and these

last (five)

are incurable.

of the

the

locality

8.

Medical Treatment :~rhe


ment

in

kinds of Tridoshaja \aginal diseases

curable

types

of

vaginal

medical
diseases

treat-

should

UTTARA-TANTRA.

Chap. XXXVIII.]

167

begin with the administration of a Sneha according to

Dosha involved

the

each case and applications of

in

enemas

properly charged vaginal

be particularly resorted

by diminished

sensibility

manner

of

be

should

it

where the yoni

numbed and be marked


its
mucous membrane

(vagina) would feel cold, rough,

during sexual action

(Uttara-vasti) should

cases

In

to.

of Kumbhi-sveda, with

fomented,

the

in

the flesh of aquatic and

A'nupa animals
and drugs of the MadJmra group
mixed with Ves'avara (all described before) should be
;

applied (in the form of poultice) to the


of oil-soaked

should be

cotton

constantly retained in

Proper vaginal

the yoni (vagina).

as well as the measures of Purana

be emploN'ed

c.

of drug

in

the affected

The vagina

localit}-.

[Pancha-kashdyd)

and slimy mucous


Pindas

ing.

in

a case,

secretion,

should be
kinds

marked by

fetour

and the decoction of the


(Sodhona,

(balls) of disinfectant

drugs pasted with cow's

salt,

urine

discharge of pus.

should

be

b\-

an

fumigated

itch
\\\\.\\

Vrihati and the two kinds of Haridrd

which should be as well


vagina

(in

purify-

lit.

and saturated with


the

In-

12.

yoni (\agina) marked

sensibility

wash-

in

should be inserted into the \agina marked

in

officinal

five

drugs of Rajavrikshadi group should be used

ing)

injection

measures should be adopted

cooling

up with the powders of the

filled

medical

marked by dryness and sucking pain (Osha and

the cases

Chosa)

and washes

lotions

Va}-u-subduing drugs) should also

with the

(prepared

and plugs

part,

impaired
\-apour

plug

of

taken together,

and retained

inserted

the shape of a plug \

and
the

in

or stick

the

com-

posed of a paste of disinfectant (or Sodhana) drugs should

be inserted into and


prolapsing

retained

in

Karnini

\'<)ni

and a

(Prasramsini) \'oni should be fomented with

THE SUSMRUTA

l68

hot milk and

then be

rubbed with

restored to

its

SAMIilTA.

clarified

butter.

Diet. Sural, Asava,


be

prescribed

take the expressed juice

morning and her


meat-soup,

We
medical

etc.

have

already

mammae,
child

and

the

to

should

patient

nature

remedial

complaints,

of false

cases

and

these

all

of

of

be
of

the
of

pregnancy

those ma}- be employed with

diseases

peculiar to

the

from immature delivery should be treated


the respective

diseases in the Uttara Tantra.

ma}in

the

treatment of those

16,

chapter of

Sus'tuta Samhita which deals with the

etc.)

female

which

arise

thirty-eighth

to

presentation

Other diseases (such as fever

in

the

for diseases

sex.

manner described

of

agents

affections

during the period

diseases

equal benefit in

the

and prescribed

in

impotcnc}-,

the

made

inainU' of milk,

consist

described

menstrual

and motherhood,

Thus ends

Do.sha

be

of garlic {Laskuna) every

and the

treatment

semen,

14.

15.

respectively pursued

the

according

should

diet

Arishta, (wines of medicinal

involved in each case and the


to

should

It

proper place and. being pasted

with Ves'avara, should be duly bandaged. 13

drugs) should

XXXVIII.]

[Chap.

the

Uttara Tantra in

the

therapeutics of the female organ o

generation.

Here
Tantra.

ends

the

Kaumarabhritya

CriAPTER XXXtX.
Now wc

discourse on

shall

Fever

treatment of

medical

the (symptoms

(Jwara-Pratishe-

dha). I.
The Divine Dhanvantari, who
of

ambrosia on

his head,

(when

in

his

incarna-

first

Ocean with a pitcher


was churned by the

of the primordial

tion arose out

and)

it

gods and the demons) and who conferred immortality

on Indra and

brother celestials, was

his

gated by his disciples, Sus'ruta and


instructed

"You have

O, you, the foremost of physicians, the

us,

on

subject

thus interro-

others

all

concomitant distressing symptoms

the

Now let us have a general


description
of the concomitant disdetailed
and
outline

(Upadrava) of Ulcer Vrana).

tressing

tions

e.

symptoms, physiological an

g. fever, dysentery,

patient.

An

cough,

etc.

ulcer attended with

pathological condi-

showing

many

in

an

ulcer-

concomitant

Upadrava) may be cured only with the


and such concomitant symptoms
emaciated
an
and weak ulcer-patient,
appearing in

symptom

greatest

difficulty

take time to be subdued

Doshas and Dh^tus.

because of the loss of his

Hence illumine

us fully,

sir,

whole body (and not


on those diseases
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 em])loyed
affecting

in their cure".

the

2.

Description of Jwara : To

the query

of

the disciples, the divine physician, Dhanvantari replied


"First I shall discourse on the nature and
as follows
:

origin of fever for

it

is

the king of

all

bodily

distempcr^i

22

THE SUSHRUTA SAMHITX.

I^O

XXXIX-

[Chap.

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
in as
It

known.

different kinds of animals are well

perhaps an

is

creature can
life,

come

and hence

but a god or

into being

it is

which a

depart from

can

or

called the lord of ailments

man can

presence

Its

condition under

indispensable

and none

Men

bear the heat of fever.

this

ma>'

become gods by virtue of their good deeds (Karma)


life and would again revert to humanity (mortality)
the close of their blissful effects, and

godly element

man

in

that

it

enables

in

at

this divine or

is

him

to

bear this

abnormal heat of fever whereas the lower animals are


simply

lost

under

its

Definition

Fever The

and

3.

Classification

disease which

is

marked by the

by pain

numbness

by increased heat (of the


over the body and by a sense of

in

all

the limbs,

is

Jwara

called

eight types

according

they

as

Cases

(fever).

of fever of which the causes are numerous, are


into

of
arrest

flow of perspiration,

of the
skin),

influence.

are

divided

brought on

through the derangement of the three bodily Doshas

any two of them in combicencerted action, or by any ex-

separately, or through that of

nation or through their

traneous causes.*

When

4-5.

the Doshas of the body are deranged by their

respective aggravating causes


specific

and

in the

hours of their

dominance-f 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 at a

time and one case only from the concerted

These are the seven cases wlule that due


t
the

Kapha
evening.

is

to

aggravated in the morning,

Fever

follows

distinct

action of the

three

an extranfous cause
Pitta, at

periodicity

is

Doshas

the eighth.

noon and Vdyu,


determined

by

in

the

XXXIX.

Chap.

UTTARA-T ANTRA.

I^I

spreading through the whole organism.


bodily Doshas augmented or enraged

aggravating causes, enter into

lodgment

find

inherent

their

deranged

the Rasa

in

heat

their

specific

and soon

(lymph-chyle) by virtue

mixed with

and

by

the Amas'aya

Ushman

The deranged

The

).

Rasa

Doshas

obstruct

carrying and sweat-carrying ducts,

of

thus

Rasa-

the

impair the digestive

and expelthc inherent heat (Ushman) out of its


Takvasaya, and spreading all o\er the body
during the period of their specific dominance, bring on
fever and causes its rise and exhibit their specific colour
fire

seat in the

on the skin,

etc. (of

PathoIOg"y
application

sence

introduction

The

other

7.

improper

and

excessive

any kind of blow, the

etc.,

affection

an existing

puration (of
over-fat'guc,

Sneha,

of

any

of

the patient). 6

boil

in

the

or

ulcer

organism,
in

pre-

sup-

the body),

any process of physical waste, indigestion,


of any extraneous poison or poisonous

matter into the system, infringement of any habitual

and conduct, the sudden change or contrariesmelling of any kind of poisonous

rule of diet

ty of seasons, the

herb or flower,

grief,

the malignant influences of inaus

dynamics

picious stars or planeis (at the time of birth),

time of aggravation of the deranged bodily Doshas ushering in the attack

An

attack of fever due to the deranged

after

night,

dusk

one due

one due

to the

the

to

deranged

Kapha comes on
comes on

Pitta

deranged Vayu comes on

the small hours of the night.

In

case

of

in the

morning

in the

at

afternoon

vated during the specific hours of domination of the stronger


those

peculiar

to

or during

Dvijdoshaja fever {due to the

combined action of the two deranged bodily Doshas) the heal

continues through

each of them.

All

is

aggra-

Dosha and

night

attacks

should be regarded as connected with the action of the deranged Pitta.

a Tri-doshaja case,
strongL-st

Weakest.

one and

Vayu

S'arat (autumn)

is

the
is

heat comes on

or

noon or mid-

with the specific

In

hour of the

abated on the approach of the time peculiar to the

aggravated

and Kapha,

in the

in the

Varsha (rainy) season,

Vasanta

(spring).

Pitta, in the

THE SUSHRUTA SAMHITA.

1/2
of deadly

or charms,

incantations

manas and

cious conduct

breast

of

an attack of

are

causes

the

woman

after
in the

which lead

to

derangement and aggravation


(Doshas)

principles

vital

bodv being the existing


stomachic heat

of

accumulation of the milk

the

fever,

fundamental

of the

on the part

first

delivery)

(after

Brih-

untimely parturition, injudi-

or

life

and the

delivery,

(from

curses

any fancied diead or anxiety,

superiors),

of miscarriage

effects

XXXIX.

[Chap.

origins

the

of

The

of the disease.

propelled by the extremely deranged

is

and aggravated Doshas

body,

the

of

through the wrong channels

and, coursing

the orgainsm, tends to

in

escape through the surface (the skin of the body) and, by

Rasa Dh^tu generally causes


the bodily temperature and puts a stop to

incarcerating

in

rise

the vitiated

perspiration.

9.

Premonitory Symptoms :A
fatigue

or

physical

aversion

languor,

bad taste

work, paleness of complexion,


tearfulness
for

of

the

of the

limbs,

horripilation,

depression

sense

food,

for

of

feeling

and
the

of

darkness

creeping

of

sorts of

the mouth,

yawning,

heaviness

of

all

in

liking

constant

air,

disrelish

and

alternate

eyes,

and

cold

heat,

to

sense

of

cold

dislike

aching
body,
vision,
in

the

body are the general premoi:itory symptoms which


usher in an attack of fever
eyes and

of the

aversion

Constant yawning, burning

monitory symptoms of the


Pitta
all

and Kapha

the symptoms, while,


the

appear.

10.

derangement

respectively.

the three Doshas

of these,

food are the special pre-

to

special

of

V^yu,

The derangement

of

by the presence of all


in the derangement of any two
symptoms of those two Doshas

is

marke:l

Symptoms of Vataja

fever : Shivering,

UTTAKA-TANTRA.

XXXIX.]

Chap.

irregular

dryness of the throat,

of fever,

fits

of the mouth, loss of sleep, stoppage

chedness of the skin, pain


distaste

in

in

and aching pain

of stool

of a

characteristics

the head, chest and limbs,

the deranged Vayii of the body.

Symptoms
fever (hyperpyrexia),
sleep, vomiting,

and

fainting

delirious

consciousness,

pungent taste

of the

urine and

stool,

fever.

but disturbed

the

the

mouth

lips,

swoon

or

body, loss of

mouth, yellowness

the

in

of

talks,

in

symptoms which mark

the

are

fever : High

scanty

diarrhoaa,

burning sensation

fits,

due to the action of

inflamation in the throat,

perspiration,

nostrils,

the

11.

Pittaja

of

hardness)

abdomen) are

the

(in

of fever

case

and

lips

of sneezing, par-

mouth, suppression (D. R.

the

73

and

eyes
the

vertigo

Pittaja type of

2.

Symptoms

Kaphaja fever:

of the

Heaviness of the limbs, shivering, nausea, appearance


of goose-flesh, excessive sleep, obstruction of the internal

passages

of

water-brash,

the

body,

sweet taste in

the body, vomiting,

pain

slight

the

lassitude,

(in

which

disease.

point

the

origin

in

(Aviindica-

of the

13.

Symptoms
fever

Kaphaja

the

to

limbs),
Iieat

mal-assimilation

pdkata), whiteness (glossinss) of the eyes are


tions

the

mouth, slight

Insomnia,

of

the

vertigo,

Tri-doshaja

laboured

or

diflkult

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

riiUghness of the tongue,

the

teeth,

blackness

and

pain in the head, in the joints

THE SUSHRUTA SAMHITA.

174

and

in the bone,

of the

pain

eyes,

inflamation

talks,

of the

dilation

the

channels (of the nose and

sound

mouth),

exhibited
of

all

in

shaja or Sannipataja)

are

action

body

Tri-do-

14.

me about

hear from

forms of this type of fever the symptoms

peculiar

whereof are as follows

Where a slight or imperceptible

or a slightly subnormal tempera-

the bodily heat,

rise of

as

fjecal

concerted

of the

Abhinyasa fever : Now


the

and

urine

symptoms which

a case of fever due to the

the three deranged Doshas

of the

indistinct

of consciousness)

(loss

well as perspiration, scanty emission of

matter at long intervals, are the

delirious

ears,

membranes

of the

mouth, coma

the

in

the

in

living

XXXIX.

and cloudiness

pupil

and ringing
of

[Chap-

ture attended with a subcomatose state, erroneous vision,

of

loss

perspiration

and

food,

to

breathing and

name

Abhinyasa, while

of

Hataujasa

An

confined to

fever.

attack

dulncss

almost

difficulty,

ded with somnolence

The term

than to ^{CT

it is

others

call

in a

known by
a

it

the
of

case

is

fift?^

vitality

be

to

it

Abhitiy^sn,

is

it

of the patient

called

greatly

is

is

16

different

more

hold

Sauuyasa when there

called

is

fever can be cured only

of Sannipataja fever atten-

called

is

an innertness of the limbs.

^'f^g;'

indications

specific

while others

case

Hataujisa when the


diminished and it is

and other con-

15.

incuraSle.

* "rrP!rf'TWtTT?I*T;"

of stool,

complexion,

of

talks

his bed,

of Sannipataja

with the greatest

of the

hardness of the

eyes,

delirious

comitant symptoms are the


patient always

condition

suppression

tearful

urine,

aversion

*,

difficult

cracked

or

dryness of the throat,

tongue,

thorax

injured

voice,

reading in
apjiropriatcly

both grammatically and in sense.

place

of

'

f[T^ T^TW-

applicable

to

flTq?T

UTTARA-TANTRA.

XXXIX.]

Chap.

When
(one

175

a case of SannipAtaja fever), the Ojo-dh^tu

(in

fundamental principles) of the organism

of the

being disturbed or agitated by the

and Vdyu,

deranged and aggrashivering

and

numbness of limbs and makes the patient drop

into

vat'cd

Pitta

of

fits

gives

unconsciousness

rise

whether

asleep

and when there are somnolence


of the

looseness

ripilation,

body) this kind

the

fe\-er

to

limbs and

of fever

awake,

or

delirious talks,

called

is

by the experts.

condi-

17.

Tiie disease, (in such cases) finds aggravation on

day

seventh, the tenth or on the twelfth

"

when

case

18.

Dwandvaja fever
:

which involves, and

fever

of

of

the

the case

takes either a favourable turn or ends in death.

Symptoms

(in

Ojo-nirodhaja

(due to an obstruction or an overwhelmed

tion of the Ojo-dhatu)

hor-

pain

slight

due to the

is

combined action of any two deranged Doshas of the


body,

called

is

Dwaudvaja

classified into three different

fever

and such cases are

types {e.g. Vata-pitta-fever.

and Pitta-s'leshma-fever). Yawning,


abdomen, lo of consciousness, shiver-

Vata-s'leshma-fever
distension of the

pain

ing

in the joints,

emaciation of the body,

thirst,

delirium and heat or increased temperature of the


are the characteristic
to the action of the

pain

food,

to

The

that in
thai in

day.

sense

cold,

\'omiting of

of heaviness

fever in

shivering,

of the limbs, aversion

are

which Vayu predominates gets aggravated on

Pitta

predominates becomes ag^^ravaled

which Kapha predominates comes


According

to

some

Dallana^

to be

authority, however,

Sannydsa types of fever are pacified


respectively.

Kapha,

Aching

and a feeling of general numbness,

which

skin,

of Vata-pitta fever (due

derange! Pitta and Vayu).

cough, the

(Sula),

coryza,

symptoms

on the

on

the

the

7th,

the loth and

aggravated on

the

12th

Abhiny;isa, Hataujasa, and


7th,

loth

and

12th.

day

THE SUSHRUTA

176

symptoms

and

of cold

XXXIX.

Vatta-sleslima-f 3ver (due

to the

aversion

heat,

epileptic

unconsciousness,

fits,

Sensation

to food, numbness, perspivertigo,

cough,

and nausea are the symptoms which charac-

lassitude

terise a case of

Even a small
patient

and Kapha)*
of an

cured

just

regimen of diet and

any of the
types are

21.

indulging

rule of conduct,

five

is

Doshas
still

in injudicious

apt to be augment-

Vayu

of the body,

lodged in

different types of fever

Kapha

five specific locations of

known

to the action

attack of fever but

ed and aggravated by the deranged

and thus begets

19

residue of the deranged bodily

from weakness and

sufferring

(due

Pitta-Biesh'ii?.-ftver

of the deranged Pitta

in a

[Chap

deranged Vayu and Kapha).

of the

action

ration,

of a case of

SAMIIITX.

These

-|".

five

as the Satata, /\nyedyushka, Tritiyaka,

Chaturthaka and the Pralepaka

The

^.

(residue

of the)

deranged Dosha of the body, shifting from one location

Kapha

of

to the next in the

Dallana

in his

course

commentfiry has quoted

wordings the symptoms of these kinds of


lines

have been adopted by Midhava

translated
tion,

would be thus

in

of the

in eight

with different

lines

Dwxndvaja
Nidana

his

day

entire

fever

Th.-;

and these

when

lines

Thirst, unconsciousness, vertigo, burning sensa-

somnolence, pain in the head, dryness of the mouth and of the throat,

vomiting, horripilation, disrelish for food, giddiness, pain in tbe joints, and

yawning
(

f^f'TfT

the

are
) ^'^

symptoms of Vata-pitta-fever.

^'^''

of the limbs, pain in


sensation of heat,

the head,

catarrh, cough,

mouth, somnolence,
and

unconsciousness,

varying sensation

^lesbmapitta-fever
t The five locations
and the

scanty persjiiration, slight

and pulsation not too quick

symptoms of Vaita-s'leslima-fever.

alternate

Sensation of moisture

^^^ body, pain in the joints, excessive sleep, heaviness

of

cough,

of heat

Karha

bitter

and

nor

too
a

taste,

slow,

the

are

coating on

the

disrelish

for

food,

cold

the

symptoms of

are

are the Amas'aya,

thirst,

chest, throat,

head

joints.

t There

is

another kind of Vishama Jwara named Santata (cL S'loka

31 of this Chapter) and


residue of the deranged

Dallana remarks that

Dosha

is

lodged in

all

it

is

begotten

wh-n

the five seats of Kapha.

the

UTTARA-TANTRA.

Chap. XXXIX.]

and night, ultimately

lodgment

finds

(stomach) and

thus brings

(those) fevers.

Of

paka appears
attak

its

the

Amds'aya

the

in

virulent

known

attack
the

as

of

Prale-

of Sosha (consumption) and though

in cases

way

the

on

these the t)^pc

a mild one,

is

diiificultics in

1^7

almost

puts

it

of

insurmountable

about a

cure, brings

its

waste of Dhatus (the seven fundamental

loss or

principles of

the organism) and thus ultimatch- ends in death.

There

Vishama-jwara known as the Viparyyaya


type (reverse of the abo\-e t)'pe) which arc the result
arc

cases of

deranged

of the
located

Kapha

bodil}'

pathic

its

or

specific

an

22

of an\-

foreign

of

to

extraneous fact (cither a

psN'chic condition such as fear, grief,

poisonous matter

alwa)-s involved in

2^,.

Vishama Jvara

hold

be

But whether spontaneously

origin.

not,

of the deranged

seats

and are hard to cure.

authorities

Se\-eral

gcjiois in

Doshas being simultaneously

bodiU-

two or four

in

and

sia'-

idio-

passing

etc.

or the presence

in

the

system)

is

intimatel)' connected with a case

The pre-dominance of the deranged


is
marked in cases of Tritiyaka
and Chaturthaka (quartan coming on every

Vishama

fever.

and aggraxated Va\-u


(tertian)

fourth day)
of an\'
in

fevers.

w ine or ardent

low land

supposed

to

at

of fever due to

case

spirits as well as the

the

involvs

foot

the abuse

one occuring

of a mountain, should be

predominant action of the

deranged and aggravated

Pralepaka
fever is due to the concerted action of the deranged
and aggra\ated Va)'u and Kaplia, o{ which the action
of the
Ca.ses

latter

of

should

Vishama

be
fc\-er

Pitta.

case of

regarded

as

more dominant.

ushered

in

b)'

.should be regarded as the result of the

of

any two deranged Doshas of the body.

The deranged Kapha and

epileptic

fits

concerted action

2425.

\^\\\ of the ])ody,

if lo-

THE SUSIIRUTA

1/8

SAMIIITA.

XXXIX-

[Chap.

cated under the surface of the skin, produce cold (shivering) during the

the deranged

while

istagc of fever,

first

Pitta brings on the characterstic burning sensation at

and Yayu.

certain cases

In

engendered by the deranged

Pitta

the outset,

at

is

cold

by the deranged Kapha

being brought on

(shivering)

burning sensation

the

its

Kapha

of the deranged

latter stage after the subsidence

and Vayu

at the latter stage after the subsidence

deranged

Pitta.

Both these two types

of

of the

fever

are

brought on through the combined action of two deranged

Doshas of the body and of these two, the type \\ hich is


ushered in by a burning sensation in the body is extremely

hard to cure.

from an abnormal
grief, desire, etc.) or

26

hard to cure.

due

to

follows

fever resulting

condition (such

as

any blow or hurt

is

anger,

likewise

28.

Fever of the Vishama

ways and

of continued

case

ps)'chic

t}'pe

attacks a

man

a distinct periodicit)-,

it

in various

being aggra-

vated during the six specific times of dominance of the

deranged

bodily

(Doshas)

principles

before * in the course of

day and

as

fever never finds complete remission,

mentioned

This Vishama

night.

(but

lurks

in

the

deeper organic principles of the body) and produces a


langour and

sense of physical
as well

the

as

characteristic

Vishama-jwara because
founded with
ing

is

its

cure and

due to the

dormant

in

fact

its

heaviness
emaciation.

abatement

that the

fuel,

ter

fire

becomes patent

29.

Sec chai

called

always con-

disease

(fever)

lies

a very small degree in the deeper principles

exciting cause, just as a feeble

cause.

It is

remission, and this confound-

of the vital organism to be patent

supply of

is

of the limbs

XXI.

Sutra-sthan.i.

onl}' at

the slightest

fed with an insufficient

at the

slightest exciting

UTTARA-TANrRA.

XXXIX.]

Chap.

179

Seat of Vishama Jwara: Even


of the deranged

residue

Dosha, lurking

bodily

system after the apparent cure of

regimen of

known

the

Rasa (serum) and blood

Anyedyah

organism

of the

location

coming on every

(tertian-fever

principle of

i*

finds

Meda

(fat),

as

type

is

day) affects

third

the

to

on

brings

It

other diseases and

Several

fatall}'.

the

while the one called Chaiturthaka

very dangerous.

attack of several

while a

the Ti'i-tiyaka

coming on every fourth day)


The
into bones and marrow.

infiltrated

contaminated

the

in

and

affects

((juartan-fever
is

^vhich

case of Siiitata

seat in the vitiated

its

The type known

body.

flesh of the

Vishami Jwara.

(remittent or continuous) fever has

case of

to strict

thus invites a fresh attack *

and

diet,

as

the

in

aggravated by

is

and indifference

a course of injudicious conduct

is

fever,

small

named

last

simultaneous

often

terminates

include cases of fever due

authorities

malignant influence of

within

the

Duration of Vishama Jwara :~The

type

categor\- of

</ fever

Vishama Jwara.

which continues

for

seven,

M ithout any break or remission,


case

of

Satataka fever

is

evil

spirits

30.

is

ten

or

called

characterised

twelve days

Santata.

by two

distinct

day and night. I'^cver


of the Anyedyushka type comes on only once a day
and one of the Tri-tiyaka type comes on every third

aggravations

i. e.

in

course

the

of

on every alternate day, while a case of Chaiturthaka

fever sets in every fourth day.

case

ot

coinmenccmenl
|-

may

fcVcr
of the

Uie

of Charak,

both Santata and

Rasa and blood

lapse iiUo a Visliaiua type even from

Llit

very

aUack.

Vijaya Kakshita,

the authority

jt.

coiuiiienlalor

that

by the

un Madhava Nidana, says, un

term

Santata

are

meant here

Satataka and that they have their origin in the vitiated

resiJcctively.

THE SUSHRUTA SAMHITX.

l80

Influence
J^vara Just
water

Vishama

on

overflown when

is

Doshas are aggravated

bodily

and

ebb-tide,

Doshas

occean

of the

back

rolls

of

the

floods

to

of the body,

former

its

rushes out

of

aggravation

during

skin)

and

into the deeper tissues

during the

period

the deranged

its

lurking

assimilation

perfect

place
the

to

be driven

back

of the

bod)'

abatement, or to

from the

elimination

or

in

32.

any extraneous blow or


of

to

specific

Agantuka Jwara : A
light

comes

principles

vital

during

place

b>'

from the organisim at the completion of

be expelled

system.

only

of their

flow-

at

hours of the specific

the

Doshas,

of the

as

Just

shore

the organism and manifests itself (or

surface of the

their

its

bodily Vayu,

fever.

being augmented

fe\cr

so

by the

kinds

different

to

rise

the water

ill

ocean

the

swollen up by the gusts of wind (Vdyu), so the

is

and give
tide

Vayu

of
as

XXXlX-

[Chap.

injury

should

be treated

and aggravation or

periodicity

its

case of fever due to


in

in

the

other

words the nature of the deranged bodily Doshas underlying, or involved in such a

from the periodicity of

due to the
as

effects of

its

case

should

aggravation.

poison

is

be ascertained

case of fever

marked by such symptoms,

blackness of the face, burning sensation,

catching pain
food,

thirst,

in

region

the

pollens

Hay

fever

of
is

and sneezing.
gratified

case of fever caused by

any kind of

marked by

case

strong smelling

fainting

of fever

fits,

passion

a distracted state oi

is

llic

pain

in

incidental

amorous longing of the

such ardent

diarrhoea,

aversion

heart,

piercing pain in the limbs, epileptic

extreme weakness.
the

of the

heart, or

characterised

fits

to

and

smelling

herbs
the

to

an

as

head
un-

due to any

by aberration or

mind, drowsiness, languidness.

UTTARA-TAiSTRA.

Chap. XXXIX.]

aversion

pain

food,

to

the

at

l8r

and a

region

cardiac

speedy emaciation of the body.

Delirium marks a case

of fever due to

and shivering charac-

one due to a

terises

ushurcd

curse, or

through the dynamics of deadly

case due

to

the

malignant influence of

The

bodily

fatigue, physical

Vayu deranged

and

another kind of fever which

cause or which

results

is

from

due

symptoms

There

fever.

to an\'

extraneous

It

exhibits

all

the

characteristic of each of the deranged bodily

Doshas involved therein *

Gambhira
case of

b\'

acute stage of any

the

other disease attendant on the body.

35^-36-

fever and

Gambhira

fever

is

complained of

in

the

its

prognosis

characterised by

of internal burning sensation in

stool,

aggravated

waste or by a blow spreads through the

organism and begets (traumatic)

entire

e\-il

3334.

genii.

is

in

Anxiety, laughter, shivering and weeping

incantations.

mark

Thirst and fainting

of anger.

fit

concomitants of a case of fever due to any

are the

fits

grief or terror

feeling

body (which

the

is

not

suppression of the

surface), thirst,

laboured or painful breathing and cough.

Paleness

of the complexion, dulness of the sense-organs, emaciation cf the body, depression of the

of supervening .symptoms
etc.) in

cases of both

"Abhichar,'

(e. g.

mind

hard

-f*

Gambhira (inward

niuans incantations or Atharvan

and presence

breathing, cough,

rites

(jr

liy

latent)

and

which disease,

death and any other injuries arc brought about.

"Abhis'apa"

means

the

curse

pronounced by Brahmins,

preceptors,

seniors and alters possesed of puissance.


t

Dallana says

lines after

this.

in his

commentary

He, however,

does

further adds that Jejjata does not

translating those lines.

that

nol

some read a few


comment on those

read them.

So wc,

too,

ailditiona!
lines

refrain

and
from

the SUSHRUTA SAMHITX

t82

XXXIX

[Chap.

Tikshna (high) fever are the indications which point to


the hopeless nature of the case, ly

38.

middling or excessively aggravated condi-

slightly,

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

one immediately preceding

cure than the

difficult to
in

it

order of

enumeration. Thus we have done with the description of


(the nature, causes

of fever.

We

and symptcms

shall

now

the different types

of)

deal with the remedial measures

or therapeutic agents to be

employed

Treatment : Draughts

of

in

these cases.

39.

(matured

filtered

but non-medicated) clarified butter should be given as

soon as the premonitory symptoms would

appearance and the patient would get


This

is

only

applicable

fever while purgatives


of the Pittaja

in

case of the

doshaja and Tri-doshaja

in

be adopted

Vataja type of

in a case of

fevers, the

a case

in

the
of

In cases

KapDwi-

foregoing measures

according to the

Doshas involved

In the cases in wh'ch emulsive

each case.

their

thereby.

should be administered

and mild emetics,

haja type under similar conditions.


should

make

relief

measures

(Sneha-Karma) and exhibition of purgatives and emetics


are forbidden,

would tend

to

(Langhana)

etc.

Fasting"
stages

of fever

employed

such measures should be


lighten

the

system

such

as

as

fasting,

the

actual

40.
:

The
are

of

premonitory
various

and

forms

like

those

of

fire and its fume.


Fasting is pre-eminently the best
remedy as soon as the characteristic symptoms of the
disease make their appearance distinctly and vomiting is most efficacious in a case marked by the
presence of the deranged bodily Dosha in the Amas'aya

(stomach) and attended with nausea,

thirst,

water-brash.

UTTARA-TANTRA.

XXXIX.]

Chap.

183

Fasting should be continued as long as the least quantity

Dosha

of the deranged
in

Doshas would

or

remain intact

organism, and light food should then

the

with discretion after the Doshas ha\e been


lated in (to) the s}-smtcm.

be given
assimi-

full}-

41.

Prohibition of Fasting : Fasting


hibited

the

in

bod}'

or

incidental

V^yu

bodil}'

to

mind

serious state of the

consequence

in

(c. g.

sthana).

n Di\ i-\rana (Chapter

etc,)

been forbidden
I,

Chikitsa-

25

42.

Effect of
of a patient

in

deranged and
lead

dull,

any

of

anger, grief,

lust,

as well as in cases in which fasting has


<

pro-

the action of the deranged

appearing

or

as in the chapter

is

of fe\'er due to a wasting process in

case

Doshas

an

to

and

Fasting : Fasting

assimilation

kindles

the

of the

for food.

case

have been
has become

deranged

the

of

digestixe

of fever, lightness

remission

the

in

whom the bodily Doshas


of whom the digestive fire

produces

fire,

body and

relish

43.

Satisfactory and excessive fasting Easy and natural passing of Yayu and stool
:

and

intolerable keenness

urine,

lightness

body,

of the

of thirst

sprightl}', action

and appetite,
of the

mind

and the sense-organs and a weakness of the bod}' are


^\hich spring from Satifact' ry fasting
results
the
;

symptoms

while such
ness

(of

fatigue

as

mouth),

the

loss

of strength,

insomnia,

fasting.

of

(as diffi-

mark an excessive

4445-

Tepid water
and

dry-

doziness,

vertigo,

and such other super\-ening s}'mptoms

cult breathing, cough, fc\cr, hic-cup)

ing

thirst,

it

tends

Kapha and

to

restores

-Tepid (boiled) water


disintegrate

the

the

is

appetis-

accumulation

deranged bodily Fitta and

THE SUSIIRUTA SAMHITX.

184

Vayu

to

normal

their

water which allays


of fever due

Kapha and Vayu,

tends to cleanse the internal

it

and

just the reverse

is

potion

inherent

its

46

consisting

water

of

admixture of the following

ith the

in cases

deranged bodily

of the

cold tends to aggravate fever.

Pcya

tepid

bodily

water

effect of cold

of

highly efificacious

is

actions

as

use

body and helps in the easy movement


Doshas in the organism. The

passages of the
of the deranged

thirst

the

to

The

condition.

XXXIX.

[Chap.

boiled

drugs

bitter

viz.

Gdngeva (Musta\

Ndgara,

(Balaka) and

sandal-wood should be given, when

red

Pdrpata,

Us'ira,

Udichya

cooled, for drinking in a case of Pittaja fever, as well as in

one due to the

effect of

any liquor or poison

prepared with digestive drugs should


patient

when

which

drugs,

taste in the

as

in

much

and febrifugal

light

appetising,

digestive

hungr)-

as

seventh day in a

for fever,

case

a plethora of deranged

use

of

Dosha

case

remove

relish

for

bad
food

should be given after the

Dosha

in

the

would not

sy.stem,

of

fasting

Yava'gU and where the

decoction of PancJia-mula
in

digestive,

is

of fever which, in consequence of

power of the patient has been impaired.

it

thirst,

abate even after the obser\-ance

subsequent

Peya

Tasteful decoctions of

alleviate

mouth, bring about a fresh

and prove remedial

*.

be gi\-en to the

of Vataja

47

and the
digestive

49.

assimilates the bodily

while a decoction of

fever,

Musta, Katuka and Indra-yava mixed with hone\' (when


of Pittaja fe\^er, and a
component drugs of the Pippalyddi

cold) proves curative in a case

decoction

of the

group helps the assimilation

Dosha
"

may

in

a case

of

Kaphaja

According to different authoii


also be given in such cases.

ies

of

the deranged

fe\er.

bodily

Decoctions remc-

purely boiled water,

when

cooled,

UTTARA-TANTRA.

XXXIX.]

Chap.

dial to

each of the deranged

administered

concerted

the

to

body.

of the

of

decoction

of fever due
any two deranged Doshas
in

should

patient

afflicted

with

Symptoms
ment

of

be given to

not

50,

Pakva-jwara : Abate-

of

bodily

the

an easy passing of

fasting,

extreme weak-

thirst,

emaciation and indigestion.

ness,

case

immediately after eating, drinking or

a patient

nor to

action

Doshas should be

bodily'

combination

in

185

heat,

stool

of the

lightness

body and

and urine are the indications

from which the assimilation of the deranged bodily

Doshas should be presumed, and


fuges should be administered

it

then

is

that

febri-

according to the nature

deranged bodily Doshas underlying the case

of the

under treatment

Some, however,

"*.

believe that

the

assimilation of the deranged Doshas should be presumed

from the changes


Doshas.

in

the s\'mptoms characteristic of the

51.

Symptoms of Ama-jwara
sensation

the

in

region

of the

: A

crushing

heart, drowsiness, sali-

vation, aversion to food, non-assimilation of the derang-

bodily

ed

Doshas,

suppression

of

stool

copious discharge of urine, laziness, sense


the abdomen,

in

stool,

ness

of the

limbs,

of

somnolence, heaviness and numbdulness of appetite, bad taste in the


ph)-sical

virulence and continuity of the

mal

rise in

the

Some

languor

and increased

attack

of fe\-er (abnor-

bodily temperature) are

by which a learned physician

should

read these two lines in a different way.

the non-assimilation

of heaviness

stoppage of perspiration, undigested

dissatisfaction,

mouth, a sense

(and wind),

the .symptoms
ascertain

the

They would mean

that

(A'ma) of the deranged Doshas would he presumed

by the presence of high

fever, heaviness

excreta (Mala), and the reverse

is

of the body and stoppage of the

the sign of their assimilation (I'dka).

24

THE SUSHRUTA SAMHITA.

l86

[Chap.

XXXIX.

undigested state of the deranged bodily Doshas ushering


in

an attack of

Time

fever.

52.

for administering Febrifuge:

According to several authorities, medicines (febrifuges)


be given

should

of fever after the seventh,

case

in

or according to others after the

Febrifuges

may

Pittaja fever, or in

Doshas being

is

digested

sure to

of

case

An

earlier.

an

produce a

fever

administration

undigested

stage

with

Dosha) helps

undigested
(fever)

The spontaneous motions


of a patient sufifering
unless

Vishama

into

of

the

bowels

they are excessive,

Preliminary
should

purgative

fever

are

if

be
the

accumulated

>vhen the

should

case

Malas

digested
in

the

suitable

case of

(frecal

matter

in

internal passages of the

much

in

the organism in

undigested

as

even

be

55.

Treatment: A
administered

Koshtha (abdomen),
that

(Mala)

from fever should not be stopped

medically treated as one of Atisdra (Diarrhea).

etc.)

of the

5354-

type.

acute

of

recrudescence of the disease.

disease

of the

lapse

the

the cases

purifying and soothing (Samaniya) remedies

Corrective,
(in

in

event of the deranged bodily

the

of (febrifugal) medicine in
fever

tenth day of the attack.

be administered earlier

as their presence in

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,

Siro-virechana

Emetics, Asthapana-enemas,

purgatives,

and errhines should be successfully em-

ployed for the purpose.

Emitics 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 purgatives should be given

in a case of

Chap.

fever

ed

event of there

being laxity of the

the

in

Nirudha-vasti should be applied

(intestines).

a case of Vataja fever attended

with aching pain

bowels), whereas

Anuvasana-vasti should be

with a strong appetite,

a patient

cribed for

regions of the back

in the

and the

pres-

be

there

if

waist.

Siro-

virechaiia (head-purgative) should be adiministered

marked by

cases

Kapha

in

and with Udavarta (obstinate constipation of

the limbs

pain

8/

action of the derang-

Pitta

the

marked by the predominant

bowels
in

UTTAKA-TAKTRA.

XXXIX.]

the

in

the

head,

accumulation
as

the

deranged

of the

pain in and

in

heaviness of

the head would be relieved, and the sense-organs roused

up thereb\'

to their

normal functions.

56-A.

composed of Deva-ddru, Vacha, Kushthd,


Hiiigii and SaUidhava pasted together with

plaster

S'atd/ivd,

Kdiijika should
in a case

be applied lukewarm to the abdomen

of fever

attended with painful tympanites

if

the patient be weak, whereas a medicated plug (Varti)

prepared

with the above drugs should

the anus in a case marked by

the

the bodily

Vayu

and

and Yava^U prepared with

urine,

PippalL
patient

attended with

Vanidni and
as a potion,

bodily Va)'u

it

be applied into

upward coursing of
suppression of stool
Pippali,

Chavya should be given

Administration of Ghrita: -The

and

the

Dosha having lurked

in

residue

the s)-.stem

even after the exhibition of proper emetics

purgatives,

the

fever

should

be

draughts of medicated clarified butter,


the patient be sufficiently dry (Ruksha).

A weak

to

being remedial for the deranged

56.

of the deranged bodily


(of a patient)

roots of

patient

with only a small

remedied
if

by

the system of

57.

quantity of the

deranged bodily Dosha should be treated with the help


of .soothing (Samaniya) remedies.
Fasting" should be

THE SUSIIRUTA SAMHITA.

88

pana) over-eating

provided the patient be found to

etc.,

possess sufficient strength.

Diet

'Diluted

mixed
in

58.

gruel (Yavagu) should be

barley

constantly feeling thirsty and with

given to a patient

impaired

Powdered parched corn (paddy)


honey and water should be given

digestion.

with

copious quantity

to

and

after-effect of liquor,

it

duly digested, by meals of

should be given to a

it

as

and meat-soup,
mixed with meat-soup

rice-soup

from

patient suffering

should

in

of

mild

of the bodily

The

physical labour.

In

pulse.

diet

of boiled

consist

case of Pittaja fever

and a soup of Miidga

of boiled rice

consist

an attack

type * of fever due to

Kaphaja fever should

and of Mtidga

rice

when

rice

over-fatiguing

or

case

in

well

as

fasting

thirst,

marked by the preponderance

of fever

Vayu,

with vomiting,

should be followed,

afflicted

diet consisting of boiled

from the

patient suffering

burning or perspiration and

XKXIX

types of fever due to (Santar-

principal cure for all

the

[Chap.

when cold, with the admixture of


marked by the concerted action of the

pulse and be taken,


In a case

sugar.

deranged V^yu and

Mudga soup mixed


laka
the

or
diet

the

In

be

case

prescribed

soup of tender radish, while


type

it

should consist of

diet

of)

Ama-

of Vata-s'leshmA

fever

with (the expressed juice

Dddima.
should

Pitta,

to
in

be taken with the

one of Kapha-pitta

should consist of the soup of the leaves of Niniba

and Patola.

59

60.

Laja-tarpaua

powdered parched corn (paddy) mixed

with a copious quantity of water and with


sugar)
*

should be

This passage

is

instead of

given,

honey (and

any other

diet (e.g

quoted by S'reekantha Datta in his commentary

on Chakra-datta wherein he does not read


ing appears to be the belter one,

it

^t%

(mild type), and his read-

being supported by Charaka as well.

Chap.

UTTAKA-T ANTRA.

XXXIX.]

boiled

suffering from

to a patient

rice)

89

marked

fever

by burning sensation, vomiting, thirst and weakness.


Yavdgu is not beneficial in summer as a diet in
a case of Kapha-pittaja fever or

(Hemoptysis

Such a case should be


61

juice.

drunkard.

62.

mixed with any old wine would


of (fever accompained by) a
Takra (butter-milk or whey)
appetite.

Prepared

barley

prove beneficial
of

dullness

habitual

with the soup of any

treated

meat of Jdngala animal with or without

pulse or of the

any acid

a case of Rakta-pitta

in

of a

case

or in the

?)

in cases

mixed with the powdered Tri-katu should be given

in

case of disrelish for food due to the action of the derang-

ed Kapha.

IVIilk

advantage

63-A.

as a diet : Milk may

be given with

in a case of chronic or lingering

fever

mark-

ed by the scanty presence of the deranged bodily Dosha


in the system,

depression

by emaciation

as

well as

of the frame

a case

in

by dryness of the organism

accompained

emission or otherwise of the deranged


of fever

well as in a case

sensation.

But

acute stage

is

A
as,

highly

injiu'ious.

in all cases of fever,

otherwise by a heavy diet,

even
since

if

the want of food

of the body, and

food which

is

it,

is

may

case

in

aggravated.

it is

in a

proper

aversion to

it

time or when the

by the waste

to be followed

effect

case of fever

positive

bring about death

its

its

weak person should be


when its intensity abates,

at the proper

sure

burning

of fe\er in

Jieavy of digestion

Kapha-producing)

thirst or

C^l.

show a

the patient would

and non-

bodily Doshas as

b)-

should be given

diet

.system craves for

in

light diet for

and wholesome

'

marked

milk taken

spare and

observed

and by mental

of Vata-pittaja fever

in

(Guru),

should

the end.
oi-

by

sccretin<T

no means

190

SUSUKUTA SAMlllTA.

Till-:

XXXIX.

[Chap.

be taken nor should food be taken at an improper time,


since

such a food which

not

is

beneficial,

conducive to longevity nor to happiness

64

fever).

neither

case of

66.
(such

light diet

be given

(in

is

as

milk or essence of meat)

may

and with advantage

to a

copious quantity

in

patient emaciated through a long and protracted

Vishama

of Satataka or

Mudga,

as

Masura,

Maktishtaka,
to the
IVI

Bna,

be given with benefit as diet

accustomed

The

meat

S'nrabha,

Prishata,

may

of such pulses

Chanaka (gram), Kulattha and

hungry patient suffering from

cat -diet

Mriga-mdtrikd
(hare)

may

etc.

The soup

fever.

attack

6^.

Ldva, Kapinjala,

Kuranga,

Kdla-puchchha,

kinds

(different

fever.

of

of

S'asa

or

deer)

be prescribed as diet for a fever-patient


to

the

animal food

of

use

Several

*.

however, i* do not recommend the use


meat of Sdrasa, Krotmcha, Mayma (peacock),
Kukkiita (cock) and of Tittira in cases of fever, owing
authorities,

of the

to

its

heaviness (as regards digestion), as well as

heat-making potency. (We,


with a certain limitation)

The

case of fever in

use

of the

moderate quantitiy and

provided the fever

is

marked by

the deranged bodily Vayu.

in

of

at proper time

preponderance of

67.

Prohibitions in fever : A
should

its

flesh

be recommended

may, however,

these animals

to

too, subscribe to this opinion

fever-patient

forego baths, washing (Parisheka), plunge-bath

(Avagaha. D. R. Pradeha

plaster),

sive potions, day-sleep, physical

anointments, emul-

exercise,

sexual

inter-

course and any cold articles or any emetic or purgative


*

According

to

Charaka, the meat-soup,

with or without the addition of an acid juice


t

Charaka

also holds the

same opinion

in cases oi fever,
(e.g.

may

be given

Dadima, A'mlaki,

as Sus'ruta.

etc

XXKIX]

Caap.

medicine

UTTARA-TAXTRA.
time even after his recovery)

(for a

restored to his

Any

wonted strength and


preceding

of the

prejudicial

he

till

vigour. *

91
is

68.

done

acts

in

weak state of health, closely following a recovery from


fever

may

on a relapse which

bring

sumes the body


These

tree.

of the

body have returned

to

is

usher

to

likeU'

and hence the patient

when he

An

stool.

sits

69

emetic

fever

the

in

case

his

food

even

support-

(Sodhana) remedy
subsidence

the

after

where the continuance of a

due of the deranged Doshas

in

of
resi-

organism would

the

from such symptoms as aversion to

be apprehended

food, weariness of the

evacuations,

be

fit

passing urine or

or

purgative

or

in cases

an attack of fainting

in

such cases should

in

taking

should be resorted to

its

normal condition

their

fulh' regained.

is

very small amount of physical exertion,

of fever,

ed

the fundamental Principles

till

and the health and strength

con-

sapless

should be strictly followed

rules, therefore,

recovery from fever

after

invariably

dried and

does a

just as fire

etc.

discoloration of the body,

limbs,

fever-patient emaciated through

prolonged suffering should not be largely fed at a time


(D. R. should not

have a bath) and

patient recruits his strength in as


to a fresh attack of the disease.

All

peutic

cases

of fever

pathogenic

principal

Additional text : A

forego also

tlic

gfi'^fj

etc.

in

70

as

it

i.e.

until the

might lead

72.

or

exciting

causes

patient

suffering

The

factors.

should

a case of fever due to

of astringent, heavy

use

be

first

bodily

from acute fever should

and dry food as well as

fatty

In short he should also discourage mental emotions of

and secreting food.

^"gC)

the

cause

removed and remedied

haste

be remedied with thera-

should

agents antidotal to

in

much

as

well

evidently Dallana's reading.

as

the use of

newly collected corns.

This

is

THE SUSHRUTA

193

An

exhaustion, waste or hurt.

accumulation of milk

spontaneous

by an experienced

treated

the deranged

Now we

therein.

of (peurperal)

Dosha-subduing tSams'amana) remedies

physician with
to

attack

Dosha

bodily

with

deal

shall

the

Dosha-subduing (Sams'amana) decoctions

employed

advantageously

be

XXXIX.

the breast of the mother after

in

delivery, should be medically

according

[Chap.

miscarriage or to the

to

fever incidental

SAMIIITA.

in

involved
recipes

may

which

types

all

of

of

fever.

7374-

Sams'amana decoctions
J'wara: A

decoction

Sdrivd, Drdkshd,

duly

for Vata-

prepared of Pippali,

S'atapushpd and

Harcnu should be

given with the admixture of treacle in a case of Vdtaja


fever or a

the

cold infusion

of

Guduchi should be taken by

Similarly a decoction of Vald, Darbha and

patient.

S'wa-danshtyd boiled

down

to

quarter part

of the

original quantity of water and mixed with sugar and

or a decoction o{

rified

butter

tha,

Dcvaddru,

JZ/^j'/rt

S atapnshpd,

cla-

Vackd, KusJi-

Harcimkd, Kiistiimburu Nalada and


mixed with sugar and honey should be given to a

patient in a case of Vataja fever.


shd, Guduchi, Kds'marya,

with treacle should be prescribed


fever,

with

an

decoction of Drdk-

Trdyamdnd and Sdrivd mixed


in

case

of Vdtaja

potion of the expressed juice of Gtiduchi mixed


equal

quantity

of that

of

S'atdvari

and

with treacle proves almost instantaneously efficacious


in

case of fever

of the

same

X According to Dallana the cold

infusion

given in a case of Vataja fever involving the

Rubbing of the

type.

Guduchi

of

should

be

action of vitiated Pitta also

whereas the decoction duly prepared of Guduchi should be prescribed


if,

in

infusion

case of Vataja-fever, the vitiated


is

Kapha

is

also involved.

Cold

prepared by keeping over-night a quantity of the drugs immer-

sed in hot water.

The

infusion thus prepared

is

used in the morning.

UTTARA-TANTKA.

XXXIX.

Cliai'.

body

\\ith

c'.arified

butter

as

p'astcr

should

also

and

(Sveda)

I93

well

Samsamana decoctions

red sandal wood,

decoction of S'ripanii,

Vs'ira,

parusJiaka and MadJuika (Moul)

boiled

and mixed with a proportionate

sugar (when

under

75 S[.
for Pittaja

certain conditions in the present disease.

Jwara A

fomentation

as

be prescribed

duly

flowers

quantity of

decoction of the drugs of the

cold), or a

SdiTvddi group duly mixed with sugar, or a decoction

and

of the drugs of the P^cr/^?.'// group


or a

cold infusion

mixed w

sugar would cure a

ith

similar

preparation

Sdrivd and

would proxe

astringent

Yashti-madhii,'^^

same group

the

case

of Pittaja fever.

Padniaka, Rodhra,

when

taken,

with sugar

cold,

beneficial in cases of Pittaja fever.

Drdkshd

of
of

or

and

drugs

the

82-84.

Aragvadha, or of

of

sweet,

and

thirst

the

or

bitter

groups mixed with sugar and used,

would alleviate

cold,

of

of Gudiichi,

rtpala

decoction

Kds'marya,

drugs

the

ot

severe

when

burning

body (in a case of Pittaja fever). The


contents of the stomach should be vomited out by
water saturated with honey
large draughts of cold
thirst
(in
a
case
of Pittaja fever) would be
whereby
sensation of the

alleviated.

Milk duly cooked

with

the decoction

barks or twigs) of the Kshiri-Vriksha


or

trees),

ing

Chandana

with

drugs should

externally)

as

burning in a case

be used

of

Yaihli-madhu
in

sliould

l)e

is

preparation

cold

an

Pittaja fe\

Draughts of water

Hence

for

relief

or

^\ith

comprised
of this

in

with

an\' other

(both

intcrnall\-

85

ihe

and
of

87.

Padmaka,

decoction,

cool-

sensation

internal
er.

(of

(milk-exuding

Yashti-madhu,

drugs of the

two parts

U'palddi group.
of

Ynshti-madhn

taken.

25

THE SUSIIRUTA SAMHITX.

194

Drdkshd, Paundarlka
barley, Us'ira,

(white

Utpala,

lily),

Samangd and Kds'fnari

XXXIX.

[Chap.

fruit

parched

steeped there-

and kept overnight and then mixed and


taken with honey (in the morning) would give relief
in

and

stirred

from fever and burning sensation and

plaster of the

same drugs should be applied over the scalp in a case


of fever accompained by dryness of the tongue, the
palate, the throat and of the Kloma.
Pastes of the
polens or filaments (Kes'ara) of Mdtulunga mixed with
honey and Saindhava salt, or of Dddima mixed with
Drdkshd and Kharjura (date) as well as
sugar,
gargles prepared from these drugs

mouth with

the

in

a view to

be retained

should

removing

bad

its

taste.

8889.

Sams'amana decoctions for KaphaJa Jwara A decoction oi Saptachchhada, Giidu:

cJii,

Nimba and Sphurjaka mixed with honey,

katii,

Ndga-Kcs'ara, Haridj'd, KaturoJimi

yava, or of C/iitraka, Haridfd, Nimba,

Vacha, Kushtha,

Indra-yava,

or of Tri-

and

Indra-

Us'ira, Ativishd,

Murvd and

Patola mixed

with honey and pulverised Maridia (black pepper) should

be given
Sdrivd,

in a

Kaphaja fever. A decoction of


Kushtha, Puru (Guggulu), Durdlabhd

case of

Ativishd,

and Musta, or of Musta, Vrikshaka-seeds (Indra-yava),


Triphald, Katurohini and Parushaka will be found to
be equally efficacious in the case of Kaphaja fever.

9394.

Treatment of Kapha-Vataja J wara:


A

decoction of the

component members of the Rajawith honey and taken in due

vrikshddi group mixed


course,

would readily prove curative

due

the concerted

to

action

of

in a case of fever

Vata and Kapha. The

exhibition of the decoction oi Ndgara, Dhanydka, Bhdrgi,

Abhayd, Devaddru

Vachd, Parpataka, Musta, Bhutika,

UTTARA-TANTRA.

Chap. XXXIX.]

I95

and KatpJiala mixed with honey and Hingn (asafcetida)

would be attended by almost instantaneous

accompanied with

the present type

of fever

cough, asthma,

constriction

swelling in the throat


at the sides. 95

of the

benefit

throat,

and aching pain

hic-cough,

at the chest

and

-96.

Pitta-S'Ieshmaja Jwara : A
dul}-

in

bronchitis.

decoction

prepared with Eld, Patola, Tri-pJiald, Yashtydhva,

and

(Vasaka) and mixed with honey, or one

VrisJia

oi Katuka, Vijayd, {Haritaki), Drdkslid,

pataka,

Bhdrgi,

of

or

Musta and Par-

Parpataka, Dhanydka,

VacJia,

Hingn, Abhayd, Ghana, Ndgai a and Kds'^narya mixed


with honey would prove efficacious

in

case

of fever

due to the combined action of the deranged Pitta and


Sleshma.

Similarly

Katiika and

sugar

two Tola-measure
dissolved

in

powdered

of

warm water

curative equally in a case of the present type.

A
laki

S'atJii

100.

of Bhu-ni?nba, Gndiichi, Drdkshd, Afna-

decoction

and

proves

97

mixed with

or of Rdsnd, VrisJia

treacle,

(Vasaka), Tri-phald and

fruits

curative in a case of

due to the combined action

fe\ cr

of Rdja-vriksJia

of the deranged Vaiyu and Pitta

and

Drugs

loi

therapeutic agents

of the specific deranged Doshas

proves

102.
remedial

involved

in

to

each

case

of

the Tri-doshaja type should be employed in combination


for

according

cure

Dosha.
(white

to

potion of milk

Punarnav^),

the

predominance

each

VarshdbJiu (red Punarnavji), Vilva-

and water, but from which the water has


ated would prove curative

and marrow of a

of

duly boiled with Vris'chika

in

entire!)-

Tri-doshaja fever.

S'irisha tree

duly mixed

e\apor-

The

witli

pith

milk

(wcighing 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

THE SUSHRUTA SAMHITX.

ig6

would prove curative

as a drink

in

[Chap.

XXXIX.

Tri-doshaja fever.

potion of the decoction* duly prepared with the roots of

Murvd and Dcvaddru

Vctasa (cane) and

and of

A^a^n

would prove remedial

to

form of

this

mixed with the decoction

fied butter

from an

be given to a patient suffering


doshaja fever.

103

fever,

Clari-

of Tri-phald should

attack of Tri-

106.

Two-Tola-measure of powdered Auantd (Duralabhd),


Vdlaka, Musta,

S'untJii

with (one Pala

of) tepid

before sun-rise

in

good

and Katuka should be given

water with benefit to a patient

Tridoshaja fever. Moreover,

Any

appetiser.

it

acts as a

one or two of the (groups of the)


can

drugs of the purgative or appetising

properties

be employed with

(chronic) fever.

of

benefit in a case

A lambative composed of u-lhJiajd pasted together with


honey and mixed with oil and clarified butter should be
licked by the patient in a case of Tri-doshaja fever.
Trivrit with
10/

honey would pacify a case of high

treatment

lYIedfcal

Jwara Purgatives
:

in a case of

(chapter

XIV

with the
used

in

the medicated clarified

treatment of

Chikitsa-sth^na), or pulverised
of treacle

under

type

may

discussion.

case so require.

to the rules of

Plihodara
Tri-phald

be advantageously
decoction of

The decoction should be prepared with water only

and water according

under the

addition
the

Vishama-

of

and emetics should be exhibited

Vishama Jwara and

described

butter

fever.

109.

Kshira-paka,

if

or

with

milk

the exigencies of the

Dallana.

Additional text

potion

of

the

decoction

of

Haridrd,

Bhaiha-vimta, Tri-phald, Ka/itka, Niiiiba, Patola, Droada! ni and Kania-

^aV? would cure a case of Tri-doshaja fever with indigestion, water-brash,


dropsy, cough and disrelish for food.
X.

Dallana includes

According to Dallnaa the decoction of Tri-phala' should be used*

this line also in the additional

te.xf.


XXXIX.

Chap.

UTTAKA-TANTRA.

Ximba* and

GudiicJii,

may

Dhcitri duly

be likewise prescribed

fever).

The

Las'una

(garlic)

tions

made

The

.Madhiika, Patola,

\-iz

Batsakd) and Haritaki

wise administered.

potion

lo

-i t

to take

three decoc-

duly prepared with three, four or

taka (D. R.

hone}-,

of Ch^turthaka

be likewise

with clarified butter.

following drugs,

mixed with

(in a case

should

patient

t97

the

of

all

Miis-

Katiika,

should be like-

-f-

i.

of milk, clarified butter, sugar,

consisting

honey and Pippali should be administered according


Similarly Pippali should

to the strength of the patient.

be taken with the decoction of Das'a-mula.

Bardhamana

who should
meat-soup. The use

be likewise used by a patient


to take only

milk or

with the meat of fowl

also

is

J wara : Clarified

with the decoction


fkald,

with

be

to

jwara

cooked with the


Pippali,

made

of good

wine

in

12

cases of

Ativishd,

highly

potion

Kalka

cooked

butter duly

AgnimaiitJia and

''^

milk-curd (Dadhi), with Tilvaka

would be found

Vishama

Kola,

of

then be

recommended.

Use of medicated Ghrita

Vishama

Pippali-

chapter V, Chikitsita-sthAna) should

(sec

of

as

Tri-

Kalka

efficacious in a case of
clarified

(and decoction

Drdkshd, Sdrivd,

butter duly

Dallana)

Vilva,

of

CJiandana

(red), Katiika,

Indra-yava, Usira, Sim/ii, Tdmalaki, Musta,

Trdyamdnd,

St/iird

('SAla-parni),

A'mlaki, S'linthi and

Chitraka would be found highly beneficial lo irregular


(Vishama) appetite and would cure cases of chronic
'*

Chakraflatta reads "Alusta" in place oi "Nituba".

t Dallana

says

decoction of the

that

some commentators

16 different

are

combinations of the

inclined

five

to

use the

drugs taken three,

four or five at a time.

(25)

Kola

is

here used for Pancha-kola, vi/

Ckanya, Chitraka and N'a'gara.

Pippali, Pippali-rools,


THE SUSHRUTA

198

and pain

Udara

Gulma,

headache,

fever,

consumption,

SAMIIITA.

burning

cougli,

T13

at the sides.

clarified

the

in

body

114
use of a

medi-

butter duly cooked ^vith the decoction of

Vdsd

Tri-phald,

GuducJii,

Halimaka,

(ascites),

sensation

GudUChyadi Ghrita : The


cated

XXXIX.

[Chap.

Trdyamdnd

R. Rdsiid),

{D.

and Diirdlabhd together with the Kalka of Drdkshd,


MdgadJiikd, (Pippali), AmhJioda (Musta), Ndgara, Utpala

and CJiandmia would be attended

asthma, cough and

cases of consumption,

(chronic

headache, pain

any

fever)

in

jirna-Jwara

at the sides, cough,

chronic fever,

of

and of consumption

wasting disease of the body attended with

would readily yield

medicated

to the

Trydnti, Nmiba,

GoksJuira,

and prepared

Vald^

Parpataka,

Yavdsaka and with the Kalka

Tdmalaki, Bhdrgi, Medd,

of S'athi,

efficacy of

Kalas'i (Piis'ni-parni), VriJiati,

of

Mtista, S' dla-parni and

curative

duly cooked

butter

clarified

with the decoction

Drdkshd,

results

115.

fe\"er).

Kalasyadi Ghrita : Cases


(lit.

good

b}-

Kataka

(D. R.

iAmalaka) and PiisJikani-roots and with milk twice as

much

as the clarified butter.

PatOladi

cooked with the Kalka


(Nimba),

116.

Ghrita : Clarified
of

duly

butter

Patola, Parpata,

ArisJita

Triphald, Bn's/ia, Katuka, Arnbnda

GiiducJiiy

Yavdsa,

(Musta), BJiiHihnba,

Ddfvi, Indra-yava, Us'ira,

C/iandana,

YasJiti-7nadhu,

Trdyamdnd^ Kand and Utpala

and with the expressed juice of DJidtri, BJiringa-rdja,


(Satavari)
and KAka-mdcJii
readily
proves

Abliini

curative

in

Sukra and

cases

of

x-Xrjuna

Apachi

Kushtha,

(scrofula),

diseases of the mouth, ears, nose

and the

eyes.

Kalyanaka Ghrita : Clarified


cooked

\\ith

the

fever,

(two optical diseases), ulcer and

Kalka

of I'idnuga,

in

T17.

butter duly

Tri-pkald,

Musta,

Chap.

XXXIX

UTTARA-TANTRA.

Dddhn.i, Utpala, Priyangu, Eld, Elavdhika,

ManjisJitJid,

Chandana,

I99

Devaddru,

Kushtha,

(Valaka),

Varhistlia

Haridrd, the two kinds of Parnni and of Sarivd, Hareniika, Trivrit, Danti,

with

flowers

twice

niiik

peutic application

the effect

any

of

removes

due

malignant

spirits

epileptic

fits,

cord.

memory and

uses

118.

evil

it

of

dulness of appetite,

etc.,

decay,

and

influences

auspicious

the

to

and

sterility

invigorates the

It

imparts

and diseases due to


is

and demons,

senile

of the seminal

It

Vishama

diseases as

insanity

poison.

affections

much as clarified butter, is


The range of its thera-

such

includes

Jwara, asthma, Gulmaj

it.

as

Kalyainaka Ghrita.

called the

Kes'am and Mdlati

Vacha, Tdlis'a,

diseases

longevity to the person

lYIaha-Kalyanaka Ghrita : A
measure of

made from

butter

clarified

cow of Kapila

species

should

Prasiha

the milk of a

known

as

Sarva-

and with (dead) gold and gems

be duly cooked

again

\\\\o

and duly cooked with the Kalka

of ihe preceding drugs and the drugs

gandJid (Eladi-gana)

and

eye-sight

with

Sumaiiah, Champaka, As'oka and

with Nalada and

Padma

Dddima

flowers

with the

species.

It

should be prepared

of

and

and the polens of

(red lotus)

milk

Kalka

the

S'irisha flowers

of a

cow of the same

under the auspicious of

favourable astral combinations and lunar planes of both


the

and of the patient and

physician

It is
secrated by Bramhanas.
called
uaka Ghrita aud may be prescribed

proves curative

in

all

and sight

confers

use enables

man

forms of
bliss

and

to live to

fever.

be duh' con-

tlien

Maha-Kalyifor a king.
Its

destroys

ver}'

It

touch

disease.

Its

three hundred years

free

from disease and decay and to remain invincible against


the attacks of

all

created beings,

19.

THE SUSIIRUTA SAMIHTA.

200

Pancha-Gavya-Ghrita : Fqual
milk,

of

parts

butter and urine of a cow and the

clarified

curd,

XXXIX.

[Chap-

expressed fluid of cow-dung duly cooked with the Kalka


of Tri-phald, Chitnika, Aliisfa, the t\\o kinds of Harl.ird,

Vidanga, Tri-katu, Chavya and Sura-

Ativishd, Vachd,

Vishama Jwara. It is called PanThe same five substances obtained

ddru prove curative

in

cha-Gavya-Glirita.

from a cow

(e.g.,

milk,

cow-dung)

may

and

urine

butter,

curd, clarified

liquid of

the expressed

be duly cooked

without the addition of any Kalka as also with the

above Kalkas and the expressed


Vald, or of Giiduchi. *

are efficacious
chlorosis

milk,
fluid

All of these medicated (ihritas

The same
butter,

clarified

of dung)

of Jirna Jwara (chronic

cases

and edema.

curd,

of a

she-sheep,

and

e. g.

butter and urine) of a she-camel

(and used) in the same manner.

the

she-goat

120

of

-f"

(e. g.

expressed
a

she-

milk curd,

clari-

may

or

prepared

be

122.

Tri-phaladi Ghrita : Clarified


cooked with the Kalkas

fever),

substances

five

urine

and the four substances

buffalo
fied

in

Vdsaka or of

juice of

Tri-pliald,

butter duly
Us'ira,

Sam-

pdka, Katuka, Ativishd, S'atdvan\ Sapta-panta, Giiduchi,


the

two kinds of

Patohi,

Rajaiii,

Vdlaka,

ArisJita,

C/'iitraka,

Triurita\

Kit'dta-tikta,

J^achd,

Murvd,
Vis' did,

Padmaka, Utpala, the t\\o Kinds of Sdrivd, Yashtimadhu, Chavikd, Rakta-cJiandana, I)urdlab/id, Pnrpataka,
Trdyamind,

MaiijisJitJtd,

(saffron),

Dallana

Guduchi,

AtarnsJiaka (Vasak 1), Rdsnd,

says

that

Mdgndhi and Xdgara

the

expressed

juice

of

(Tri-phal^j etc.) of the Pancba-gavya Ghrita.

mean

that

Vdsaia,

VaW

Some

the

Bald

ordinary

But we are inclined

or

Kalkas
to

take

and Guduchi should be separately

used as Kalkas in place of the ordinary Kalkas.


^

\\\\\\

Viisa/c.t,

should be separately used along with the

the lines to

Kitmkumi

here add T/^a'/a (Musta) with the other Kalkas,

UTTARA-TANTRA.

XXXIX.]

Chap.

201

expressed juice of DJidtri weighing twice as


proves curative

clarified butter

Parisarpa

in

much

as

(erysipelas),

Asthma, Gulma, Kushtha, Chlorosis, enlargement


of the spleen and dulness of appetite.
123.

fever,

One

Pala weight each of Patola,

Nhnba,

Vdsd,

be boiled

in

Durdlabhd,

Tri-pJiald,

Trdyamdnd and

Katuka, Ddrvt,

Parpataka

and

Prastha measure of A?nalaka should

one Drona

measure of water down to

its

A Prastha measure of Ghrita should


cooked with the above decoctions. *
The

quarter measure.

then be

Ghrita thus prepared proves curative


pitta, diseases

due

to

Kapha,

in cases of

perspiration, muco-purulent

discharges, atrophy of the limbs, fever,

Ganda-mdla

pelas and

(scrofula).

PanCha-S'ara
honey and

Rakta-

chlorosis,

erysi-

124.

".Boiled

milk, sugar,

Pippali,

by stirring
The compound is called

should be taken

clarified butter

them together with hands.


Pancha-sara and may be emplo}'ed with advantage
Vishama-Jwara, Kshata-Kshina,

cases of

asthma and affections of the

heart.

125.

lYIcdicatCd TailaS: A medicated


prepared

by cooking

with LdksJid,

it

Jl/urvd, ]\IanjisJithd, Sar'jikd

febrifuge.

Sapta-chchhadti,

the

(^Jiaiia

Some

6',4aa (Mvisla),

preparation

oil

much

as oil

duly cooked and

as

of this

moiuh and

Us'ira,

Kalka may be emplo)'ed

recommend

Ghrita and

Asphotd,

Parpata,

Kattika,

Yashti-madhit,

diseases of the eye, nose, ear,

Khadira,

S' iris ha,

Atjitiia,

Additional text
in

six times as

medicated

Atanishaka,

Vacha, Tejovati and

nimba,

Nis'd,

Kshiri-Vriksha, Asana, Arishta, Jambti,

prepared with

Anirita-valU,

duly

oil

Vis'va,

and Amaya (Kushtha) as

Kalka and with Takra weighing


acts as

in

consumption,

the

use

Chandana and
that

it

proves

Bhu-

of Kutaja,
/'/^/^j/z as

Kalka

efBcacious in

of the white part of the

of the eye-lid and in ulcer.

Z6

eye

the

and

THE SUSHRUTA

202
in

SAMIIITA.

[Chap.

XXXIX.]

anointing the body of the patient in a case of Jirna-

Jwara with

126127.

benefit.

The patient should be frightened with a non-venomous 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.

curd, etc.)

to

extremely secreting

and be made

tents of his

he should

the alternative,

In

heavy and

to continually

milk-

(milk,

vomit out the con-

stomach afterwards, or he should be made

drink any strong

or

liquor,

febrifugal

matured

or simply

clarified butter

copious quantity or be treated


or withlfomentations followed
tion

be fed with

articles

medicated

clarified butter

by Nirudha-Vasti applica-

on the date of the expected attack.

128.

Fumigation and Anjana : The


of the patient
skin and

the

Vac/id,

of a

hairs

goat and a sheep mixed with

Palankashd

in

The

along the eye-lids as

mixed with

an Anjana.

Udara

Ghrita mentioned

129

(ascites),

the

in

as

in

130.

conection with

well as the

Ajita

Kalpa-sthana (Chapter

be likewise employed with benefit

shi\ering.

and be applied

oil

The medicated Ghritas mentioned

may

body of

the

marked by

and Naipdli (Manah-s'ila) should be

together and

the treatment of

leaves,

excreta cf a cat

fumigating

of fever

case

Pippali^ SaindJiava

pasted

used

similarly

Nimba

(Guggiilu),

and honey and burnt together.


the patient in

body

should be fumigated with the fumes of

Kus/if/ia,

should be

in

with drastic purgatives,

in fever.

II.)

131.

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

adoration) mentioned

the

in

beating (D. R.

treatment of Bhuta-vidyd

UTTARA-TANTRA.

Chap. XXXIX.]

(dcmonology
due

Chapters

LX LXII). A

Rasaudana

after

anointing the body of the patient

may

deadly incantations (exorcism)


forming

Homa

influence of

may

any curse or

Fever due to

butter.

and such

while the cases due to the malignant

any

to

be cured by per-

(offering oblations to the gods)

other ceremonies

with

cured

while the one due to over-

should be treated with diets of

fatigue or exhaustion

with clarified

of fever

case

any mental condition should be

to

psychic (hypnotic) measures

sound

203

or

planet,

hostile

any unearthly

of

be cured by practising charity, hospitality and


All heat-engendering

peace-giving rites (Svastyayana).

(Ushna) measures are prohibited

of traumatic

a case

in

and sweet and astringent drugs charged with oil or


Other therapeutic
clarified butter should be prescribed.

fever

agents should also be employed according to the nature


of the specific

derangement of Dosha involved

case. In a case of fever caused

or cereals

one due

or in

by the smell

to the

effect

in

the

any herb
of any sort of
of

poison, the treatment should consist in such measures as

would alleviate the poison and the aggravated Pitta in


Decoction of Sarua-gandhd (the drugs of
the system, f
Eladi-gana)

the

decoction of

may

is

beneficial

also

Nimba and Dcva-ddnc

be prescribed as well.

preparations of barle)'

Rasaudana

(instead

is

a kind of

of in water).

these

may

of Jdti flowers

or

wine and

wholesome

be got

cases.

Clarified butter,

grains are

Vishania-Jwara which

(jf

in

of

rid

food prepared by boiling

rice

The term may, however, mean

rice

in

in

a case

as

well

meat soup

simply mixed

with meat-soup.
I

that

In

place

of

"f%^Tiq?ll^*f;" some

would mean that the measures and

read

poisoning (sec Kalpasthiina) should be applied.


the belter one.

"f^qlrTfl^li?^:" and

remedies prescribed

in cases of

This variant seems

to

be

THE SUSHRUTA SAMHITX

204

XXXIX.

[Chap.

by worshipping Brdhmans, cows, the god Is'dna, and


Ambika, 132 133.
The body of the patient overwhelmed with coldness

Kapha

aggravated
a paste

or

should be plastered with

Vayii,

drugs

of the

due to the action of the

of fever

(shivering) in cases

of

the

heat-making group *

and heating measures should then be resorted


the
cow's

urine

should

be sprinkled over the body.

leaves

of Surasa,

rubbed with Kshara-taila


with S'ukta.

the

(oil

The body may be


alkali) mixed

cooked with

decoction of the drugs of the Aragva-

group proves highly

present

drugs should

of the

Plasters

Arjaka and S'ignc pasted together

with water would prove beneficial.

dJiddi

In

to.

compound of Araudla, S'likta,


and Mastu (curd-cream) made lukewarm
a

alternative,

and

case,

be

efficacious

decoction

particularly in

V^yu-subduing

of

used tepid as a bath.

The

having been thus relieved with the foregoing

shivering

measures

and by the sprinkling of tepid water over the body, the


languid body of the patient should

be smeared with

pasted Kdldguru

in

and wrapped up

or linnen cover and then the patient


lie in

a bed.

silk,

woolen

made

to

134.-A.

Damsels young,
of love,

should be

with faces

autumn and darting

beautiful

and

skilled

glowing

like

the

forth

beams

in

full

of love

the sport

moon

of

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

down

fr^m their slender waists, with their splendid buttocks


naturally
lips
*

making them lazy

in their

vying with the ripe Vimba


Dallana explains the

steps,

with their

fruit in their luscious

Ushna-varga (heat-making group)

the Bhadra-datvadi, Surasidi and the Eladi groups.

to

mean

UTTARA-TANTRA.

XXXIX.]

Chap.

redness,

205

and smeared

their elevated thickest breasts,

\\-ith

with saffron and Agurii

pastes and

clad in

thin trans-

parent garment, fumigated and scented with the vapours


of burnt

Ai^iirn.

a firm

into

around a sylvan

be asked to take the

should

embrace

and the

tree,

patient thus

the

fond

embrace

be treated

welcome

cured

such

to

to him.

of the

of these

would be

as

burning

the

sensation

marked by sever
Vomiting should be

body.

honey and

such cases with

Nimha

with the (cold) infusion of

mixed

treacle

The body

leaves.

be anointed with Sata-dhauta *

should

of the patient

repast

case of fever

of the

burning sensation
in

by

damsels should

13-I.

should be employed in a

induced

himself heated.

feel

beautiful

which alleviate

Pleasures

be told to

disease (cold-fever)

\\holesome

should

girls

keep off as soon as the patient would

The

patient

like a forest-creeper entwining itself

Ghrita and then plastered with a paste formed by


mixing powders of barley, Kola and Amalaka with the

fermented

of

boilings

Kola

with

(Kanjika),

with

or

the

Palds'a pasted with

Vadara or

in

Aris/ita,

and

(soap-berr)-)

mixed

with

Am/a

pasted

paste

cold

Amla

(produced by stirring
of

of PJicnild

A'malaka

and

paddy, or with the cold

S'lika

paste of tender leaves

(Kanjika",

of the

leaves

or with the

Kdnjikd the paste) of the leaves

whereby

-j-

thirst,

swoon and

burning sensation would be relieved and removed.

A
*

Prastha

Clarified bultcr

ineasure

nslicil

of

froth

of

hundred

135.

duly prepared by cook-

oil

liniLS in \vali.r

known

!.,

as

^ata-

dhauta Ghrita.
t Arishla according

Vrinda) may mean cither


the commentalor

Nimba. The

to

Dallana and

Nimha

S'rikanlha (Ihc commentator of

or Phcnila' (soap-b rryl.

of Chakradatta, explains

practice, however,

is,

ArhJita

to

to use llie leaves of

But S'ivadasa,

mean

Nimba.

(leaves of)

THE SUSilRUTA SAMUITA.

3c6
ing

it

with half a Kudava measure of Vava

Pala weight of Manjishthd and

[Chap.

measure of Amla (Kdnjika).

and

laidana (refreshing) Taila

body due

sensation of the

oil

half

Prah-

called

is

relieves the burning

it

an attack of

to

(^barley),

hundred Prastha

The

XXXIX.

fever.

136.

body of the patient should

In the alternative, the

be plastered with the pasted drugs of the Nydgrodhddi,

Kdkolyddl ox C^tpalddi

gvow'^s, or

anointed with a Sneha

duly cooked with the decoction of the drugs of the


preceding groups and with Amla,

be given a bath (Avagaha)


drugs.

On

in the

or the patient should

Sita-kasAya * of these

of the burning sensation, the

the alleviation

patient should be raised out of the tub and then

washed

with the spray of cold water and smeared with soothing


sandal pastes,

Young, gay,

etc.

damsels with their youthful

smeared with sandal


ful

lotus

and clad

pastes,

as

flowers

well

beautiful

cooling

and lotus-faced

necklace of pearls,

as

should be

in fine silken clothes

These damsels should be

the

He

etc.,

asked to

the depressed patient in their firm embrace

him.

profusely

breasts

wearing garlands of beauti-

removed

hold

and to
as

kiss

soon as

symptoms of exhilaration.
wholesome (Pitta-subduing) food
would give him much relief. Purgative and

patient would

exhibit

should be given

which

pacifying (soothing) medicines described

with the

Pittaja

present case.

fever

are

likewise

connection

in

beneficial

in

the

137.

General treatment of the Complications The deranged Pitta should be crushed


:

and remedied
therewith

the

first

of

case

co-operation of

Doshas of the body,


*

all in

in as

much

''^ita-kasaya" may here mean

drugb or only the eold decoction.

of fever,

involving

of the

deranged

any
as

either

it is

(he

extremely hard
cold

infusion

of the

UTTARA-TANTRA.

XXXIX.]

Chap.

subdue the deranged

to

Such

fever.
tic

distressing

thirst, etc.

fits,

Pitta

especially in a

symptoms

case

as vomiting,

of

epilep-

remedied with such thera-

should be

peutic agents as are not

20/

aggravating to the

hostile or

principal disease (fever) but are antidotal to the exciting


factors.

138.

Specific treatment of the complications Now hear me tell you other specific remedies
:

complications.

the

for

niadhu, Rajani\ Hfiistd,

Tintidika (tamarind),

plaster

composed of Yashti-

Dddima, Amla-vctasa, Rasdnjana,


Nalada (Mdnsi), Patra, Utpala,

Tvak (cinnamon), Vydghra-nakJia,


the head, would

heat

alleviate

Vomiting would

the

use

It is

to be licked

up

equally efficacious

in cases of

shika

i*

and mixed

ith

'fj

with

of cough

Fits

i-phald,

and

to the use of the

fe\cr readil)' yield

prepared

elcctuar}'

clarified butter

tongue as a lambative.

water-brash, hic-cough, Rakta-

in

and asthma.

(hemoptisis)

pitta

asthma

\\ith the

com-

of a

Hrivcra, Utpala

flower,

and Madhidikd mixed with honey and

and used

juice

applied to

concomitants in cases

)-ield to

pound consisting of MadJuiki

if

the head, delirium,

in

vomiting, hic-cough, and shivering


of fever.

the expressed

Madhii-s'iiktii, *

and

of Aldtiihinga^ hone}-

Pippali and

honey and

clarified

illdkbutter.

139 Hr.

A
*

plaster of

Maikii-s'uk/a

is

Viddn\ Dddima^ Lodhra, Dadliittha and


prepared

by

/amdira-hmon, Pippali and honey


keeping iioney.
before use.

Chapter
t

It

should

be laid

an earthen

for

pot

juice

month under the heap

of

used in

formerly

of

paddy

(Dallana) For an alternative mode of preparation sec ^IT^'^Ti

X ^'^

W^-

Dallana takes "Mdkshika"

largely

the expressed

preserving
in

in

the

on the seperate use of honey (^^)

inclined to take

"Makshika"

sense of honey and


in the

as the mineral of the

compound.

same name.

comments

But

we

are

THE SUSIIRUTA

208

may

together

pasted

Vijapiiraka

advantage to the

SAMIIITX.

scalf

XXXIX-

[Chap.

be

with

applied

of a fever-patient afflicted with

thirst

and burning sensation.

sugar,

and of DrdksJid and Amalaka,

Dddlma and

Pastes of

kept

if

the

in

mouth, or a gargle ^Gandusha) of milk, expressed juice


of

sugar-cane,

warm

water,

Mddhvika,

would remove the bad

oil

and

exigency of the

case,

clarified butter,

according to the

mouth

taste in the

An

in fever.

empty feeling in the head in fever would be relieved


by using as an errhine (Nasya) the medicated clarigroup.

142

144.
compound

pulverised

S'ya'ma',
sugar,

given

of chronic

case

and

purgative

for

digestion

after the

Raktapitta

consisting

Tri-phala\

of

and Pippali mixed with honey

Trivrit

can be

benefit

with the drugs of the Jivaniya

butter prepared

fied

derangsd Dosha

of the

Pittaja

in

fever,

shivering.

and
with

purposes

in

The

an

in

up-coursing

system of the

should be cleansed with similar purgatives and

patient

lardaceous lubrications in cases of Kaphaja and Vataja

Lambati\'c of honey, sugar and AhJiaya' should

fever.

be given

marked by

in a case

after the subsidence of the

vertigo

(Bhrama) even

aggravated Dosha.

145.

Application of Vast is : Nirudha-vastis


charged with the decoctions of sweet (K^kolyadi) or

Vayu-subduing(Bhadra-darvadi) drugs, should be applied


fever

in

due to the deranjjement of the bodily Vayu,

according to the nature and

deranged Dosha
patient
also
"

in

Dallana seems

to

of the

the case and to the strength

in

the alternative,

be similar!)^

intcnsit}'

applied.
read

however, also mean honey.

of the

Anuv^sana Vasti should

The decoction

"Ala'^skiia,"

"Madhviia" which generally means

specific

the

of the drugs

and explains
wine made

it

as

honey.

of honey,

may

UTTARA-TANTRA.

XXXIX.]

Chap.

209

of the Utpalddi group mixed \\ith Chaiidana and Us'ira


and sweetened with the addition of sugar should be
similarly applied cold (as a Nirudha Vasti) in cases of
Pittaja

fever.

Vasti

(in

manner

the

of Nirudha)

charged with a compound consisting of Amra-ha.rks,

S'amkha

etc.,

Rasdtijana,

(conch),

ManjisJithd,

and

together

pasted

Mrina'l.i

marked by

fever

be passed

and then applied cold

in

intolerable pain.

due

burning sensation

to

fever

in

the

manner

saturated with

through

case

The

a piece

of (Pittaja)

chaiactcristic

be

ma}-

by applying Vasti charged with a


preceding drugs

Gaifika,

and Padma-kdshtha

dissolved in milk

^ugar and honey should


of linen

Utpala,

Chaiid.in'i,

relieved

decoction

of the

of an Anuvasana-vasti.

Xirudha Vasti charged with the decoction of

Aragvadhddi group mixed with

drugs of the

ders of) the drugs of the Pippalddi group

should be applied
decoction of the

should also

<'-

(the powand with honey

in cases of Kaphaja fever and the


Kapha-subduing (Aragvadhadi) drugs

be injected

into the rectum

in the

manner

Anuv^sana Vasti. In cases of fever due to the


two or three Doshas, the Vastis (Nirudha
and Anuv^sana) to be applied should be charged with
of an

aggravcv'Jon of

the decoction of the drugs respe:tively antidotal to the

deranged Doshas involved


All

the

in

each case.

146

exception of

oil,

efficacious (in

use of Vastis)

in

case of fever due to the

them (including

all

of

to

anointing,

at the

etc.

close of the

or fourteenth

the-

which have been prescribed as being

the

diseases of the de-

ranged Vdyu, are equally applicable


Vastis) in a

-150.

medicated lardacious substances with

also oil) arc

Lubrication
acute stage

(in

same

cause.

But

equally applicable

of the
i.e.,

Anuvasana

body with

oil

on the thirteenth

day of the attack would be attended with


27

THE SUSHRUTA SAMHITX.

210

XXXIX,

[Chap.

beneficial results in a case of Vdta-s'leshma fever,

where

fomentations have utterly failed to relieve the distressing

symptoms

of the

deranged V^yu,

Clarified butter

duly cooked with sweet and bitter drugs should be


used (for the purpose of annointing) in

fever

Pittaja

Kaphaja fever, the Ghrita should be cooked


with bitter and pungent drugs. In the cases of fever due

while in

to the

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

presence of even a small residue of the deranged

the organism

Pitta in

maintains the heat of the skin

up to the fever-point, so the remedy consists

taking

in

the expressed juice of sugar-cane, or sweet cordials or


Sat-vats (sugar dissolved

in

and the diet

in

such

SAH and Shashti

rice

water),

a case should consist of cooked

and milk. Fomentations and anointments should be


employed in cases of Kaphaja and VAtaja fevers.

Draughts of

clarified butter

should be given in

of fever at the close of twelve days, for

forms

all

by that time the

aggravated Doshas return to their respective As'ayas


(places in the system).

The Dosha involved

(in

a case

of fever) becomes aggravated by affecting, at the time


of the remission of the fever, the other fundamental vital

(Dhatus) of the body and thereby makes the

principles

patient

weak and

dejected at this time.

Symptoms
or

indications

155.
features

which mark a complete remission of


of the

head, flow of perspiration,

fever, are

lightness

pale and

yellowish colour of the face,

desire for food,

153

of remission : The

sneezing and

56.

Fever originating from the wrath-fire of the god

Sambhu,

is

a dangerous disease.

It

affects appetite

and

Chap.

UTTARA-T ANTRA.

XXXIX.]

the strength as
the

\v(?ll

as the

211

complexion of the body and

sum-total of

the

other diseases.

is

virtually

is,

therefore, called the lord of all bodily diseases.

common

to all created beings

the whole of the


is

all

(men and animals),

affects

organism (including also the mind),

extremely hard to cure and

the time of the death of

all

is

present

creatures.

called the destroyer of created beings.

Thus ends

It

It is

in all cases at

Hence
1

it

is

rightly

57.

the thirty-ninth chapter of the Uttara Tantra in the Sus'rutra

Samhita which deals with the (symptoms and) medical treatment of

fever.

CHAPTER XL.
Now we

shall

discourse

on the

pratisheda).

Causes of Atisara: The


fluid,

irregularly

tomed

articles

excessive

and

of fare),

articles

improper time

at

use

of

oleaginous, dry, hot,

digest),

and incompatible

thick,

eating

(AtlSara-

etc.

i.

extremely heavy (hard to


cold,

s\'mptoms

(causes,

and) medical treatment of diarrhcea,

indigestion,

eating

digestion of the previous meal, excessive

of

food,

(or unaccus-

before

the

use or misuse

any lardacious substances, etc., (Sneha, Sveda, etc.),


use of any poison, fright, grief, drinking impure water,
of

excessive

the

physical

drinking cf

contrarieties,

voluntary repression

change of season or

liquor,

indulgence

aquatic

in

any natural

of

sports,

urging (of

the

body) or germination of

parasites

are the causes which

on an attack of diarrhoea

(Atisaira)

the

presently.

2.

bring

symptoms whereof

Pathology : The
body,

if

be

fire in

and mixing with the

named

the stomach

fecal matter,

dealt

with

is

liquid

fecal

(fire

b}^

the bodily

of digestion)

painfully and cons-

This dangerous disease

Atisatra from the constant

and Sarana) of the

intestines

liquid part (Ap-dhatu) of the

tantly emitted through the anus.

It is

will

aggravated and carried downward

Vayu, impairs the

is

the

in

oozing out (Ati

matter from the anus.

usually classified into six different types,

vi.".,

those

due to the predominance of the deranged bodily Doshas


severally

action

of

involved
the

therein,

three

that

due to the concerted

Doshas, one due to grief

that due to the indigested

and
mucous accumulations (Ama)

UTTARA-TANTRA.

Chap. XL.]

the

ill

is

Some

intestines.

many

of

kinds

holy Dhanvantari, on the

not so but

it is

that

physical

the

become manifold.

3.

Premonito*y

Symptoms : Piercing

the Kukshi

in

numbness
and of

sense

of

the limbs, stoppage or suppression of flatus

in

abdomen, and

of the

distension

stool,

tion are the

abdomen), a

(sides of the

pain

abdomen

the regions of the heart, umbilicus, rectum,

and

and

diarrhceic patient undergo changes

conditions of a

in

authorities hold that Atisara

but the

contrary, holds that

213

indiges-

premonitory s)'mptoms of the disease.

Symptoms

4.

Ka-

of Vataja, Pittaja,

phaja and Tri-doshaja Types :


Vayu-origined type of the disease
suppression

(colic),

of

in

the

waist,

frequent

The

specific

that

the

is

the

flatus

the

in

of

the

is

yellow,

hot,

fetid,

resembles

or

the

blue

thirst, epileptic

frothy,

suppuration

affected

organs,

and

stool.

type are

or

washings

(fainting),

iits

and

legs,

scanty,

Pitta-origined

of the

features

tion, perspiration,

of

thighs and

with

slightly

of

emitted with sharp or acute force and

paincd by

in

the intes-

in

brown-coloured (yellowish black)

stool

red-coloured,

and

the

in

emissions

(Ruksha)

dry

rumbling sound

movement

abdominal (Apana) wind, a gone feeling

of the

tines)

urine,

(constant

intestines, looseness

The
marked by Sula

is

is

meat,

accom-

burning sensa-

and inflamation (Paka)


fe\cr.

In

the

Kapha-

origined type of the disease the stool becomes loose and

mixed with the lump of mucus and looks


The stool comes out w ithout any sound. A sense

constant, gets
white.

of constant urging

only creates
mind.

The

the

is

complained of and each motion

apprehension of a

fresh

one

in

the

patient becomes drowsy or sleepy, and feels

a sense of heaviness

in

the

limbs, nausea, disrelish for

THE SUSHRUTA SAMHITX.

214

and

food, horripalation

mark

of

The symptoms which

lassitude.

simultaneously

three

the

deranged bodily

Doshas) are drowsiness, swoon, lassitude, dryness

mouth,

the

and a varied colour of the

thirst

of Tri-doshaja

case

symptoms,

is

type,

treatment.

the

all

occurring

in

an

scarcely amenable to medical

is

5"^-

Symptoms
Atisara

down

and Amaja

of ^okaja

The

person of sparing

reach

if

of

stools.

attended with

if

very hard to cure and

an old person,

infant, or

XL.

of Tri-doshaja type (due to the concerted

a case

action

[Chap.

suppressed

diet,

into the

of

tears

bereaved

on quenching the digestive

Koshtha

(intestines)

and there

fire,

freely

and vitiate the local blood which becomes


Kdkananti (Gunja). It then passes through
like
dark-red

mix

with,

ed

with

rectum, charged

the

to

by the

it

fecal

nation with the

peculiar fetour

matter

latter

case

in

of

its

any

without

or

when passing out unmixed. Such an


in by the grief of bereavement of a person

impart-

combismell,

fetid

attack ushered

ly

very hard

considered

Doshas

the

in

to

cure.

The

according-

is

bodily

local

Koshtha (abdomen) are aggravated and

deranged when they come

in

Ama

contact with the

and are brought down into the


where they are more agitated and

(unassimilated chyle),

Koshtha

(bowels),

emitted

in

matter

in

combination

with the

undigested fecal

various ways, and are attended with pain

characterised

by a variety of
9

type of Atisdra.

colour.

This

is

the sixth

10

Symptoms of Ama and Pakva


Sara
be

in

and

Ati-

A case of Atisara (diarrhoea) would be said to

the

suffering

Ama (acute)

state, if the

stool

of

the

patient

from any of the foregoing Doshas would be

found to sink

in

water and to emit a very

fetid smell

UTTARA-TANTRA.

Chap. XL.]

and

pass

to

broken

in

(D. R.

jets

indicate that

and

body and

of the

the

in

Pakva

a sense of

colour

of the

ir.

stool

case of Atisara) resembles that of clarified butter,

washings of Ves'avara,

oil,

goat's milk, honey,

brain-matter,

or Rasdnjana, or

to the touch,

or

if

it

colours, or

if

it

symptoms

or clay,

in case

yl/^j^^/Vj-///'/'^,

is

cold or hot

the patient be weak.

or

is

likely to

if

end fatally

if

if

the patient be

symptoms

distressing

not self-restrained),

and

destitute of thermal heat.

An
cause,

attack
is

it.

of

sure to

of the deranged

with

if

he

become suppurated and


there be distension of the abdomen

the orifice of his anus

cannot be closed,
(D. R.

the

symp-

patient suffering from an

attack of Atisara would be given up (as incurable)

be weak,

fetid

just

if

or other distressing

toms would be exhibited, the case

the

specks of variegated

or

lines

looks like pus

or reverse

opposite

the stool

(in
fat,

charged with a fleshy or

is

marked with

or

smell,

if

would

acute stage

the

(chronic) Atis^ra.

Prognosis : If the

be slimy).

affected cavity

has passed

the disease

then called

it is

to

symptoms and

contrariety of the preceding


lightness

21$

the

if

patient

if

there be

be found

12-13.

Atisara

ushered

in

by whatsoever

be marked by the specific symptoms

bodily

Dosha

or

Doshas complicated

All cases of Atisara whether due to the indiges-

any oleaginous food or drink (Ghrita, oil, etc.),


whether with (or without) the symptoms of Prav^hika
and the accompanying colic, as well as those due to
tion of

Visuchika or any "other kind of indigestion as also


those due to the
digestive

system),

the intestines,

toms of the

ment

all

specific

effect

of

any poison

hcemorrhoids

(Ars'as),

(affecting the

or

worms

in

them are marked by the sympDosha involved therein. The treat-

of

of AtisAra varies according to

its

acute or matured

THE SUSHRUTA

2l6

symptoms

characteristic

stage, the

SAMIIITA.

and

are to be carefully observed

under treatment.

The

of those

noted

and then the

(Yavigu)

gruels

dietic

proper

order.

of

distension

flatulent

In

And

advised.

soon as

would appear,

Atisira

prepared

salt.

case

then vomiting should be induced

Khada-yusha, Yavdgu,

light
etc.,

diet

the

in

Pippali

shape of

prepared with the admix-

ture of the drugs of the Pippalyddi group, should

be prescribed after the cessation

should be be taken
rerpedies

would

in

fail

relieve

in the intestines (Amaitisaira).

medicine

in

acute or

the

the disease should be


obstructing

preceding

mucous accumulations

No

astringent or costive

immature (Ama) stage of


in as much as by
of the Doshas
it
might

administered

passage

the

then
decoc-

Vachadi group,

the morning where the


to

of vomiting.

drugs of the Haridrddi, or

tion of the

in

marked by colic and


the abdomen, fasting should
a

with draughts of water mixed with powdered

and Saindhava

with

drugs should be given

the admixture of digestive

first

each case

patient should be kept without food as


of

be

therefore

in

14-15-

the premonitory symptoms

their

[Chap. XL.

bring on an attack of enlarged spleen, chlorosis, distension


urine,

of the

Meha

abdomen with suppression


(urinary

affections), ascites,

limbs,
colic,

complaints),

fever,

Gulma (abdominal

of stool and
Kushtha (cutaneous

cedematous swellings
gland,

Alasaka and catdiing pain

at the heart.

Purging should be induced with Haritaki

marked by constant and scanty motions


attended with griping and pain (Sula)
ceration of the deranged bodily

Doshas

of the

diarrhoea,

etc.,)

piles,

16-17.
in

case

mucus and)
or by an incar(of

(in

the intestines).

and followed by
or
assimilatixe
and
digestive
(PAchana)
fastings
remedies
Emetics should

be

first

exhibited

Chnp. Xr.

UTTARA-TANTRA.

in a case

marked

21

watery and copious motions.

b}-

dered Haritaki and Pippali with tepid


administered for purgative purposes

in

by scanty emissions of stool


Fasting
pain and colic (Sula).

first

prescribed

The

and Ahliayd
Hiiigii,

i8

Vac/id

or

or of (8)

Murvd,

{Tri-Jzatu)

SdvaraJia (Lodhra),

or

KrimigJiua (Vidanga) and

of

(12)

F/v'/m//

]h-iks//dd(Jin\

P^/'/^rt',

(9)

the two

or of

of

Katn-roJiiiii

zxi(\

KitsJitJia,

KutaJa-sQcd^ (Indra-v'ava)

or

of (7) PdtJid,

or

Vatsaka-

and MaJiausJiadJia (Sunthi),

NirdaJiani, (Chitraka),

S'atdJivd

Vac/ia,

S'unt/ii,

or of (6) CJiitraka, Pippali-

//crr/Vc?/^/

and Gajapippnli

BJiadra-ddru,

(3)

and

or oi {^) AhJiayd, AtivisJid, Hingii,

VacJia, Katuka-roJtini,

seeds (Indra-yava),

Jild,

Parpataka,

Miistn,

(4)

and SauvarcJiala-sdih

VacJid,
jriula,

of

and AbJiayd

[Indra-yavd), AtivisJid,

and Ab/iayd, or of

DJtanydka, jMitsta, Vdlaka

Ab/iayd (D. R.-Xagara^,

Viha

compounds which

Musta, Ndgara, AtivisJid

Kaliiii^a

Sain'(rrc/ia/(r-s3.\t,

AtivisJid

or in the
prescribed.

19.

Vcii/ia,

of (2)

or

be

different Recipes for Amati-

(i) Dcva-ddru,

remed\' to be

the disease under discussion (Amalisara)

arc described below.

Twenty

marked

case

Atisara,

(acute)

medicinal

of digestive

are curative in

the

remedies should

digestive

recipes

Sara

Ama

of

cases

in

alternati\c,

times attended with

at
is

Pow-

water should be

(t i)

TryiisJiana

SiddJidrtJiakn,

ox oi {\6) Eld,

sorts

of Haridrd,

McsJia-s'ringi, Tvak,

VriksJiaka (Indra-yava)

Vimtani, the

two

kinds

of

and the two kinds of SaJtd (Mudga-parni and

Masha-parni)

or

of

(13)

barks o{ Pniuda,

TiudiiJza,

Dddinia. Kntaja and of S'anii; or of ([4) PdtJid, Tejovati,


and Jndra-yava
or of (15) Patola,
l''ippali

Musta,

Dipyaka (YamAni),

I'ilva,

and Deva-ddru

of

or

(16)

the

two kinds of Jfaridrd

Vidanga, AbJiayd,

Sringaveta, GJiana (Musta) and VacJia

PdtJid,

or of (17) VacJia,

28

THE SUSHRUTA SAMHITA.

2l8

[Chap. XL.

SaindJuwa and Katu-rohini

V(rtsa/(;a-seeds (Indra-yava),

or of (i8) Hingii, Vatsaka-so.zd'i (Indra-yava), VacJia and

Viha

dried green

or of (19) Ndgara^ Ativishd,

the two kinds oi Pippali and

(Indra-yava)

Fcii/'j'^y^cKseeds

and Mjistd,

these

different recipes of the remedies

which

or

of (20) MaliaiisJiadha, Prati-visJid

arc

tlie

Twenty

Mtistd,

mucous

are digestive (cf the

accumulations) in cases

Ama-Atisara and should be administered

of

the shape of

(in

powder) with Dlidnydnila (Kdnjika), tepid water or wine,


or

decoctions

their

This

used.

is

cases of Ama-Atisaira.

hike-warm

in

a detailed

compound

should

be

best

remedies

in

20.

Haritaki,

of

state

of the

list

Saii-

Ilhioii,

AtivisJid,

var chain and Vachd should be taken with tepid water in


cases of Ama-Atisdras.

Similarly a

compound

oi Patola,

Yanidni, Vis'va, Vachd,PippaH, Ndgara, Miista, Vidanga,

and Kiishtka, or that of S'unthi and


be taken with tepid water.

The
(l)

of

kinds

all

Haritaki

all

taken

salt

Pippali,

in

equal

parts

or

weighing two Tolas

Twenty

water.

quantity

of milk

which

left

by

is

boiling,

(Sula)

salt

(Indra-yava) and

Giiduchi-stems, would be found

tepid

Jfusta,

all

(4) of

or

of (3) Hiiigu,

kinds of officinal

Ndga-danti and

Vachd and

or (5) of

beneficial,

should

be

taken with

if

boiled in

and thrice as much water.

back

should

after

all

the

be used for the

water

Clarified

The milk

is

evaporated

relief of

the griping

due to the accumulation of mucus (Ama)

intestines.

S'drn-

Chitraka, S'ims'apd^ Pdtlid,

kinds of officinal

Vriks/iaka-seeds

Vidanga and

of officinal salt, Pippali,

or of (2)

and

gas/itd,

21-23.

compounds separately composed

following

five

(hidiidii should

in

the

24-25.

butter

mixed

with

Sai/idhava-sa.\t

and

Yava-kshdra should be given to a patient of weak

UTTARA-TANTRA.

Chap. XL.]

pcwcr

digestive

been

restored

which the Va}u has not

in a case in

to

its

2I9

normal condition

spite of the

in

Sula (griping) and which

subsidence of the intestinal

is

marked b}- scanty (but repeated) motions passed with


pain.
The (ihrita duly cooked with Ndgara, CJidngcri
and Kola (Vadara) and with milk*, curd (Dadhi) and

Amla

(Kanjika), or simply the transparent part of clari-

butter

fied

should

be taken

attended with Sula (pain).


butter

as

In the

for

Atis^ra

alternative,

clarified

relief

mixed with (an equal quantity

of)

and duly

oil

cooked with curd, together with a paste of


Jdti (flower)

and

Vilva,

Dddima-hark and

these

arc

Atistira

the

all

the

KusJitJia should be

a type of

in

due to the action "of Vdta or of Sleshma

and

foregoing remedies with the exception of those

26

Pittaja type of the disease.

Fasting as
it

All

given.

remedies to be employed

of keen and heat-making potenc\-,

and

Tri-katii,

with that of Pippali-miila,

C/iitraka, or

may

be used

the

in

27.

already advised should be

observed

first

broken with gruels (Yavagu) duly

should be

cooked with the two kinds Vald, or with Amss-niatl, or


S'vadmnshtrd and

VriJiati, or

mixed with honey.

cooked with the drugs of appetising

and

Do.sha

the

in)

Decoctions

of

Patha,

there

Wc
wc

reading.

GudiicJii^

Kbhdra

this

in place of

See Chapter XIX,

Ghrila

Vatsa-sQ.zds

(Indra-}ava

and

in

KatiMvIiiiii

Cliaraka

Sainhitji

Kshira and thai appears

under

(the
stool.

or of Rasdiijaini, the

Kutaja-so.cd':^

llJiu-nimba

have iha recipe of


find

would cure

Ativis/id, Pdt/id,

Kasdujana

kinds of Ilarldrd and

with mild

(Am^-dosha) of the

stage

Ilaridrd,

(Indra-}-ava) and

and

cold

of Mtidga duly

virtue, or

bitter drugs of appetising property

acute

made

S'atdvari

The soup (Yusha)

Chdngcri

Cliriia,

to

be

two

or

of

would

al.su.

the

Hiil

better

Charaka SamhitSi.

THE SUSIIRUTA SAMHITX.

220

prove extrcmly

useful

correcting

in

XL.

[Chap.

(Pachana)

the

2829.

deranged Pitta.

Six Yogas for Pittaja-Atisara : Any


one of the six decoctions respectively prepared with
Bhii-nimba and
Mustd, KutaJa-iQzds (Indra-yava.J,

Rasdnjana
Cliandana

or with Ddivi, Durdlabhd,


or with

nimba, Diirdlavd

or

A'dgara and Nilotpala

Chandana,

Vilva and

Must a, Bhu-

Vdlaka,

with Mrindla, Chandana, RodJira,


;

or \\ith Pdthd, Musta,

kinds of Haridrd, Pippali and Kutirjn-seeds


seeds and

barks of

red

Vntsaka,

the two

or with the

and

S' ringavera

VacJid

mixed with clarified butter should be regarded as good


remedies for the Pittaja type of Atisara.

case of Pittaja-Atisara in

its

30.

acute (Ama) stage

would yield

to the use of a decoction of (unripe)

liidra-yava,

Ambhoda

(Musta), Vdlaka and Ativishd.

decoction of YasJiti-madhu, Utpala, Vilva,


Vs'ira and

Vilva,

Xdgara mixed with

the case under discussion.

31

Amra, Hrivcra,

hone\" proves curative in

32.

Astringent or constipating (Samstambhana) remedies should be employed in a case of the chronic (Pakva)

marked by dullness of the Grahani, e'/,: the


fire and by constant motions.
Any of the
four following
medicinal compounds, viz., Samaugd,
Dlidtaki-^ower, Maiijisthd, Lodhra and Micstd
or of
S'dlinali-vcshtaka, Rodhra and the bark of l^riksliaka
(Kutaja) and of Dddima
or of the stone of Amra,
Atisara

digestive

Lodhra, the inner pulp of (unripe) Vilva and Priyangii


or

of

S'ringavera

Yashti-?nad/iu,

DirgJia-vrinta (Syonaka)

and the washings of


Atisdra.

in

the

bark

of

should be taken with honey

rice in

cases

of chronic (Pakva)

3334-

The decoction
honey

and

the

of Miista alone should be

case under discussion, or

taken with
decoction of

UTTARA-TANTRA.

Chap. XL.]

any of the nine Ganas,


or

I'/c,

Priyangvddl groups,

the Lodlirddi, Amboshthddi,

employed.

decoction oi Pcidmd, Samangd,

XXXVIII,

Chapter

etc. (sec

be

should

Sutra-Sthana)

221

Similarly,

the

and dried

YasJiti-madliu

Viha 3ir\djambu fruits should be taken with the washings


A paste of the root of
of rice mixed with honey.
KachcJduird weighing an Udnmvara (two Tolas) should
be similarly taken .with the same vehicles). A case of
PakvatisAra marked

bloody stool or by emission of

b)-

blood (from the intestines) would


of Pavasyd,

decoction

the

to the

\'ield

C/iaiidaiia,

Padmd

Sitd (sugar), Jlfusfd and the polens of lotus.

use

35

Application of Ghrita : Clarified


Yava-kshdra should

with

due regard

to the state of

being

treated

to be

affected

with

mixed with

from mucus

Kand

of

clarified

(in

the

stool

of

case

is

relieved

butter duly

cooked

i.e.,

in

honey and

little

{P'ippaU\ Drdkshd,
in

Yashti-iNnd/ui

PittA

case

YasJiti-madhii

the griping (Sula)

in

(as

an

an

cooked with Ddrvi,

of Atisara

and Kapha

with

(as

Kntuka and Indya-yava


due to the

(jointly

draught of milk, honey and

equal parts) mixed

and

if

after

found

action of the Vata,

if,

still

Ams'u-mati and Kachchhiird-rooi<.

would prove curative

atcl}-).

be

Vrihati,

after-throw). Clarified butter duly

Viha,

power

he

etc.,

38.

butter

a patient with

colic (in a case of Atisara)

potion

(a

Vald,

with)

digestive

fasting,

to be free

The

Pakvatisara.

given to

with Sula and dryness and

would be found

by taking

be
his

of

(Bhargi),

or

separ-

clarified butter

sugar, Ajamodd, Kaliuriiga

would

after-throw)

relieve

the intestines (in a case of Atisara).

39 4^'

Putapaka
long-standing
\-arious

Preparations A

(chronic)

cc^hnirs

Atisara

and a keen

marked

di:;ijstiiin

b\-

but

case

of

stools

of

uiiattriidcd

THE SUSHRUTA

222

with any sort of pain or


died with

Dirgha-vrinta

be

complication should be reme-

medicines prepared

preparation

paika

below).

and polens of

and

Kds'mari or of Padma

maner of PutaThe barks of

in the

(described

{S'yoiidka),

together

pasted

[Chap. XL.

SAMIIITX.

wrapped

Kusa).

of

leaves

in

ends tied

with their

(lotus)

with string or thread (D. R,

should

lotus

up

The cover should

be then coated with a plaster of clay and duly scorched

When

in the fire of (smokeless) charcoal (of Khadirci).

should be taken out and the juice, squeez-

well cooked,

it

ed out of

contents.

its

This juice should be cooled and

honey

administered in combination with

Jivanti and
the

McsJia-s'ringi,

The

same way.

skin

be peeled off and

NyagrodJiddl group

should

after

be

it

of

paste

up

the above

the

be stuffed

and

manner.

also

known

as

be used

in

should

bird

Tittira

of

has been previously drawn.

duly stitched

fire in

may

etc.,

drugs
into

of

After this

should

it

juice should

then be

squeezed out therefrom

and administered, when

honey and sugar

The drugs known

Ddrvl, Pdthd, Sitd (sugar),

YasJiti-madJiUy

the barks

washings
in

the

pressed

when
to

of

cold,

the

.Similar

of Vatd,

Utpala and

should be duly scorched

proves curative

action

of

and

contents

its

the

in

the

fire

juice

taken with honey,

cases

deranged

with the

in

The

above manner (of a Puta-pAka).


out of

case

CJiandana,

Dirgha-vrinta pasted together

of rice

cool,

in

as Lodhra,

the

in

with the admixture of


of Atisira.

the
belly

its

cooked (scorched)

The

of

case

in

Similar preparations of the drugs

Atisara.

of

Pitta

Atisara

due

and Kapha.

may be made of the aerial roots


and may be advantageously prescribed

preparations
etc

.,

with the soup of the flesh of


as Tittira, Kapinjala, etc

,).

any Jangala

43-47.

bird (such

UTTARA-TANTRA.

Chap. XL.]

The

223

Kut(r/a-haYk taken with treacle would cure

force the long-standing cases of Atisara

per-

attended with

blood

and marked by the diminished action of the

bodily

Vayu but a predominant action of the deranged


The drugs of the A}nbasJitddi group as well

Kapha.

those of the Pippalyddi group

as

would be

similar!}' beneficial.

taken with honey

\'^-A9

Peya duly prepared with the admixture of Pris'niViha (D. R. Visva\ Bdlnka, Utpala,
farni. Bald,
DJianydka and Ndgara, should be taken by a patient
suffering from

AtisAra.

case

PakvAtisara would

of

yield to the curative efficacy of a light medicinal

gruel

{Yavdgii) duly prepared with the admixture of the paste

Yashti-madhu, and tender

of S'yondka-\y?Lxk, Priyaiigii,

sprouts of

Dddima

Atisara

of

attended

tc readily cured

rice (administered

50

rice.

YasJiti-madJiu, (dried) green Vilva-{x\x\\.

or

AtivisJid,

bark and seeds of Kutaj'a

the

taken with honey and the washings of

sugar,

case

with blood and colic (Sula) would

by the use of Rasdnjana,

Dhdtaki, Ndgara and

honey and

pasted together with curd.

particles of S'dli

and ShasJitika

same drugs) would prove

with the

curative in a case of Atisara.

with

Bndari-xooX.?, pasted

honey should be given to be licked with the .same


Barks of Badari, Arjuna,

52.

mixed with

Jamhii, Anira,

result.

S'allaki

and

Vetasa taken with honc}' and sugar would cure a case of


Atisara.

Mandas (thick gruel squeezed


and Yusha (soup) may also be

Gruels (Yavagu),

through a piece of linen)

duly prepared with the admixture of these drugs, and


in

case

marked

b)-

excessive

thirst, the

water for

drinking should be prepared by duly boiling these drugs.


The cold infusion of * S'dlmali-s\.cr(\s kept in the open
*

Powders of S'almali stem

should

he

kept

immersed

for

whole

THE SUSIIRUTA

224

SAMIIITX.

space for a whole night, maj^ be giv-en

driuk

results as

and honey.

53

[Chap.

XL.

good with good

combination with Yasthi-^nadJm

in

-54.

Use of Milk

Atisara : Milk

in

should

be

given in a case of Atisara marked by the suppression of

Vayu

and

stool

and

attended

thirst.

Milk

ambrosia

is

and

(Dysentery),

in

with

symptoms

constant scanty motions,

griping (Sula),

of Rakta-pitta

long-standing cases the milk to

taken should be duly boiled with thrice as

This would remove the


involved and
in

remnant,

any,

Oil}'

duly

medicated Ghrita

prepared

juice of the barks of slimy trees,

are beneficial under the

or longstanding cases).

Draughts of

as

\\\\\\

e. g.,

be

water.

Dosha
remedy

of the

purgatives and application

(slimy intestinal injections)

chila-Vasti

etc.,

if

much

therefore, considered as the best

is,

such cases.

and

such a case of Atisara

itself in

well

the

as

the

expressed

S'yond,

circumstances

of Pich-

S'dlma/i,

(in

chronic

56.

clarified butter

duly prepared with the

tender sprouts of the KsJiiri trees and mixed with honey

and sugar

(as

an after-throw) should be taken

marked with

of Atisdra

or after the passing

pain

the

(in

the

of

region

and

stool

of the anus).

medium

efficacious

type.
night

Draughts of mediwith the barks of

with Pipfali, S' wit hi, Ldkskd, Indra-

in

through

any kind of Peyd, would prove highly


a

case

of Tri-doshaja Atisdra of severe

57-58.
in

be passed

an equal quantity of water.


through a piece of

mixed with
taken.

of

case

and with a cutting

vnva, and Bhadrn-roJiini (Katuka) administered

the

discharge of blood before

cated clarified butter duly prepared

Deva-ddni,

in

linen.

In the morning the water should

Four-Paia-weight of this water

Karsha weight of lYashti-madhu and honey should be

UTTARA-TANTRA.

Chap. XL.J

Exhibition of emetics or vomiting

'remedy
(in

the

an excellent

is

of Atisdra marked by heaviness


in a case
abdomen) and the predominance of the deranged

Kapha.

bodily

225

case

sensation and suppression of stool

aggravation of
Rakta-pitta.

Vayu

with fever, burning

attended

should

and marked by an

be treated

Intestinal injections

with

as a case of

urine-purifying

(Mutra-Sodhana) drugs should be speedily administered

manner

in the

of an Asthapaiia or

Anuvatsana Vasti, as
marked by an excesthe deranged bodily Doshas in

the occasion might arise, in a case

accumulation of

sive

the affected
stool)

as

locality

as b)- the suppression (of

well

during the mature stage of the disease.


injections

Intestinal

butter duly

consisting

of

an Anuvaisana Vasti

in a case

in

the

manner of

marked by the protrusion

obstruction of urine (Mutraghdta) and

pain in the waist.

Pitta-subduing washes, and icjec-

tions prepared with the Pitta-subduing

in

clarified

bowel through violent and excessive straining

and by painful

ed

or

oil

cooked and prepared with the drugs of

sweet and acid tastes should be applied

of the

59-60.

drugs and appli-

manner of Anuvasana Vasti, are the remedies


a case marked b)- the suppuration of the anus due

in

the

to the aggravation of Pitta in an injudicious

or

intem-

Anuvasana Vasti charged with oil


duly cooked w ith \\inc, Viha and DadJd-manda should

perate

patient.

be ap[)licd

in a case of

Atisara

marked

b}-

aggra-

the

deranged bodily Vaiyu, and milk duly


boiled and cooked m ith the admixture of KacJuhurd-

vation

of the

roots should be gi\cn to drink.

Pichchha-Vasti should be
in

case of Atisdra

emission
time,

of

61-63.

applied

marked by

blood, though in

(into the rectum)

painful

scant}-

and frequent

quantities

and by an entire suppression of Vayu

(flatus).

29

at

y\n

THE SUSHRUTA

226

condition

atonic

of

anus

the

Diet

The

should

Atisara

diet

of the

patient

kind

parni,

admixture of
Vana-

of Patha),

Yiithikd,

Dadhi

(curd), S'dla-

Vrihati, Kanta-kdrikd,

Vald, S'vad-

S'eht, S'ana,

Pris'niparni,

from

suffering

the

Kdrp&si (D. R. Vata and Karpasi), Dddimn,


Kachch/mrd,

long-

64-65.

oil.

be prepared with

S'dlmali, Phanji (a

Kapittha,

from

results

remedied by rubbing the part with


:

XL.

[Chap.

which should, therefore, be

of Atisdra

attack

standing

SAMIilTA.

Chuchcim,

amstrd, Vilva, Pdthd, Ndgara and DJianydka and

may

sesamum and Mtidga

pulse

also consists of the pastes of

or of Mtidga soup.

GG.

Causes and Symptoms of RaktatiSara

The bodily Pitta

of a person already suffering

from an attack of Pittaja- Atisara

is

and aggravated,

eatables are

if

Pitta-generating

further deranged

and ushers in the discharge of blood with


panied by fever, burning sensation,

thirst,

stool

taken,

accom-

gripings (Sula)

and excessive suppuration (inflamation) of the anus


The above are the characteristics of the
(Guda).
Rakta(ti-sa(ra.

<b7.

Treatment :Draughts

milk

of

and cooked with the leaves of Vata,

etc,

duly boiled
(those

includ-

ed within the Nyagrodhddi group) should be given with


clarified

butter,

marked by

with sugar and

or

honey

a case

in

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.

discharge of

stopped by

blood

a potion

S'dhnali, PlaksJia,

gether with milk


result

is

(in

case

consisting

S'allaki,

of

Atisara)

The

may

be

of the barks of Piydla,

and of Thiis'a pasted

and mixed with honey.

obtained by administering

the milk

to-

The same
of a she-

UTTARA-TANTRA.

Chap. XL.]

goat

with

Payasyd

paste

of

22/

Vashti-madJiu, sugar,

(Arkapushpii and

Ddrvi

and

honey, or with a paste (or powder)

Manjishthd,

of

Padmaka, Kumuda, Utpala and Padnid

S'arivd, Lodhra,

(Bhargi.

Lodhra,

mixed with

68-71.

Sugar, Utpala, Lodhra, Samangd, Yasliti-7nadhu and


Tila

or Tila, Mocha-rasa and Lodhra

and

Utpala

Kachchnrd and

or

dients of four recipes which,

if

or Yashti-madhu

Tila

are

milk and honey, would remove the blood


Pastes

of unripe

Vilva

in the

a case

in

stool.

marked

case of blood-

deranged blood, and

the

ingre-

she-goat's:

and honey taken

fruits, treacle

before the meal would be a remedy


by watery motions mixed with blood.

dysentry due to

the

taken with the

Pitta

and

attended with Sula yields to the use of a compound con-

Kosakdra

sisting of

parched paddy

kind of sugar-cane) pulverised

(a

in

fried

with sugar and honey.

butter

clarified

and mixed

case of blood-dysentery due

to the action of the deranged blood,

may

and Pitta

be

compound of the kernel of a i^unripe)


Vilva-huit mixed with Yashtt-madhu and taken with
The remedies
the washings of rice, honey and sugar.
with a

cured

mentioned

with a

connection

in

case

of

Guda-paka

(suppuration of anus) should also be employed in

Application of Pichchha'-Vasti

cases.

the type where the pain begins to subside.

in

tive

of the decoction of

consi.sting

and Pippali should be given


appetite

colour

as

only

plant)

shduld

D. R.

(if

When

as

the

In the

of blood.

sisting

soon

milk
he

to

stool

J^idanga,

patient

would

alternative,

these

recommended

is

purga-

Triphald

with good

assume*

the

purgative con-

cooked with Eraiida-voois (castor

employed and the patient should be

the slool

would harden

'fl'ffif^^"

THE SUSHRUTA SAMIHTX.

228

prepared

Yavdg-u

given

subduing drugs.

XL.

[Ciliap.

and Vayu-

with appetising

72-78.

Treacle (Phanita) mixed

powdered

with

S'unthi,

milk and clarified butter should be given

curd,

oil,

case

marked by good appetite but by frothy motions

devoid of
oil

and

matter.

fcecal

all

treacle, or cakes

V iha-{rm\.s

unripe

with boiled

in

with

Badara-U-\.\\is boiled

prepared from them and dried

should be prescribed. Cakes prepared

Mdsha-^\x\se

be prescribed

should

to

be

taken with curd followed by a draught of S'vctd (cake-

made) wine
matter

the case

in

S amangd,

cooked with

marked by the absence of

The

the stool.

in

rice.

79.

decoction of Masha-'^xAsG, Kola and

cooked

equal

in

parts of the

oil

and

and mjxed with curd and the expressed


should be
of

any

would yield
Vilva

barley duly

clarified butter

juice of

matter

fruit

and

the

(Furisha-Kshaya)

stool

use of Bit (black

the

to

in

S'tuithi pasted wnth

Dddinia

The absence

prescribed as diet in the case.

fecal

fecal

of a hare

flesh

curd and clarified butter should

be taken with well boiled

blood-stained

.'alt),

dried unripe

any acid

juice

and

mixed with curd-cream and cooked in equal parts


Clarified butter duly cooked
oil and clarified butter.
with as- tringent and appetising drugs should be
of

given

in

a case of Atisara attended with

Sula where

the patient feels a good appetite after the loss

80 8

matter.

Symptoms
in

the

carries

down

food,

the

the lower part

is

is

person

addicted

to

the use of

deranged and aggravated.

It

accumulations of Valasa (mucus) into

of the

they are constantly


disease

of PravahiKa : The Vdyu

organism of a

unwholesome

of fecal

r.

body, whence, mixed with

passed

called Pravahika'

off

with tenesmus.

(mucous

diarrha-a).

stools,

The
The

UTTARA-TANTRA.

Chap. XL.]

229

motions are attended with Sula (pain)


type of

the

Pittaja one, with mucus


blood

origined

of

may

of food

these

Raktaja

the

in

(blood-

(Ruksha) or of

of dry

regarded as the exciting

be

The

cases.

the

in

Kaphaja one and with

the

Excessive use

type).

fatty articles

factor

in

mucus)

(blood-streaked

the Vataja

in

burning sensation

with

disease,

indications

specific

of

Pravdhika as well as
Ama
mature stage are respectively identical with those of
the several types of Atisara.

Treatment

In

82-83.

event

the

effect

to the use

are

found to readily yield

oil,

Tila (sesamum) or Pichchhila

cases

they

of boiled

milk,

The green

Vasti.

stems of S'dhnali well covered with green


should be scorched

The

with boiled

milk,

Similar

duly cooked
the

of

an

of

oil in

Vasti would prove

Oil

preparation
ing

with

in

cases

retention of stool

and

84

manner

efficacious in

of)

oil

as

of an

well

as

Anuva'sana

marked

cases

86.

duly cooked with the drugs of the

kinds

of Lodhra,

])asted

application

V^asti

Vayu-subduing (Vidari-gaiulhadi)
officinal

mixed

and powdered

Asthaipana- Vasti
the

highly

with painful tenesmus.

five

butter

milk and mixed with honey and applied

in

manner

of Puta-paka.

thereof and

out

of a ^zcocWow oi Das' a-niiil

injections

the application of

Diet

manner

the

clarified

oil,

manner

the

in

fire in

squeezed

Pravahika marked with the

urine.

in

the

A'///^i;-blades,

and should be carefully injected into the

YasJiti-madJin,

rectum
of

in

juice should be

Pravahikd)

(of

serious

in

and

fasting

of

compounds

other digestive (Pachana)

producing no beneficial

and Pakva or

or acute

its

(if)

salt

group and

should

food and drink/^^zV-salt

and

\\\[h

used

A compound

and dried

mixcxl

be

ith (the

in

(the

consist-

unripe

Vt'/va-hu'it

iri-kdtu

should be

THE SUSIIRUTA

230
given to be

The food

licked*.

should

patient

rhcetic

SAMIIITA.
(boiled

[Chap. XL.

rice) of

a diar-

with honey and curd

be taken

from which the cream has not been removed

or with

milk warmed by a piece of red-hot metal f (other than


gold and silver) and mixed when cold with a profuse

The

quantity of honey.

use

duly boiled and

of milk

cooked with the admixture of Tri-kaUi and


gandhdy with the food would prove curative

He

attended with Sula.

should

Viddricase

in a

be given soups

also

(Rasa) prepared with the drugs of appetising, astringent


(Grahi)

and Vdyu-subduing

and

soup should be prepared with

his

butter

The

with the

Fish he

virtues.

oil

diet in this disease should consist of venison,

and

oil

with an

food

Lava

or with

well

prepared curd.

upper part of

transparent

take

He may

clarified

(Ghrita-manda) and with curd, while chewing at


vals (with his

pepper).

87

teeth)

his

cooked Mdsha-pidse mixed

well

benefit)

He may

butter.

soup (Yusha) of a peacock or

unsalted

bird,

take (with

with the

clarified

mutton

of a Vata

cooked with curd

tree or of blood of a fatty goat duly

(Dadhi),

take

clarified

admixture of Vayu-subduing drugs.

or goat's flesh cooked with the tender sprouts

of a

may

and

butter
inter-

unpowdered Maricha (black

the

89.

compound

of

milk,

honey and

clarified

of Yashti-madlm

mixed with the decoction

butter

and Utpala

manner of Vasti-application
in (a case of Pravahika, marked by) excessive pain and
The applicapainful micturation (Mutra-Krichchhra).
should be applied

tion of this Vasti


*

According

to

in

the

would alleviate the burning sensation,

some variants

this coniiiound

should be taken thrice

daily.

t In place of 'g;rg" Kupya

some read "gjtj" Kurpa which

(any
is

metal

explained

other
to

mean

than

gold and silver)

a kind of stone.

UTTARA-TANTRA.

Chap. XL.]

accompanying

allay the the

and remove the blood

fever

Injections of the decoction (of the drugs)

(in

the stool).

of

Madhura group

Anuvasana
day at daytime
feeling any pain.
of an

(such as Kakoli,

etc.) in

or

the

in

manner

the

every

be applied

Vasti, should also


night,

if

the

be

patient

90.

applied with

Va.sti

admixture of

the

Vayu and

aggravated bodily

pacify the

23!

would

oil

Pravahika,

would be removed with the pacification of the deranged


bodily Vdyu.

The main treatment,

of Pravahika

is

its

is

local

Vayu

to

identical with a cure). 91.

Treatment : The

lYIedical
as

deranged

the

to restore

normal condition, (which

in a case

therefore,

known

drugs

Pdthd, Ajaniodd, Kutaja-secds, S'nnthi and Mdga-

dhikd taken
in tepid

in

equal parts, pasted together and dissolved

water or milk duly boiled with the

of a goat and
efficacious

mixed with
a

in

mixed with

case

clarified butter

Pravahika.

of

KsJiavaka would give instantaneous

butter

Clarified

and duly cooked with

oil

testicles

would prove
S'untJii

relief,

and

licked.

if

Yavagu duly prepared with the admixture of Vilva


and the expressed juice of Gajdsana (Sallaki), KzimbJiikd and Dddima and \\'\\\\ curd,
oil
and clarified
butter would pro\ e highl)- beneficial.
The use of milk
drawn

just
case.

would

similarly

pro\e

beneficial

in

the

92.

wise and

the foregoing

experienced physician should

employ

compounds and decotions

medicinal

in

the complaints of the bowels and of the stomach (Udard-

maya)

as well as light, appetising and emulsive (Snigdha)

articles of

fare

and other

before as diet in the cases.

Yavagu : Yavagu
in

cases

of fever

and

of food

articles

prescribed

93.

(gruel)

Atis^ra

is

in

always efficacious

as

much

as

it

alla\-s

THE SUSHRUTA

232
thirst,

light

is

[Chap. XL.

and appetising, and acts

digestion

in

SAMIIITX.

as a cleanser of the bladder (diuretic).

94.

General Principle of Treatment :


Drying (Ruksha) measures should
case due

and

food

adopted

(Snigdha)

emulsive

employed

be

any

the excessive use of

to

oily or

in

emulsive

measures should

be

a case brought on through an excessive use

in

any dry (Ruksha)


should be first removed
of

The cause

article.

in

case due

to

of

terror

fright,

while

(of

mind should be calmed or consoled in the case due


any grief or bereavement. The treatment in cases
Atisara) due to piles or worms (in the intestines)

as

well as in those due

the
to

to the

effect of

into the system) consits in

duced

poison (intro-

employing therapeutic

agents which are simultaneously remedial both to the

and

disease

to

exciting factors.

its

Complications or

distressing concomitants such as vomiting,

thirst,

faint-

removed with drugs which are


not incompatible with the main treatment of the disease,
ing

fits, etc.,

should be

and which do not aggravate the exciting factors. In a


case of fever or Atisdra marked by the simultaneous
aggravation of the deranged bodily Doshas, the deranged
Pitta should be
affections,

be

first

it

is

first

remedied, while

in

all

the deranged bodily Va'yu which

curbed down or corrected.

95

other

should

96.

Indications of cure : Non-emission


stool

at

the

of

time of urination and the free emission of

flatus (Vayu), as

well

as

the

rousing

of the

appetite,

and the lightness of the abdominal cavity (Koshtha)


are the indications
(Diarrhoea,

the

The

etc.).*

printed edition

symptoms

of cure

in

case

of

Udaramaya

97.

of Dailana's

commentary says

of cases of aggravated Atisira.

that

these

are

Chap. XL.

UTTAR.\-TANTRA.

233

Static or Dynamic causes of Diseases and Treatment : Some di.sea.ses are due
(deed.s

done by a man

in

prior existence),

and some are due

to

Karmas

to the d}-namics of

the present or

any

may

of deranged bodily Doshas, while there

the effects

be others which have their origin both

in

dynamics

the

Karma and the necessary physiological (Doshaja)


Of these a Karma-origined disease may come

of

causes.

on

any apparent exciting

without

appears w

the

itli

b\'

penance,

etc.)

of

extinction

means

effected

any

of

dis-

it

(Karma's)

its

result

measure

remedial

(e. g.

other than medical treatment, whereas as

a Dosha-origined disease

conquered

is

involved deranged Doshas of the body


their

and

factor

as soon

are

to

Cases due to a slight derange-

normal condition.

ment of the bodily Doshas but attended with


those due to the

as

as well

deal of troubles

the

as

restored

good

excessive

aggravation of the Doshas but attended with only slight

both to the physiological

troubles should be attributed

causes and to the dynamics of

cured only

when both

Karma, and

causes

of these

aggravated Doshas are removed.

Grahani : The

Grahani

virj.,

these

are

Karma and

98.
(lit.

the

uppermost

extremity or the receiving ducts of the intestines)

is

causes which

of

by

affected
appetite.

ranged,
Atisara,

the

The

digestive

if,

with

and conduct

Atisara should be as laid

down

is

attack

use of "^fxj" in

the

text

still

of
in-

matters of food and drink.

in

diet

The

again de-

is

the dulness of appetite, he be

Hence the regimen of

dulncss

even after * the subsidence of an

temperate and injudicious

Orahani

produce

of a patient

fire

in

shows,

in

connection

say

the

a case of

with the

commentators, that

possible even without a previous attaclc of Atisdra.

30

THE SUSIIRUTA SAMHITA.

234
sequel

any purgative

of

[Chap XL.

(Virechana), until

the

deranged Doshas of the body would be completely

res-

tored

to their

health

cout.se

normal condition, bringing

and strength

their

in

train.

in

The

the natural
sixth Kala

which has been described as the Pitta-dhara Kala


containing

sheath)

between

situated

is

and Amds'aya (duodenum

strength of the organ of Grahani


digestive

former.

(Agni) and

fire

Hence anything

the

is

The aggravation

in

the

that impairs the digestive

fire

latter

of one

or

all

is

situate

99-102.

the bodily Doshas

the derangement of the Grahani

the food taken

fecal matter, or if

is

it

digested,

into

which

shape of undigested

passed off in the

is

The

dependent on the

(Agni) necessarily affects the Grahani.

leads to

Pakvds'aya

Grahani.

called

is

?)

(Pitta-

it

sometimes produces

constipation of the bowels and .sometimes liquid motions

accompained

The

disease

(in
is

both cases) by pain and

called

Grahani

experienced Physicians.

fetid

smell.

(chronic diarrhtea

?)

by

103.

Premonitory Symptoms : incomplete


digestion,

or

lassitude

sense

of physical

langour,

laziness, thirst, a sense of exhaustion, weakness, aversion

to

food, cough, ringing in

rumbling sound

mark

in

the ears (Karna-Kheda) and

the intestines are the

Symptoms Swelling
:

and of the
thirst,

symptoms which

the premonitory stage of the disease.

feet,

or

104.

oedema of the hands

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-Svdsa (variety of asthma)
in

the

indications

(Grahani).

of
105.

the developed

stage

of

the

well

an

are

the

disease

UTTARA-T ANTRA.

Chap. XL.]

Symptoms

Specific

type

case of ihc Vaitctja

aching

pain

of Grahani :

accompained by a severe

is

thorax

anus,

the

at

235

(Hridaya),

sides,

abdomen and the head. A case of the Pittaja type is


marked b\- a burning sensation in the bod}-, while the
one of Kaphaja origin is characterised by a sense of
A case of Tri-Doshaja Grahani
heaviness in the limbs.
to all the symptoms of
belonging
symptoms
exhibits
cases

the three

and Kaphaja

Pittaja

(Vcitaja,

The deranged bodily Dosha in\olved


its

colour to the

characteristic

and excreta
a

furnishes

(stool

disease, which,

may
piles

in

an attack
(chlorosis),

of

Thus

patient.

neglected or unchecked at

face

eyes,

the diagnosis

clue to

Pandu

usher

heart),

if

finger-nails,

and urine) of the

satisfactory

types).

case imparts

in a

of

the

it

the

outset,

Hrid-roga (disease of the

Udara

Treatment and Diet

Gulma,

etc),

(ascites,

and enlargement of spleen.

106.
:

Appropriate emetics

and purgatives should be exhibted (for cleansing the


upper and lower parts of the body) in accordance
\vith

the aggravation of the

and Peyas

(gruels)

Dosha

and other

drugs should

pared with appetising

Doshas involved,

or

of diet duly

articles

pre-

then he prescribed

order.

Therapeutic agents possessed of

digestive, astringent

and appetising virtue should then

in

due

their

be employed through the vehicles of


(wine),

water,
i^

SncJia

(oil

or Takra.

an

in itself

excellent

Remedies mentioned
of

worms

also

cure

be adopted

with

Takra

Gulma,

with

benefit

The comjKiund known

or the

medicated

clarified

the

ascites or

in

morning

the

in

for the disease

connection

in the intestines,

discu.ssion.

chiima,

in

of

use

/hishta

cow's urine, tepid

or clarified butter),

The

Su7-d,

((iraliani).

treatment
piles

the

disease

as

the

butter

may
uuder

Hw^vddi-

described

as

THE SUSHRUTA SAMHITA.

236

[Chap. XL.

in a case
of enlarged spleen, or the one
cooked with the expressed juice of Chdngcri and

remedial

duly
with
as

Kalka may be

results.

as

drugs of the Mdgadhddi (Pippalya'di) group

the

Clarified

much

curd

Whatever
would be

is

likewise

(Dadhi)

prescribed with

beneficial

duly cooked with four times

butter

may

also be used

with benefit.

appetising (medicines, drugs and diet,

beneficial in cases of Grahani.

(IJpadrava) such as fever,

etc.

etc.)

Complications

should be subdued with

drugs not incomptible with the main treatment of nor


in

any way aggravative of the main


Thus ends

ihe fortieth chapter

of

the

107

disease.

Utlara-Tanlra

in

the

Sus'ruta

Samhita which deals with the (symptoms) and medical treatment of


Atisara.

CHAPTER
Xow

on

discourse

shall

\vc

XLI.
the

(symptoms and)

medical treatment of Phthisis (Sosha-Pratishedha).

i.

Nomenclature Wasting or a general

ema-

Any
a

comes

of and

premonitory s\-mptom of an organic disease.


cachectic condition of the body accompanied by
a

as

in

frame marks the sequel

of the

ciation

low lingering

is

called

is

many

has baffled

cussion

disease

fever

a radical cure

diagnosis and

Ksha)-a.

of

fact

dis-

The

physician.

skilful

nameds Sosha from the

correct

under

of the disease

consuming

its

withering) the vital principles of


or drying up (Sosha
serum, etc. It is called Kshaya
the body such as Rasa
(wasting) since a wasting process

the

all

attack. Since the

was the

called

also

avtthorities.

Some

found to accompany

body during

victim

fall

to

Raiija-yakshm^ (king's

attack,

its

disease)

It

disease

the

that

is

produced

The mythological origin of Sosha (I'hlhisis) is


The Moon-god married 27 daughters of Daksha

the

b\'

Doshas of the
all

attached to Rohini in the extreme.


father-in-law,

Daksha entered

the

Moon-god

became penitent and the wrath of his


the

intervention

jjersonated

Phthisis

any kind

moon-god was

of the
to

of excess
tlu-ii

other

earth

and

to

of

whom

in

the

shape of Phlhisis,

to emaciate.

The Moon-god

father-in-law having

he managed

gods,

take

possession

to

of

been subdued

send

Cf. Scrofula

llie

is

now known

at.

the "King's disease."

the

indulging

more particularly seXUal eXCesS-

mcdicnlly Ircated and radirally cured by

which

down

men

physicians, thr twin As'wIpj.


'

he was

Thereupon the personated wrath ofhis

whereby the body of the Moon-god began

in

is

some

being usually found to be attended with

at

it

f by

2.

sa}-

separate action of the three fundamental


bod)-.

its

Moon-god, the king of the Brahmanas,

to

first

is

of the

activities

functional

The

cekstial

THE SUSHRUTA SAMIIITA

238
the eleven

symptoms which

distressing

simultaneously with the ushering


being the only instance
in

the

[Chap. XLI.

in

the

are manifested

in of the disease,

science

and

of therapeutics

which the treatment does not vary according to


variation of symptoms.
This disease, Sosha, is

more properly
aggravation

symptoms

to

all

the

in

the

simultaneous

and

Doshas,

the

is

it

3.

/Etiology
process of

three

most predominant Dosha only that

of the

are manifested.

The

originate

said

of

and general symptoms :

any wasting disease

the

in

system,

re-

any physical urging or propulsion, over-fatiguing physical exercise and irregular diet are the causes
which, by aggravating the bodily Doshas and propelling
pression of

them

organism, give

over the

all

to the disease.

rise

The aggravated Doshas with Kapha

as the most predominant 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

and the following symptoms,

z'ia,

asthma, cough, emission of blood,


ing six in

all

are found

Specific
mark the
disease

are

the chest),

loss of

in cases of

loss

contraction

shoulders (Ams'a),

while

bodily

those

sides

6.

symptoms which

(hoarseness),

of the

body,

number-

voice,

R^ja-yakshma.

of the deranged
of voice

the

aversion to food, fever,

Symptoms: The

action

of

V^yu

and stoop

which

in

aching pain

are

at

the
(in

the

exhibited

through the action of the deranged Pitta are

fever,

burning sensation, Atis^ra and expectoration of blood,

and the

features

which

deranged

Kapha

the disease are a sense

in

the head, aversion to

food,

indicate

cough

the

ai^d

action

of the

of fullness in

a sense

of the

XLL]

Chap.

UTTARA-TANTRA.

239

presence of a lump or plug in the throat (as


is

rising up).

Prognosis

physician

take

in

having an eye

hand the treatment of a case of Sosha

whether marked

symptoms

b}'

the

at

preceding

the

all

sides,

loss

cough and blood-spitting.

symptoms Sexual

excess,

by

Sosha.

is

attended with

semen and

old age, over-

grief,

of

journey,

fasting,

case

the

all

the vital

order of enumeration.
person,

symptoms

factors

of

due to sexual

symptoms due

to

loss

mark

of the

brooding

over

limbs and

the

all

the

other than the actual

dis-

a case

cachectic condition of the

of

in succession in their inverse

Constant

looseness

of sexual excess

charge of semen

exciting

organic principles beginning

with semen being wasted up

departed

the

of Sosha

marked by palour or yellowness

is

the complexion,

lity of

toils

within

authorities

disease,

excess

exercise,

and ulceration of the Urah (lungs) are included

certain

this

of

physical

8.

^osha and their

Other causes of
fatiguing

cough,

aversion to

accompanied by only three symp-

or

toms,

fever,

kinds of

vie.

of voice,

food and fever,


vi:~.

to

(Phthisis)

eleven

with six of them

attended

or

Atis^ra, pain

ulcers

something

good name should not

professional reputation or

his

if

7.

due

to grief.

general

body accompanied by imbeci-

the mind, diminution of bodily strength, impaired

functions of the sense-organs, laboured or difficult breath-

ing (U. R.

shivering of the limbs), aversion

gong-like voice,
of
to

mucus (A.
the

expectorations marked by the

R. hea\ incss of the limbs), a general

concerns of

from the

to food, a

life

absence

apathy

and (constant mucus) secretions

ears, nose, eyes

and mouth are the .symptoms

which indicate the origin of the disease

in

the

and spontaneous waste of an extreme old age.

natural
9-12.

THE SUSITRUTA SAMHITA.

240

case due to the

symptoms

such
the

scorched

muscles,

the absence

of the limbs, flabbiness of

or burntness

haggard and cadaverous


limbs,

journey or travel develops

toils of

looseness

as

look,

of natural

of complexion, a
gone-feeling

addition to those

in

in

the

body and
the Kloma. These

gloss of the

dryness of the mouth, throat and of

symptoms

[Chap. XLI.

of the ulcerated lungs

(Urah-Kshata) without actual ulceration, characterise the


type due to over-fatiguing physical exercise.
If

and

a case of ulcer

and

attended by

kshata)

most uncurable type of the

Rupture or ulceration
is

the

and loud reading, a hurt or a blow,


congress and

sexual

excessive

by coughing.
and

the tone

of the

becomes

senseless

from.

In

voice

certain

from

changed

is

symptoms

exciting

theless these diseases

of

not

arc
also

dis-

or

out
the

mouth
body and

the

patient

he suffers

symptoms vary according

to the varied natures of their

the specific

of the

and

as

the

in

excessive pain

the

cases the

inside

felt

is

fetid smell is felt

The complexion

the breath.

in

ultimately

expectorated or hawked

is

acts

excessive

Yellowish, black

burning sensation

region of the chest.

entail

They

the chest (Urah).

charge blood and pusy secretions.


purple coloured blood

such other

and

co-operation

active

of

straining

lungs (Urah-

the

in

caused by physical exercises, lifting up heavy

loads, excessive

require

of blood, pain

loss

turned to a case of Sosha

is

it

pre-eminently the

is

desease.

or

is

difficult}' in eating,

13-14

full\'

factors,

and

all

exhibited. Never-

go under the denomination

Kshaya (consu'nption) owing to the fundamental


principles of the body being equally consumed

vital

or withered
their

up

in

them, and

treatment has

(Chapter

XV,

alread}-

Sutra-Sthana).

the

been
15-iy.

specific

niode

explained

of

before

UTTARA-TANTRA.

XLI.]

Chap.

24t

Premonitory Symptoms:
gone-feeling

difficult breathing-, a

sense

of the palate, vomiting,


fits,

-Laboured or

the

limbs and a

lassitude, secretion of nuicus, dryness

of physical

fainting

in

dulness oT appetite,

vertigo or

nasal catarrh, cough, somnolence, whiteness

of the eyes, desire for meat, and increased sexual propensities

symptoms which mark the advent


The patient dreams
Sosha.

are the

dreadful

disease

of the

that he

has been borne on the wings of a crow or a parrot or a

has been riding a porcupine or

vulture or a pea-cock or
a lizard or a

up and

monkey

dreams river-beds dried

or sees in

up or fanned by gales of wind or

trees dried

surrounded by flames or fumes of

Prognosis

fire.

i8.

gradual

wasting of the body

inspite of sufficient food, presence

of Atis^ra (diarrhoea)

and swelling of the abdomen and scrotum are the symp-

toms of a comsiunptive patient who should be given

The

up.

treatment,

in his habits

and

howe\-cr, of a

strictly

patient

temperate

conforming to the instructions

of the physician and possessed of a

and not much reduced

in

good digestive fire


body may be taken in hand

provided the disease be an acute one.

Treatment
first

to use the

the

milk

:- The

medicated

of a

ewe or

patient

lc;-20.

should

clarified butter

she-goat

be

made

prepared from

and duly cooked

with the drugs of the Sthirddi (Viddri-gandhddi) group

and then mild


injections

should

after

foll(n\

emetics

the

and

manner

the

preceding

head-purgative (Siro-\ircka)
diet

should

purgatives.

of

Intestinal

an Asthapana Vasti

medicinal
should

measures and

be applied,

The

then be given consisting of (cooked) wheat,

barley S'dli-rice together with

meat-essence.

Construc-

tive tonics or tissue-builders (Vrinihana) should be given

to

patient

with

good digestion and relieved of

THE SUSHRUTA SAMHITX,

242
all

symptoms

distressing

tions

peculiar to

Viyu

generally

wherein

the

mark a

efficacious.

deranged bodily

the

of

due

case

and

tonics

virtue

Complica-

or concomitants.

action

constructive

V^yu'subduing

[Chap. XLI.

sexual

to

remedial

would be found

excess,

agents

of

extremely

to be

21-^22.

Diet meat, etc. : The


owl or a mungoose or a

flesh of a

crow or an

a Gandnpada (earth-

or

cat

worm) or a cormorant or a beast of prey (Vydla) or of


any animal of the Viles'aya or Jangala class mixed
with Saindhava

and

salt

The

Phthisis.

fried

ways

prescribed in various

may

diet

in

for

mustard

oil,

a patient

should be

laid

up with

also consist of Mudga-?sOw^ or

of Adhaki-%o\x'^ or of the flesh of an ass, camel, elephant,

mule or horse variously prepared and

well

Meat in combination with any Arishta as


mixed with MddJivika may also be given.
Various articles of food made of

well as

previously soaked in

the alkaline water

with Arka and Amritd


butter

Clarified

or a she-goat,
to

skimmed

may

may
off

likewise

Tri-katu,

wine

23.

barley-grains

duly prepared
be

prescribed.

from the milk of a ewe

be given with gruel at the meal-time

an extremely emaciated patient.

sisting of

cooked.

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

the

flesh

of

any carnivorous animal and

mixed with Pippali and honey


remedial

in a case

of Phthisis.

of Drdkshd, sugar and

honey and

oil

as an after-throw proves

lambative consisting

Mdgadhikd pasted together with

proves efficacious as a cure for Phthisis.

A;case of Phthisis would yield to the use of a lambative


consisting of Tila, MdsJia-y^xAsQ.

and As'vgandhd ground

XU.]

Chap.

UTTARA-TAxXTKA.

to a fine paste with the addition of

243

honey and

clarified

butter

skimmed out

sugar,

As'vagandhd and Pippali pounded together and

made

into a fine paste with

clarified butter. ^lilk

As'vagandhd
Butter

may

milk of a she-goat, or of

of the

the addition of honey

be prescribed as a constructive

skimmed out

copious quantity of sugar should

morning and

alternative, every

should be then followed by a draught of milk.

As'vagandhd, Punarnavd and


rubbing (Utsadana) the body

in

cooked with

butter duly

fied

whole of a Vdsaka

tree

and barks) and with

tonic.

preceding preparation of

of the

milk and mixed with


be taken, as an

and

duly cooked with the admixture of

(viz., its

24.

Yava should be used


of the patient.

decoction

(the

roots, leaves,

flower (as

its

this

Clariof)

the

branches

Kalka) and mixed

with an adequate quantity of honey* should be taken

consumptive patient

b}'

strictly

conforming to the

regimen of diet. Thus a virulent attack of Phthisis


accompanied with cough, asthma and chlorosis would
25-26.

be speedily conquered.

wise physician should take equal parts of clarified


milk, decoctions

butter,

Khadira and the expressed


a

horse,

an

elephant,

boilcd and cooked together with the

(Kakoly^di) group.

would

and

articles

and of

dungs of a cow,

liquid of the

she-goat

equal parts of the above ten

Tri-katu, Tri-phald,

Haridrd

of Miirvd,

ewe.

should

Kalka

Ten

be dul}-

powdered
Dcvaddru and the drugs of the sweet
This medicated

of

clarified

butter

be found highly beneficial in the cure of Phthisis

(Yakshmi).

27.

Six Pdtra measures of the duly prepared decoction of


Das'a-mula, Vauina, Karnnja, Bhalldtaka, Viha, the two
*

Thi:. preparation

differcnl language

is

also fouml

in

the

Charaka Sanihitd

under the Ircatmenl of Kakla-pilla.

though

in

THE SUSIIRUTA

244

kinds of Punarnavd,

SAMIIITA.

Yava, Kulattha,

[Chap. XLI.

Badara, B/idrgi,

Pdthd, Chitraka and Mahi-Kadaniba should be cooked


with a Patra measure

Kalka

of)

Chavya, Devaddni and Saindhava

The medicated

(D. R. Pippali).

pared proves efficacious

V^taja-Prameha.

in cases of Phthisis, Ascites

a mare,

elephant, a hind, a

she-ass

a ewe,

and

cooked with the

and the expressed

the dungs of a cow,

salt

clarified butter thus pre-

Clarified butter duly

milk, blood, meat-essence

the

(the

Vyosha (Tri-katu), the milk of Mahd-vriksJia

Abhayd,

(Snuhi),

and with

of clarified butter

liquid

of

a cow-

a she-goat,

and a she-camel and with

Kalka of DrdksJid, As'vagandhd, MagadJid and sugar

proves extremely beneficial

fied butter

28-29,

in cases of Phthisis.

Eladi-mantha : A

Prastha measure of

clari-

should be duly cooked with the decoction of

Eld,Ajamodd, A^nalaka, Abhayd, Aksha, Gdyatri, Arishta,


Asana, S'd/asdra, Vidanga, Bhalldtaka,

Ambhoda and

Tri-katu,

cooked
thirty
of

it

should

Tugd-ksJiira

and

(Vams'a-lochana)

with a laddie.
followed by a

present elixir

diseases

to

Pala weight of

two-Prastha-

and

it

this

stirred

preparation

draught of milk should be given to be

every morning to

of

duly

oven and

the

weight of candied sugar, six-Pala-weight

Pala

extent

When

Surdshtraja-Q.2.x\.\\.

be taken down from

measure of honey should be added

licked

I'grd*,

CJiitraka,

is

possessed

of the

ano, asthma,

body

loss

as

of

patient.

of ambrosial sanctity.

application

therapeutic

its

Phthisical

Phthisis,

voice,

embraces such

chlorosis,

cough, troubles

Gulma and

spleen,

indigestion.

imparts longevity to a person

It

* Chakradatta does not read

Ugra

intellectual

in the

list.

fistula-in-

of

the

chronic diarrhea or

heart, enlarged

leads to the expansion of his

The
The

using

faculties

it,

and

UTTARA-TANTRA.

Chap. XLI.]

tends to invigorate his e\'e-sight.

It

regimen of diet and

followed while

it is

The medicated

used.

the

is

of

best

all

pharmacopea and no

rejuvenating preparations cf our


strict

245

conduct

required

is

to

be

30.

mentioned under the

clarified butter

treatment of Plihodara (dropsy of the abdomen owing

enlargement of spleen

to the

sthana) as well as the three

may

connection

be also

Chapter XIII, Chikitsitamentioned

others

advantage

with

used

that

in

the

in

The accompanying symptoms

disease under discussion.

or complications such as hoarseness of voice,

etc.

should

be remedied with appropriate medicines presented for


those diseases

made

to

the

in

use

meat and the (expressed


bath or

his

and

to

in

li\c

milk,

a goat-shed

(in

Phthisical

Rasona

patient

connection

Vyadhi).

in

the

with
31

(e.g., in

drinking)

company

of goats)

his Phthisis in

a month.

the

should likewise be

prescribed

the

medical

his

made

take

to

manner

(laid

down

in

treatment of Maha-vata-

34.

Rules of conduct : He
grief,

blood,

or Ndga-vald or J\fdoad/n'kd or S'ildfatu

(garlic)

with milk,

urine,

dung of a goat as

possible

whereby he would be cured of

patient should be

butter,

liquid of the)

any other way

in

The

S^stras.

regularly the

should not allow any

anger or jealousy to disturb the

mind, should

in the discussion

lead a

life

of strict

equilibrium of

continence, deal

of sublime subjects and conform to the

injunctions of his medical

ad\*isers

or

He

physicians.

should pay respects to the gods, superi(;rs and Brahmanas

and

listen to the discu.ssions of

the lips of
Thus ends

Prdhmans.

the spiritual truths

from

35.

the forty-first chapter of the Uttara Tanlra

in

the

Sus'rula

Samhitd which deals with the (symptoms and) treatment of Phthisis.

CHAPTER
Now we

XLII.

on the chapter which deals

shall discourse

symptoms and) medical treatment

with the

(Gulma-Pratisheda).

number of Gulmas :

Definition and
The fundamental

principles of

aggravated by their

Gulma

of

i.

the body, deranged and

respective

or

exciting

specific

causes and factors tend to accumulate in

the

cavity

of

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


and of the bladder (Vasti). The
of
kinds
and found to be round or
is
Gulma
five
the

regions of the heart

may

spheroid in shape and


shifting)

their

in

mass and

size.

vis.

and nomenclature :

five locations inside

the two

bladder

The Gulmas

and

the

region

named because

are so

abdominal cavity,

the

region

the

sides,

(Vasti)

(lit.

2.

Localisation
They have

be either fixed or mobile

character and subject to variations in

their

of

the

their

the

heart,

of the

umbilicus).

root

base

or

cannot be exactly localised as well as their cause cannot


be exactly

ascertained

having their origin


local

bodily Vayu,

owing

the

in

to

the

fact

of

because of their being but a

or

agglomeration of the deranged bodily Doshas


affected locality

of the

surface

bubble of water,

its

in

the

and the shrub-like large converse outline


(Gulma-shrub).
is

Since a Gulma, like a

a self-contained agglomeration of the

deranged bodily Doshas and freely moves about


cavity of

their

aggravated condition of the

growth,

it

is

not

in

the

marked by the advent of

UTTARA-TANTRA.

Chap, XLII.]

any suppurative process

Gulmas are

in

247

mass or

its

of either the

the products

certed actions of the three

The

bod)'.

or con-

several

Doshas, while

females a

in

separate class of tumours (such as the ovarian or uterine

with the deranged or

tumours) intimately connected

blood (catamenial

vitiated condition of the

also recognised.

Symptoms

Pri monitory
lassitude,
intestines^

of appetite, pain

dulncss

suppression

of stool,

food

capacity to take

etc)

fluid,

is

5.

to

the

: A

sense

and rumbling
and

urine
full,

in the

flatus,

aversion

of

to

in-

food,

and an upward coursing of the internal Vdyu are the


indications which

symptoms

of

may

Gulma.

Specific

be

set

down

Symptoms

region of the heart and

the

: Pain

(S'ula)

belly (Kukshi),

the throat and of the mouth, suppression of


irregularity of digestion

Fever,

and

all

other

in

the

dryness of

Vayu

(flatus),

symptoms which

deranged condition of the bodily

specifically indicate the

Va}'u are the

premonitory

as the

6.

characteristics

of the

Va^taja-Gulma.

perspiration, defective digestion, burning

body (Anga-raga),

tion, thirst, redness of the

sensa-

bitter taste

mouth and ail other specific symptoms of the


deranged Pitta mark the Pittaja type of the disease.
in the

sensation of wetness

all

over the body, an aversion to

food, lassitude, vomiting, water-brash, sweet

mouth

;ind all

taste in the

other specific indications of the dcran<>"cd

Kapha arc 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. J ~9-

Symptoms
symptoms

of

Raktaja-Culma : The

of Raktaja-Cjulnia arc

bodily Va)-u of a w

omau newly

mentioned below.

The

delivered of a child as

THE SUSHRUTA

248

well as that of a

woman who

woman

courses

of a

her

in

unwholesome or
duct),

SAMIIITX.

[Chap. XLII.

has recently miscarried, or

deranged by the use of


regimen of con-

is

injudicious food (and

and by supressing the discharge of the blood

(lochia)

it

Gulma attended with


Gulma of this type

gives rise to

burning sensation,

pain and
easily

is

mistaken for a case of conception, which exhibits


the

symptoms

of,

the

peculiar to

all

pregnancy as well as those which are


of the

state

Pittaja

with the

type,

abdomen does not enlarge and


The medical
there is no movement (in the womb).
treatment of a Gulma of the present type should be
the

exception that

taken

hand

in

gestation and

lapse

after the

this

known

is

of the natural term of

the

as

by the experienced physician.

Raktaja-Gulma

10.

General Treatment : A
from an attack of Vaitaja
with a

Sneha, purged

then treated

Anuvasana
disease,

in

Vastis.

the

fatty purgative

with

and
Nirudha and

of Pittaja

type of the

be treated (rubbed) with

should

patient

person suffering

should be duly treated

with any

a case

In

butter duly

clarified

Gulma

proper time

the

and cooked with the

prepared

drugs of the Kdkolyddi group and

purged with the compounds

then

being properly

of sweet drugs (of the

Aragvadhddi group) he should be treated with Nirudha


Vastis.

In a

should be

first

case

of the

Kaphaja

type,

anointed with a medicated

the patient

Ghrita duly

cooked and prepared with the drugs of the Pippalyddi


group, then purged with

strong (Tikshna) purgative

and then treated with Nirudha Vastis of


*

This Raktaja Gulma

is

peculiar to

the

the females only.

But some

authorities are of opinion that a kind of Raktaja (blood -origined)

due

to the vitiated blood of the

males and females.

same

organism may be possible both

Gulma
in

the

UTTARA-TANTRA.

Chap. XLII.]

249

adopted or

remedial for each of the Doshas should be

employed.

Measures

laid

down

in

connection with the

Pittaja type of the disease shoulcf be


in cases of

me

hear

blood

butter duly

cooked and

tered,

of

Gulma).

prepared

with

Clarified

alkaline

the

wood (water charged with

preparation of Prt/rtVr?

burnt ashas

female

to the disintegration

Raktaja

cases of

(in

in

describe the recipes of the medi-

which would particularly lead

of the

employed

well

as

Raktaja (blood-origined) Gulma

Now

patients.

cines

bs

measures held to

character. In a Tri-doshaja type,

Palas'a*)

should

and the medicated

the

be internally adminis-

known

clarified butter

the

as

Pippalyddi Ghrita should be employed after the manner


of an

(of blood)

should be induced with the help of the drugs

of heat-making (Ushna) potency

and measures

down

laid

in.

be adopted

lard

(Vasa)

together and applied


vasti,

The

after the
in

(aquatic)

manner
a

case

of an

the Pittaja t}'pc of the disease, while


solutions of

any Jangala animal w

Kpahaja

type*.

Dallana rccommendi

Anuvasana-

of Vataja-Gulma.

and ICka-s'apha groups pro\cs


containing

boiled

with

solu-

and the lard of animals of the

tion of clarified butter

the

flow

as boar

animals,

application of similar Vastis charged

of these

the

after

use of curd, clarified butter,

Audaka

proves beneficial

Jangala

menorr-

and marrow of Anupa (such

and

etc.)

Pippaly^di group)

1.

Anuvasana The
buffalo,

{e.^r,

connection with

in

hagia (Asrigdara) should


has fairly set

oil,

discharge

In the alternative, the

Uttara-vasti.

ill

prove

oil

efficacious

the

in

application

and the marrow of

beneficial

in

a case of

12-15.
the

use

and Kapha-subduing drugs as KalUa

of Vdyu-subduing,
in

the

Pitta-subduing

prci>aration of these three

Vastis respect ivcly.

^2

THE SUSIIRUTA SAMHITX,

250

In a case of the

should

[Chap.

XUI.

Vataja type of Gulma, the patient

made

be

to use the
medicated Ghrita duly
cooked with the expressed juice of Amalaka and with

Kalka of the

the

six drugs *

and with the admixture

of sugar and Saindhava (as an after-throw).


-

Chitraka Ghrita ; Clarified

cooked with

fermented

curd,

as well as with the

decoction

Saindhava,

Dipyaka, Granthika,

taken

in

duly

(Kanjika)

rice-boilings

Vadara and the ex-

of

pressed juice o{ Miilaka and with the


Tri-katu,

5.

butter

Kalka

of Chitraka,

Dddima,

Chavya,

Pjithvikd,

Haliushd and DJianydka

Ajdji,

equal parts, proves curative in cases of Vaitaja

Gulma, Sula

distention

(colic),

dulness of appetite.

the

of

abdomen and

16.

Hingvadi Ghrita : Clarified

butter duly cook-

ed with Hingu, Sauvarchala-salt, Ajdji, Vit-salt, Dddima,

Dipyaka,

Pushkara,

Vyosha,

DJianydka,

Amla-vetasa,

Yava-kshdra, Chitraka, S'atJii, Vachd, Ajagandhd, Eld


and Siirasa as Kalka and with the admixture of curd

(Dadhi) as liquid, proves efficacious

in a case of

Gulma,

stool

and suppression of

colic-pain

and

Dadhi ka Ghrita : Clarified


cooked with

Vit-salt,

Dddhna,

Vyosha, Jiraka, Hingu,

Kushtha,
vetasa

S'linthi,

Vija-pura and with

the

ment

of spleen
is

Yava-Kshd7'a,

Amlajuice

of

weighing four times as much

curd

and Sula,

The

called Da'dhika-Ghrita.

RaSOna Ghrita

and

expressed

as of Ghrita, proves curative in cases of

prepared

duly

Saindhava, Chitraka,

Sauvarcliala-salt,

with

urine. 17.

butter

VriksJidmla (turmeric)

Kalka and

as

Vataja

Gulma, enlarge-

clarified

butter thus

18.

Clarified butter dul)-

with the admixture of the

cooked

expressed juice of Rasona

* The six drugs to be used as Kalka are


Pippali,
Chavya, Chitraka, Nagara and Yava-kshara taken one Pala

Pippali-mula,
ol each.

UTTAKA-TANTRA.

Chap. XLII.]

25

and with the decoction of (major) Panclia-nnda as w ell


(Sura), Aranala (fermented rice-boilings),

as with wine
curd,

and the expressed

Kalka

juice of Ahilaka, with the

of Vyosha, Dddinui, Vrikshdrnla, Yamdni, Chavya, Sain-

Hingu, Amln-vctasa,

dhava,

moda) taken
of

in

curative

its

equal parts,
efficacx-

such

Gulma, Grahani (chronic


sanity,

consumption,

dulness of appetite,

Ajdji and

Dipycika (Aja-

diseases

fever, cough, epilepsy

as
in-

Apasmara

enlargement of spleen,

the derangements of the bodily Vayu.

An Adhaka measure
kind of Kanjika),

body

asthma,

of the

diarrhoea), piles,

each

clarified butter

Smiviraka

be

cooked with the

curative

in

appetiser.

thus

prepared

cases of Vataja Gulnia and

acts

proves
a

as

go(jd

20.

Ghritas in

and

Pittaja

GulmaS Clarified

butler

Kalka

following-

Sauvaychala, Sarjikd, Dcvaddru and Sahi-

The medicated Ghrita

dJiava.

(a

and the decoctions of

admixture of two Pala weight of each of the


viz.,

and

colic,

19.

of curd,

Altidga and KidattJia pulse should

drugs,

range

the

includes within

duly

of the drugs or the Jroaniya

Raktaja

cooked

witJi

ib.c

(Kakolyadi) group

and with the decoction of the component members of


the Trina-pnucha-imda, or

Utpalddi group, would


cases of Pittaja

of the NyagrodJiddi or of the

undoubtedly prove curative

and Raktaja (lulma.

Ghritas in Kaphaja Gulma


of the

Kaphaja t}pe would sureU'

medicated Ghritas
Z?2)>/^z)'^i:

dul>'

siild

to

the

(iulm
use

of

cocked with the drugs of the

(Pippalyddi) L'roup as Kalka with

ture (as liquid) of the decoction of the

bers

in.

21.

of either

the

tlie
admixcomponent mem-

Aragvadhddi group,

(Mushkakidi) group or the kraovadhddi


the officinal group ol (anima') urines.

22.

the
(nana.,

alkaline
or

\\\\.\\

THE SUSIIRUTA SAMHITA.

^52

Gulma

of

the

concerted action
of the

of

type (due

Sainnipaitika

XLIL

[Chap.

the

to

the

three fundamental Doshas


body) should be treated according to the pre-

dominance

all

any

of

at the proper time

deranged

specific

The

involved therein.

made

patient should be

(z.f

as

Dosha

bodily

take

to

soon as the disease sets

in)

compound known as the Hingvddi-churna


medicated Ghrita known as Tilvaka-SarpiJi or the

the pulverised
or the

one

(viz.

Shatpalaka Ghrita) which has been described

as curative of the

enlargement of the spleen, as these

would prove curative

Gulma.

in a case of

23

24.

InteTial use of Kshara : Alkaline


made with

paration should be duly


the

t'z'xr,,

ashes

of

(dried

Sarslinpa and Yava and


of

Mulaka with the

of a cow, she-goat,

stems

Ikslmrakn,

Tila,
)

and on a slow

Palds'a and

she-buffalo.

then be cooked

in

much)
This

an iron

with one Pala weight of each

fire

YasJiti-rnadliu,

pre-

drugs,

urines (weighing four times as

ewe, she-ass and

of the following pulverised

dhava,

of)

of (the barks of

alkaline preparation should


vessel

the following

drugs,

Ndgara,

viz

KusJitJia,

Sain-

Vidanga and Ajamodd

and with ten Pala weight of Sdmiidra-salt thereto added


the form of a lambativc with

and, should be taken in

one or the other of

clarified butter, curd,

warm

ed rice-boilings (Dh^nyamla),

The

of KidattJia.

alkaline compound,

undoubtedly proves curative


the

the derangements of

in

consisting of Sarjikd-Kslidra, KiisJitha

Kctaki taken

with

According
oil

\\'ith oil*^

to

Dallana,

would form the

1st

or

Sarjika-Kshain,
atid

prepared,

of

and the ashes of

of Sarjikd-Kshdra,

comiiuund

would form a separate compound.

thus

Gulma and in
Vayu. Compounds

cases

bodily

wine, ferment-

water or the soup

Kushtha

KusJuha and Vava-Kshara


the

IvLlaka-Kbhara

willi oil

Chap. XLII

UTTAKA-TANTKA.

253

and Saidhava taken with tepid water, would subdue an


attack of the deranged bodily Vayu.

VriSChirarishta :-The
Vris'thira,

the

VarsJidbJiu,

I'nivitka,

Vrihati and

CJutraka

should

25-26.

known

as

two kinds

of

drugs

duly boiled

be

with a Drona-n^^asure of \\ater and

together

down trom

taken

the oven after three-fourths of the water are evaporated

by

boiling.

should then be poured

It

into

an earthen

pitcher of which the interior has been previously coated

One

with pastes of Mdgddhi, CJiitraka and hone\'.

Seer

and four Seers of honey shonld be


subsequently added to its contents and the pitcher
of powdered PatJiyd

should be then kept buried


days, after which

it

in

heap of husks

should be taken out and

for ten

contents

its

should be given to the patient after the digestion of his


daily

The Arishta (fermented wine)

food.

pared proves curative

and aversion to

food.

cases

in

of

{C hitrakd),

vija (Indra-}'ava) in

matured treacle of

ccpial parts

should

be

VriksJia-

taken

combimd weight

their

taken

fourth

part

together) should

only of
be

cooked with

(by

the

cure the

which should be taken


patient).

Pathyd

cow's

chlorcjsis

an empt}-

These medicines

Gulma, enlarged

cases of

heart-disease,

in

chronic

diarrha-a

urine

made

forms of

28.

tion of leeches or

of

indigestion,

\iolcnt

Blood-letting : Blood-letting
case

stomach

would radically

spleen,

and

the

powders

(weighing four times) to a thick consistency and


into pills

with

(jr

other

the

Tri-

Tri-katii,

and

SaiiidJiava->^\.

powders of the above drugs with pulverised


(weighing a

pre-

27.

Powders of Pdt/id, NikiimbJui, Rajani,


pkald, Agnika

thus

Gulma, indigestion

by the applica-

by \enesection should be

ele\-ated

and

immobile

effected

(iiii-ln'ltinL;)

in a

(iulma

THE SUSIiRUTA SAMHITA.

254

LCliap.

XLII.

by Sula, burning sensation, inflamation

characterised

and piercing

pain.

29.

Diet and Sveda :Drinks


meat-essence of an animal of the
fusely salted with Saindliava

composed of the

Jangala group, pro-

and mixed with

clarified

and taken lukewarm are good


Peyas prepared with the V^yusubduing drugs and the soup ot Kulattha-^v\y~.Q. cooked
with a Sncha as well as the Khada-yusha prei)ared with
butter and

Tri-katu

Gulma-patients

for

PancJia-mida also

Draughts
a case of

are

of milk with

likewise

as

efficacious

Diet.

Ardraka should be prescribed

Gulma attended with

the

in

suppression of stool

Fomentation (Sveda) after the manner of


Kumbhika, Pinda and Ishtaka (see Chapter XXXII)

and

flatus.

30

Chikitsita Sthana) are also efficacious

Purgatives preceded by the


tion should be exhibited to

extremely

to

difficult

-32.

application of fomenta-

a Gulma-patient, since

of

it

is

Vilepana (massage

purge him.

Gulma), application

of the

unguents and

i)oulticcs,

Samdahana (cauterisation) as well as tepid fomentation


the manner of Salvana-Sveda and the like are

after

likewise

Medicated

applicable.

Vartis mentioned

in

powders and

Cjhritas,

connection with the treatment of

Udara as weU as medicated salt? mentioned under the


head Udaramaya* are likewise applicable in the present
disease.

33-34-

Medicated Plugs or Vartis made

Udaramaya may mean

(Vata-vyadhi)
ferable

is

since

a variant

there

Kanda-Lavana,

in

are

either

indigestion

or

addopted by Dallana and


several

medicated

salts

the treatment of Vata-Vyadhi.

Sdiniidra

of

ascites.
is
e.

-f-,

Anilamaya

undoubtedly preg.,

Patra-Lavana,

See Chap. IV, Chikit-

Sthana.

sita

According

to

some

means Samudra-Phena.

'.Sariiudra'

means Samudra-balt and

others,

it

UTTARA-TANTRA.

Chap. XLII.]

255

Ardraka, Saivhapa (mustard) and a profuse quantity of


Maricha pasted together should be inserted into the
rectum in suppression of stool and flatus in a case of

Gulma.

i\rishtas

or with

manner

made with Danti

the

down

laid

-roots, Chitraka-root?,,

Vayu-subduing drugs
in

of Putika

be

pres-

the

duly

should

Sutra-sthana

the

cribed, or the patient should be


fried tender sprouts

according to the

made

to

use

and Nripa-VriksJia.

Guima patient with the upward coursing of his bodily


Vayu should not be treated with Xirudha-Vasti. 3537Compounds of Trivit and S'lnithi or of treacle and
po\\dered Haritaki^ as well as of Gtiggnlii, Trivit, Danti,

through

tered

Vacha should be adminis-

SaindJiava and

Dravanti,

milk,

wine or the expressed

grapes, according to the strength (of the

Piln

the patient).

Wine

into

Saindhava

of

the addition
taken.

made

surcharged

,a

of

and of

disease

ond

paste

juice

salted with

should also be similarly

with Pippali,

Pippali-xooi?,,

Chavya, CJiituika and Saindhava and taken at an opportune

moment

would prove

(/.

when attended with tympanitics,

readil)- curative

Gulma-patient
of flatus

c,

afflicted

should

in

case

milk or KtdmdsJia

take barley with

salt

and

clarified

3^-39-

Supervening Symptoms : If Sula


its

is

with a suppression of stool and

(Masha-cakcs) profusely saturated with


butter.

etc.)

of Gulma.

supervening

which

symptom anyhow appears whereupon

the patient suffers a kind of digging

and 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

taken with water.

some commentators

the

first

two compounds should

Ije

THE SUSHRUTA

2S6
w^3"

and

supression of stool

and numbness or
aggravated VSiyu),

and

vomiting, increase of pain

XLH.

urine, difficult respiration,

cases

cf

burning sensation, vertigo,

ilU

digestion of food, and excess of the

of aggravated Pitta),

[Chap.

of the limbs (in

stiffness
thirst,

SAMIIITX.

colic pain

(incases

goose-flesh, aversion to

food,

after the taking of food

and

a sense of lassitude in the limbs (in cases of aggravated

The

Kapha).

course

medical

of

cases should be determined

treatment

root and should be as follows.

following

lying

at the

40.

compounds,

three

such

in

by the nature and number

of the deranged bodily Doshas specifically

The

PatJiyd^

(r)

vir^.,

the three kinds of salt (Saindhava, Sauvarchala and Vit)

Yava-Kshdra,

Hingu,

Hnridid, Vidanga and Afnia-vetasn


Satdvari,

Kds'niari-phald,
dal

wood) and

(3)

(2) Viddri,

Guda-s'arkard

S'ringdta,

YasJitJii-madlni^

Yamdni,

Pitshkara,

Tumlntrii,

Triphald,

(Gang'eri-phala),

Hhna

Parushaka,

(san-

Shad-grant/id (Vacha), AHvishd, Deva-

ddru, PatJiyd, i\Iaricha, VrikslLnka, PippaU-miila,

C/iavya,

Ndgara, KsJidra (Yava-kshAra) and CJiitraka should be


respectively given in

types of the
these

Vataja, Pittaja

the

disease.

The

and Kaphaja

medium through which

compounds should be given would be

Kdnjika, luke-warm milk and

tepid

tepid

Amla-

water respectively.

compounds should be jointly


administered in sets of two or three when two or three
Dosha s arc involved in any case. 41.

The

preceding

three

Sprinkling (of water), baths, plaster (Pradeha) unguent? and dietetic treatment should be similar!}- applied
in

Vataja

cases.

Contacts with vessels

water should be applied


of emetics,

rubbing,

in

filled

l*ittaja cases,

Kaphaja

t)'pes.

while the

use

fomentation (Sveda), fasting and

other Kapha-subduing remedies should be


in

with cold

recommended

Applications of Sneha and su:h-like

Chap. XllI

UTTARA-TANTRA.

measures

remedial

are

each case.

reccjmmended

specifically

Dosha

the disease, according to the


in

257

^2.

Prohibited articles : A
from Gulma, should refrain
meat),

Mulaka

tion of pease,

of sweet

in

Doshas involved

or

person

suffering

from taking Vallura (dried

any preparaany kind) and any kind

(radish), fish, dried pot-herbs,

^//^/I'r?,

fruit.

(potato of

43.

Causes and symptoms of Sula : Now


with the causes, the characteristic symptoms

shall deal

and the treatment of Sula occurring

Gulma even without

locality of a

formation

therein.

or

(Vata), stool

voluntary

any

specific

of

flatus

indigestion,

eating

of previous food, over-exertion, use

of articles of food which are


bination, drinking water
grains, dry food or

in

actual presence or

retention

over-eating,

urine,

before the digestion

its

incompatible

when hungry,

in their

com-

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 (Sula)


(Koshtha).

with a

The

Samku

in

main

the

patient complains of as

(spear) in the inside

the trunk

cavit\- of
if

being pierced

and of a feeling of

suffocation under the influence of that excruciating. pain,

which

fact

has determined the nomenclature

(lit. a spear).

of Sula

^445-

Vataja Sula: The


violent colic w hencver in an
a difficult)- of respiraliftn.

patient

experiences

empty stomach and he

The limbs seem

or stuffed and the flatus, stool and urine

with the greatest difficulty

these

are

to be

arc

feels

numbed

evacuated

the s\-mptoms

which mark the Vataja type of the disease. 46.


Pittaja sula I Thirst and a burnin-- sensation

in

the

body attended with an excruciating

pain,

giddi-

THE SUSIIRUTA

258
loss

ness,

of consciousness,

amelioration on

application

SAMIIITX.

desire

[Chap. XLII.

cold things and

for

of cooling

measures,

the specific features of the Pittaja type.

Kaphaja
An

ancf

are

47.

Sannipatika ^ulas :

agonising pain attended with nausea, excessive

ness of the

stomach and a sense of heaviness

full-

the

in

limbs are the indications which distinguish the Kaphaja

The type due

type of the disease.


action of the three

to the

concerted

simultaneously deranged

Doshas of

the body (Sainnipaitika Sula) exhibits all the series of


symptoms which respectively mark the preceding types,

and hence

it is

said to be incurable.

48-49.

General treatment : The


been described.
cal

treatment

Now

(to

hear

me

be generally pursued

of Sula). Since the deranged


principal

lience

it

curing a case

in

bodily Va}'u (which

and immediately exciting

in its operation,

symptoms have
mode of medi-

describe the

should

factor,

be

is

is

the

very active

speedily subdued.

Fomentations with Pdyasa, Kris'ard or cooked meat


saturated with any Sneha (clarified butter, etc.) should
be resorted

to.

patient suffering

cooked

Fomentation naturally gives


from Sula,

7>'/z/;7/-leaves

cooked with a Sneha

(as

The

patient

oil,

or drink the meat-essence

mea's

his

and served hot

(clarified butter)

or he should eat the tender sprouts

with

with

pot-herbs)

relief to a

should take

Chiraviha

of

of the

flesh

of

fried

any

birds of the Jdngala group charged with a Sneha, or take

the meat of any animal of the Viles'aya group.

Treatment of Vataja ^ula


raka (fermented

(half-diluted

salt *, .should

be taken

in

cream of curd

Takra) saturated with Kdlaa

Kala Lavana generally means


it means 'Sauvarchala-salt'.

Dal'ana,

\SurA, Sanvi-

rice boilings), S'likta, the

and Udas'vit

50.

case of Vaitaja Sula.


'Vit-salt',

but

here,

The

according to

UTTARA-TANTRA.

XLII]

Chap.

soup of

with an adequate quantity of the acid

Kiiluttlui

pomegranate,

articles

(e. g.

soup of

Lata

2^9

and cooked with the

etc.)

bird salted with SaindJuxvji

and seasoned

with pepper, exercise a curative efficacy

in

a case of

The compound

of

Viilmga,

Vayu-origined type.

the

S'igru, Kampi/la,

Pathyd, S'vdwa, Amla-vctascr, Surasd,

As'va-karua and Sauvarchald should be taken with wine

an attack of the Vayu-origined type of Sula. 5152.

in

pulverised

Chavikd,

AJdji,

compound

consisting

VavdiiL

of

Pritfivikd,

Chitraka,

Vyos/ur,

Pippali,

Pippala-mida and Saind/uiva pounded together should be

taken with milk or Kdmbalika or Madhvdsava (wine of


honey) or CJiukra or Surd (wine) or with Sauviraka
(fermented
pulverised

as

rice-boilings)

pressed juice of Mdtulunga

Badara

several

The above

alternatives.

compound should be

soaked

the

in

ex-

and with the decoction of

manner of Bhavana
compound should be taken with a

times after the

saturation, and the

A \'arti
of Ilingu, and w ith sugar.
same powders and pulverised (pith of)
Dddinui wood mixed together should be lid<cd with
treacle or honey or taken with wine in cases of \'ataja

profuse quantity

made

of the

Sula as giving an instantaneous


In a case of Sula due
diet

.should be

meat-soup
diet

should

relief.

with

given

in

clariliud

53.

hunger, light and

given with lukewarm

charged
bu

t(j

milk,

Yavdgu or
iMuulsivc

butter.

case of Vataja

sparing

Sula to

patient of dry or parched organism, use of well seasoned

Ghrita-puras being specially recommended.

The

should also take V^runi wine wherefrom he


relief.

>hrill

get

5455-

Treatment
niciii mI

patient

will

\'alaj,i

narrate

of Pittaja ^iila : The

treai-

abmc.

Now

Sula

h;i>

l)(.;cii

th(; tin r.ipi'ulir

(,le>niln.d

agents

,iinl

n-HKilir.s

in

THE SUSHRUTA SAMHITX.

26o
of

respect

attack of the

made

pitta] a-Sula.

person

cooling

Vessels

ol

gems and

any

violent

He

measures and avoid

effort

by drinking

should have recourse


all

heat-making ones.
stones and cooling

up

filled

t(j

Treacle, barley, S'a'/i


butter,

with an

copper, silver, or precious

the brim with water, should be

upon the seat of

placed

afflicted

type of the disease, should be

present

to vomit without

(a stomachful of) cold water.

to

[Chap. XLII.

the

purgatives,

affection

rice,

(Sula)

milk, (draughts

flesh of

in

his body.
clarified

of,

any Jangala animals

these should be prescribed in cases of Pittaja Sula.

Pitta-generating articles should be

The soup

which soothe the Pitta should be used.

of the

meat of Jangala animals may be taken with sugar


.Parushaka, grapes, dates and acjuatic
alternative.
such as

S'riuga'taka,

Sula due to the action of the deranged

such a

draughts of

with

Dry fomentations and

PippaW^.

Kapha

is

fit

of

aggra-

Vomiting should be induced

eating.

case

fruits

56.

Treatment Of Kaphaja ^ula : A

in

as an

should also be taken with

etc.,

sugar as they tend to relieve Pittaja Sula.

vated just after

All

a\oided and those

the decoction of

other heating measures

should be likewise resorted to and the patient should be

made

to take Pippali

cases of

Kaphaja
or the

soup

S'nntJii (in

Pdthd, Vac/id,

be

Katnka-roJimi should
Chitraka,

and

Sula.

(of

any shape) in
Tri-katii, and

with the decoction of

used

any Sula-subduing

should be taken with an equal part of Arjaka.

Seeds and

roots

of Eranda,

article)

57-58.

Goks/n/ja-roots,

S'dln-

parni, Pris'in-parni, Brihati, Kantakdri, S' rigdla-vinnd (a

kind of V\\ix\'\-^.?>.\w\),Sahadevd,MaJidsaJid (Ma.shaparni),

Some

ccnimcnlalors, according to

seeds of Madana-phaln.

Dallann,

talsc

Pippali

lo

mean

UTTARA-TANTRA.

Chap. XLII.]

26I

Kshiidra-saha (Mudga-parni) and Ikshuraka-roots should

be dul)' boiled with a Drona

measure

of water and should be boiled

This decoction

part.

Vataja, Pittaja,

would he thrown
and

water,

and

the

as

just

oft'

by the

reduced

wind. Pippali,

Symptoms
ranged Kapha

ashes.

to

Taken with

curative

regions

of local

of the

the intestines.

food and

The

difficult.

colic)

if

irritated

and

is

his

disease

being pierced with

respiration
is

named

becomes painful

ParsVa-Sllla

(side-

brought on by the action of the deranged

Vd}-u and Kapha.

61.

Treatment of Pars'va-^ula : A
Compound

verised
cJiala,

V it-salt,

of Piishkara-vij^ii^,

1 liiigii,

pul-

Sauvar-

SaindJuiva, Tufnburu and PatJiyd should

be taken with a decoction of barley


pain at the sides,

in

case of (colic)

at the region of the heart

region of the bladder.

and at the

The medicated Ghrita mentioned

connection with abdominal drop.sy due to the en-

in

The

Dallana.

total

weight of the

According

to

g.

drugs

others,

jreiiaration shoidd be usetl


e,

a
in

felt

is

and the patient complains of insomnia and has

relish for

and

thus

de-

(sides)

abdomen and

pricking pain

the affected part, which seems as


needles,

an attack of

Pdrs'va

Vayu which

causes an immediate distention of the

no

in

tepid

of Pars'va-^Ula : The
the

in

arrests the course

in

Yava^

burnt

59-60.

Sula.

rumbling

clouds arc

floating

and Sarjikd-ksJidta should be

compound proves

this

Kaphaja

used with the admix-

should be

*.

driven

Chitrakii, Cs'ira

together

seers)

V>y this compound attacks of


Kaphaja and Tri-doshaja types of Sula

ture of Yava-ksJidra

shattered

(sixty-four

reduced to a tjuarter

till

a l)alh, wabhings, etc.

in

should

however,

any ohape

il

bolli

be

8 seers,

sliould

according

he 12 seers.

internally and

to

The

externally

THE SUSHRUTA SAMHITA

i62
largcd

spleen,

should

be as well

or

clarified

of castor

mixed with Hingu

butter

administered

puraka'Sdra^' duly cooked

in

[Chap. XLII.

such

in

milk

mixed with wine, Mastu, milk

oil

may

(whichever of these

Vija-

cases.

well as draughts

as

or meat-soup

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

Kukshi-^ula : The

ranged and aggravated bodily Vayu, affecting the


of digestion

Kukshi

(loins) interferes

previously
in

and incarcerated

The

fire

of the

with the digestion of the food

taken which remains

consequence.

region

the

in

de-

and undigested

stiff

patient breathes heavily owing to

the accumulation of undigested (fecal) matter and tosses

about

in

agony of

pain, finding

no

Kukshi-Sula, and

is

relief in

The

whatever, whether sitting or lying.

any posture

disease

is

called

due to indigestion incidental to the

action of the deranged bodily Vayu.

6-^.

Treatment of Kukshi-^uIa:~Vomiting
induced and fasting should

should be

the case according to the strength

and appetising drugs should


alleviation

prescribed in

employed

be

Doshas (Vayu and Ama).

the

for

]"

decoc-

and the seeds of Mdtiihinga, S'ydmd, Umvukci,

Briliati SlwA oi Kantakdri, should be taken for the

of the pain (Sula).

Ativishd,

administered,

relieve

Purgatives should

Sula.

and

and Sneha-Vastis

should be applied for the amelioration


* Vijapuraka-sara,

puraka.

relief

Vachd, Sanvarchala, Hingu, KusJitha

Abhayd and KutaJa-szQds taken together would

instantaneously

Acid

of Ndgara, Dipyaka, CJiavya, Hingu, SativarcJinla,

tion
Vit,

of the

be

of the patient.

according to

Dallana,

Vijaka-sara (ihe pilh of Vijaka)

is,

be

Nirudha-Vastis
of the

means

ihc

deranged
fiuil

uf Vija-

however, a variant.

Uingu, Souvarchala and Vitbalt bhould bt used as an after-lhrow.

UTTARA-TANTUA.

Cbnp. XLII.]

Doshas according

to their nature

263

and

Sneha-

intensity.

Sveda and poultices should be applied and DJidnydmla


washes.

should

paddy-boilings)

(fermented

64

employed

be

as

66.

Symptoms and treatment Of HrichChhula


by the

The

Vayu aggravated

deranged bodily

Rasa

vitiated

and incarcerated

(chyle)

region of the heart through the action

and Kapha, produces Sula (pain)

Pitta

and gives
which

rise to

called

is

through the action of the deranged

the

the heart

This disease
ushered

in

Vayu and Rasa

of

colic)

Remedial measures mentioned

the body.

is

connection

in

treatment of the diseases of the heart should be

^\ith the

as well

in

of respiration.

difficulty

Hrich-chhula (cardiac

in

of the deranged

cmphncd

in

the present malady.

6/ 68.

Symptoms of Vasti-^iilaand Mutra^11 la

The local

and urine

sion of stool

by the suppres-

\'ayu aggravated
incarcerated

is

Vasti (bladder) and

the

in

rise

to

bladder, in the groins and about

the

umbilicus

suppression

further

The
due

disease
to

of the

stool,

urine

and

called Vasti-Sula (bladder colic)

action

the

cutting pain

and the

is

region of

pain

gives

the

of the

experienced

in

flatus.

and

deranged bodily Vaiyu.


in

the

causing

is

the genital, the intestines

loins as well as at the sides

and

in

the inguinal

regions and about the umbilicus and causing a complete

suppression of urine,

should

be

deranged

likewise

bodil_\-

is

called

Xivyw

Symptoms

Mutra-Sala.

attributed

to

the

The

disease

action of the

69-70.

of Vit-^ula : The

bodily

V^)-u deranged and aggraxatcd by the use of dry food,


etc., affects

the

or impairs

evacuation

and gives

rise to

of

an

and obstructs

the digestive Hre

feces

accumulated

excruciating

])ain in

in

the

bowels

ihc hicalily

1)\-

THE SUSIIRUTA

264
stuffing or

pain

choking the channels of the


experienced

is first

Kukshi

left

SAMIllTA,

(loin),

but

the

in

soon

it

of the

evacuation
disease

and

Treatment An
employ

i^in

This

bowels.

a very violent one. 71.

is

such cases) the medicinal

which have the virtue of

Doshas from the system.

its

after the

experienced physician should

instantly

even

the

of

follow in

fits

relief

bladder and

of the

called Vit-Sula

is

or

Thirst becomes

therein.

no

finds

right

extends over the whole

unquenchable and vertigo and epileptic

and the patient

The

intestines.

region

abdomen with rumbling sounds


train,

[Chap. XLII.

eliminating

remedies

deranged

the

Fomentations, emetics as well

Sneha-Vastis and Nirudha-Vastis should be applied,

as

and the bowel-cleansing compounds dealt with before


should be administered.

Medicinal measures mentioned

connection with the treatment of Udavarta should

in

be likewise employed with advantage.

Symptoms
cious

eating

aggravate

taken

in

the

remain

undigested

in

an

of

local

stiffed

Annaja

impaired

J 2.

: A

^11 1 a

state

of

Vayu which makes


in the Koshtha.
The

the Koshtha

causes

vora-

digestive

the

fire,

food

food

thus

an intolerable

colic,

which brings on a distension of the abdomen, epileptic


fits,

The

eructation,

patient

nausea and

shivers,

an

attack

of Vilambika.

vomits, or passes stool, and even

loses consciousness. Anti-colic (pain-killing) pills,

and

medicinal Ksh^ras are recommended

All the medical remedies applicable in

powders

the
of

cases

should likewi.se be applied in cases of Sula.


Thus ends

in

73

case.

Gulma

74.

the forty-second chapter of the Utfara-Tantra in the Sus'rula

Sanihila which deals with the medical treatment of Gulma.

CHAPTER
Now we

on the chapter which deals

shall discourse

with the (symptoms and)


disease

medical

treatment of

the

(H ridroga-Pratishe-

heart

the

of

dha).
Etiology and

XLIIT.

Nomenclature : The

de-

ranged Doshas of the body, aggravated by such causes


as voluntary repression of
urine, etc

),

any natural urging

(Ruksha) and heat-making


incompatible
as

combination or are uncongenial to the

in

as

well

in

in the organ,

of the

taking food

before

(lymph

digestion, con-

and

chyle)

find

the heart, producing the characteristic pain

which

The

heart).

distinct t>'pes, of

Vataja,

are indigestable or are

as

taminate the bodily Rasa

lodgement

stool,

inordinate

articles of fare in

quantities or of such articles

sN'stem

(of

external blow or hurt, use of extremely dry

Pittaja,

is

known

disease

Hridroga

as

may

(the disease

be divided

into

five

which four are Dosha-origincd, {viz.


Kaphaja, Sannipatika) and the fifth

due to the presence of worms (Krimi). The different


symptoms should be first described and then the medical
is

treatment thereof.

Specific
a pain
if

is felt

in

3.

symptoms

the

Vataja

type,

seems as

being drawn and crushed, pierced and cracked, pricked

and

split.

Thirst with a burning

ing and a sucking pain


piration,

are the

: in

the region of the heart which

fum\-

in

eructation and

symptoms which

feeling of

and the

numncss

(in

a gone- feel-

epileptic

fit,

pers-

dryness of the mouth,

characteri.se

sense of 'heaviness in the

(from the nose

.sen.sation,

heart,

the

chest,

mouth),

an

the Pittaja t\pe.

secretion of
a\crsi()n

to

mucus
fi)od,

the hod\). dulncss of appetite and

34

THE SUSIIRUTA

266

mouth

a sweet taste in the

the

SAMIIITA.

[Chap. XLIII.

Kaphaja type

of the heart-disease.

Krfmija

HridrOga : Nausea,

(spitting),

mark

are the features which


4-6.

salivation

piercing and cutting pain (in the heart),

dark

an aversion to food, a dull yellow hue of the eyes,

vision,

as well as emaciation

(Krimija Hridroga)
disease

body

of the

the indications which point

to

the

as

swelling) are

(D. R.

worms

presence of

the

exciting

of the

factor

7.

Supervening symptoms : Vertigo


a

sense

of

exhaustion

attended

with

physical lassitude and emaciation of the

themselves as the

distressing

and
of

feeling

body exhibit

concomitants

in

the

all

sjanptoms of Kaphaja

cases,

while the supervening

worms

exhibit them^elve^ in case of

also.

8.

Krimija

llridroga

Medical treatment of the Vataja


type in a case of the Va^taja t)'pc, the patient
:

should be

first

Sneha and then made

treated with a

to

vomit (out the contents of his stomach) with a draught


o{ the decoction o^

Dasd-Mu/a mixed with

pulverised

compound

consisting

Vachd, Hingu, Yava-kshdra,


S'litJiin

take

of Pippali,

Eld,

Saindhava-<,di\\., Sauvarc/iala,

and Ajamodd through the medium of the

of (acid)

fruits,

Ku Iatt/i a yCxxrd.,
The

and a

salt

made

to

After being purged he should be

Sneha.

fermented

wine, Asava or with any kind

patient should be

made

S'd/i rice, with the soup

with clarified butter.

adequate, quantit)-

Treatment

in

to

ha\e

his

of

of

Sneha.

meal of matured

any Jangala meat cooked


duly cooked with the Vayu-

of

Oil

subduing drugs should

juice

rice-boilings, decoction

be applied

the case.

as

Vasti

in

an

9.

of Pittaja type : In

a case of

Pittaja-Hridroga, vomiting .should be induced with the

Chap. XLIII.

decoction
(D. R.

UTTAKA-TA^TRA.

of

should

the decoction

as

be

of the

Treatment

honey and

charged with

of

the

oil

lO.

Kaphaja type

of

of

t\-pe

The food

and he should then be

butter,

Vasti,

cooked with Vashti-madJni.

Kaphaja

J'ittaja-

animals of the Jdngala group

clarified

with

treated

in

with the soup of the

prescribed

principal

cooked with

efficacious

administered.

internall\-

the patient should be

dul\-

Utpala

mixed w ilh lioncy and sugar. Clarified


cooked with the drugs of the Madhiira

duly

group, as well

flesh

and

Yashti-madJiii

5';7-/'r?;/-tVuil,

treacle)

butter

fever,

267

disease,

\-oiniting

:~ln

the

should

be

induced with the decoction of J^achd or of A^imba and


the pulverised

be

should also be advised to


food.

compound

medicinal

Vataja type; should

decoction of

prescribed for the

adminstered.

take

clarified

Tri-phald or of the

Phalddl (Madana-phaladi Sutra, Ch.


Miistddi

{^\\\.x?i,<l\^.

XXXVIII)

cribed for internal use, or the

mixed

(Vriddha-daraka) and

Trivrit.

the art

of applying

charged with

\'al;i-oil

Treatment
type

drugs of the

XXXIX)

or the

purged

should be

ph}'sician skilled in

shou'd prescribe

a
ii.

\'asti

of Krimija type
by

pre.s-

powdered S'vdnid

under the circumstances,

worms, the patient should be

with

characterised

(Krimija)

patient

group, should be

patient

with clarified butter

The

butter with his

the

X'asti

-In the

perscnce

of

treated with

a Sneha.

meat-diet with curd or (fried and) powdered

sesamun

should then be

gi\

of

Ajdji

predominating'*

patient

for

three

days

in

which he should be purged with the

succession after

compound

en to

the

first

and sugar mixed with the

[)urgative

preparation

salt-

(see .Sutra,

Sonic read "Su-pala-lair-joyaili" in place ot *.Salava-nair-jogaih'. It


that the compound should be mi.sed with fried and powdered

would mean
scsamum.

THE SUSHKUTA

268

XLIV.) and mixed with

the

SAMIIITA.
scented

[Chap. XLIII.

drugs Cmentioned

XLIV). An adequate quantity


of fermented-rice boilings (Dhanyamhi) with a profuse
in the Sutra-sthdna, Ch.

quantity of Vidanga should then be


tered,

whereby the

the hearts (and

the body).

expelled through

diet consisting

Thus ends

adminis-

lower orfices of
barley grains

should then be given

2.

the forty-third chapter of

Samhita which

the

of cooked

saturated with powdered Vidanga


to the patient,

internally

worms would be dislodged from

treats of the

the Utlara Tanlra in

the Sus'rula

(symptoms and) treatment of Hridroga.

CHAPTER
Now

\vc shall discourse

XLIV.

on the chapter which deals

with the (s\-mptoms and) medical treatment of jaundice,


etc.

(Pandii-roga Pratishcdha).
Etiology and Nomenclature : The
i

deranged bodily Doshas of a person


excesses*

or to eating clay or salts

potency and of acid

taminate
colour

(if

and produce

the blood

This

the skin.

severalU-

deranged

originated

\'ata,

Pitta,

or

the day,

in

as

Pandu-roga and

according

-j*

the

througli

name

as

they

of the

action

Kapha, the fourth being the

one incidental to their concerted action.


ha.s got the

con-

\'ellowish (Pandu)

known

is

divided into four distinct types

are

of keen

or articles

or saline taste or to strong liquors

excessixe c]uantlties or to sleeping

in

i.s

addicted to sexual

of Paindu I'Og'a

deep yellow (Pandu) colour

from the

imparted

is

the patient suffering therefrom.

Tlie

disease

fact that a

to the skin of

Premonitory symptoms : Cracking


the

skin,

sali\ati(Mi

(spitting) a sense

the limbs, (desire for) eating clay,

yellow colour of stool

lids,

and

of lassitude

swelling
urine,

and

of the

of
in

eye-

indigestion

symptoms which usher in an attack


The diseases known as Kamal^-Palakiof Pandu-roga.
P^ndu (popularly called KjimalA), Kumbha-Kamala,

arc the premonitory

Madhava

place of

in his

Nidana reads "Vyaydnia"

"Vyavaya" and Vyayania"


t

is

of

to the four

five different

kinds.

In thnt case the

Pandu, separately mentioned

below should be

is

kinds mentioned here.


Ivpcs

liio

Ixjlh

in the long list of the causes of Pandu-rot;a.

variant reads that I'andu-roga

four diiTcrent varieties of

added

(physical e.vercisc) in

"Vyavaya" "sexual cnjoymenl." Charaka, however, includes

: by

of

eight

Charaka says

separating au'l addiiii;

ealing of rkiy tu the fmir kinds (.numcralcd lare.

llic

that

one

Pandu-roga
due

tu the

THE SUSllRUTA

2^0

SA\ilHTA.

Lagharaka and Alasa (otherwise known


are

all

succession bel()w.

eyes and

llalimaka)

as

(Pamdu-roga),

the

of which are fully enumerated

3-4.

Symptoms

Specific
the

Jaundice

symptoms

characteristic
in

within

included

XLIV.

[Chap.

of the

: A

marked

skin

black

b\'

appearance of black-coloured vein (on the

colour

of

prominent

the

surface), black

colour of the stool and of the urine, blackness of the face

and

of the

as

finger-nails

characteristic of the

well

as

symptoms

other

deranged bodily Vayu are mani-

fested in the Va^taja type

of Pandu.

Yellowness of the

eyes and of the skin marked by the appearance of veins


(Sira) of the

same colour (on

stool

and of the

nails

and other

mark

its

surface), yellowness of the

urine, yellowness of the face

specific

symptoms

and

finger-

of the deranged Pitta,

the Pittaja type of the disease.

Whiteness of the

eyes and of the skin, marked by the appearance of veins

same colour (on

of the

its

surface),

urine, whiteness of the face

and

whiteness of the stool

and of the

finger-nails

symptoms of the deranged Kapha


mark a case of the Kaphaja type of the disease. All
the preceding symptoms are exhibited in a case of the
Sannipata 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
not radically cured gets deranged by the use of any
acid, or unwholesome food or drink, and imparts a
and other

specific

(deep) yellow

physical weakness
(of

PAndu-roga)

known

to

tint

his

complexion and
the

as well as

all

described

above.

When

specific

This

produces

symptoms
disease

is

accompanied by a
of
the
body
and a crushing
(edema)
swelling
general
pain

in

Avhen

it

as

Katmala.

the joints,

developes

is

in its

called

it

is

Kumbha-Ka'mala', which,

course such

s\'mptoms as

fever,

UTTARA-TANTRA.

Chap. XLIV.]

aching pain

Lagharaka.

\crtigo,

This, in

the

Alasa. otherwise

who

are con\ersant witli

langour,

ph)-sical

known as
when marked by an
deranged Vayu and
knv)\\ii as Halimaka,

turn,

its

called

those

b\-

limbs,

preponderance of

excessive
I'itta is

the

in

and emaciation comes

drowsinti'ss

27

to

its

be

nature.

9-12.

Supervening Symptoms : Aversion

to

food, thirst, vomiting, fever, headache, dulness of appetite,

swelling about the neck, weakness, epileptic


tion

and a pain

their distressing concomitants.

Having

attack

with

be treated

should

patient

of an

nature

curable

exhaus-

13.

General Treatment
the

fits,

the region of the heart are included

in

of

ascertained

I'andu-roga,

clarified butter

should then be purged and vomited with

containing

powdered Haritaki mixed

quantit)' of

hone}- and clarified butter.

the
\\

ith

the

He

compounds
a copious

Clarified butter

duly cooked

with turmeric or the one known as Trai-

phala-Ghriita

tjhrita

ma\-

'^

the

well as

be

of purgative

posses.sed
in

a.s

also

combination with

used

one known as Tailvakafor

the

purpose.

butter (or clarified

clarified

duly cooked with purgative drugs .should be

Haifa Pala

Drugs

properties should also be taken

(four Tol^s) of

NikiDubha

A\\\y

butter

prescribed).

cooked

in

an adequate quantity (eight Palas) of the urine of a

Kudava measure

Some

say

(Ch. LXII.).

be

should

she-bufifalo

llial

Others

daily

of treacle

the

.Snelia

.says

mixed

used

that simply

Similarly

used.
(1).

should

matured

be

R.

half a

duly cooked)

the Kaly:inaka-(;iuita

clarified butter should

be

used.

may mean either the Ghrita duly cooked with


known as Traiphala-flhrita mentioned in.
Tailvaka-^ihrita may mean the Ghrita of that name men-

t Traiphala-Ghrita

Tri-phala or the one

J Similarly

tioned in Chap. V. Chikitsila-sthnna or the one duly cookccl with Tilvak;;.

THE SUSIIRUIA

2/2
with

Ilaritaki

pulverised

patient.

should

be

[Cliap. XI. IV.

taken

the

b}'

decoction of the drugs of the Aragvadhddi

may

group,

SAMIIITA.

be

likewise

prescribed

for

internal

use.

mixed with pulverised VyosJia and


Vidanga, or powdered Haridrar' and Tri-phald should be
licked up with honey and clarified butter.
Any other
medicinal compound mentioned anywhere as remedial
Powdered (dead)

iron

-|-

Gulma .should also be administered. 14.


The aggravated Doshas should be gradually eliminated from the system in as much as an quick and ex-

to

elimination

cessive

Doshas under the circum-

of the

stances might produce swelling in

the expresed
JMaiitJta

of

juice

should be taken w

he should take wholesome

ith

honey

Either

patient.

decoction of the two kinds of

a patient

b\'

and

15 -16.

diet.

butter duly cooked

Clarified

the

Dhdtri or of sugar-cane, or a

Kalka and

with the

VriJiati,

Rajani, S'ukdkliyd

{S'uka-s'imbi), Kdkddani, Kdkamdchi, Addri-vimbi and


Kadamba-pushpl {BJiumi-Kadconba) should be taken as

remedy

for Pa'ndu-roga.

milk should also be


of the

appetite.

ntad/iii,

honey would

The

likewise

According

to

Charaka's

YosJiti-madJiu

prove

* Here we have followed Dallana


mean Ddru-Haridra.
t

of a decoction

use

powdered

of

or

PippaIi-Y>o\\dcr dissolved in

taken according to the condition

in the

mention

of

Darvi

text.

however,

recipe,

compounds here have been combined


definite

efficacious.

into

Some
we

of

Yas/iti-

mixed with
Powdered
take

find

Haridra

that

one and there we

(Daru-haridra).

In our

practice

to

ihe

two

find

the

also

wc

follow Charaka in this case.

Mantha

fied butter

is

prepared by mixing powdered grains of barley with

on the authority of other medical works,

Pandu

(jaundice) the

tion of the

clari-

and a copious quantity of water. Some commentators, however,

word

"Manlha"

is

are

of opinion that in

cases of

technically used for the prepara-

powdered grains of barley mi.xed with the expressed juice of

A'nialaki and of sugar-cane and with honey.

UTTARA-TANTRA.

Chap. XLIN'.]

273

leaves of Tri-phald and powdered

(dead) iron should be

frequently taken as an electuary

in

cow's urine.
pearl,

compound composed

antimony and

mrittikd (ferrugnious

should

powdered

coral,

powdered

or

conch-shell,

earth)

combination with
of

be

Giri-

similarK- used

by the patient. 17-18.


A compound consisting of half a

seer of powdered
dung together with a Pala weight of each of the
drugs known as FzV-salt, Haridrd and Saind/iava-ssXt,
should be licked with honey by a patient living on
wholesome diet. A compound of JUandiirc (iron-rust),
goat's

^^^z (Chitraka), Vidanga, Pathyd, Tri-katu all

taken

in

equal parts with Tdpya (Svarna-m^kshika) equal to their

combined weight should be duly soaked


and formed
the

in

cow's urine

into a lambative with the addition of honey,

same being prescribed

for

serious type of Pdndu-roga.

an immediate cure of a

19-20.

Ndgara and Tila


should be pounded together and made into a paste with
Vibhitaka, Mandtira

quantity of treacle.

profuse

of a

the addition

(iron-rust),

Pills

compound should be administered


through the medium of Takra whereby a violent attack
prepared from

of jaundice

this

would be defeated.

of the

Pills

Kalaya

weight of each of SauvarcJiala, Hingu and Kirdta-tikta


pasted together, should

an

Ilaridrd and

be

taken with tepid water.

lambative

alternative,

compound

Amalaka pounded together and

dried and soaked

in

cow's

As

Miirvd,

alternately

urine for a week, should be

given to be licked by the patient.

of

21-22.

patient suffering from Pandu-roga

should

observe

and take two-Tol^-weight of


the compound of the powders of Vald and Chittaka

a proper regimen of diet

(with

cow's

Saindhava

urine

salt

or tepid

and powdered

water).

The compound

S'/gn(-sccc\s

taken
35

in

of

equal

TIIK SUSIIRU FA SAMIIITA.

274

pans should be taken


meal of cooked

tepid water, followed

%\ith

rice

The decoction

milk.

ith

^\

XLIV.

[Chap.

by a

of the

drugs of the Nyagrodhddl group should be taken, when


cold,

with honey and sugar followed by a proper regimen


Fo\\ ders of the drugs included within the S'dla-

of diet.

Amalaka should be formed

sdrddi group or of

lambative with the addition of honey

The

compound

pulverised

and

well as clarified butter, honey, sugar

S'dla-sdrddi <gxow^

lambative.
inside

It

vessel prepared

This lambative

kaka).

Pandu attended (with

proves

(Trivrit)

treacle,

from an attack

Kama

of

a,

as well as

in

etc

\Tiibha7idi

beneficial to a patient suffering

is

Kdmala.

of

after-throw

is

cow's urine in
(rust of iron)

case

of

with turmeric

S'ildjatH with

Kumbha-Kamala'.
in

duly

In the alternative

Srotdnjana and

kept immerged

taken with

butter

Clarified

also efficacious.

patient should take

likewise

of

27.

Kdlcya-wood and mixed

cooked with
the

edema

KamalA.

cases

in

taken with sugar as well as Gavdkshi or S'tmthi

taken with

as an

down and preserved


Mokshaka (Mush-

of

curative

general

cases of the violent types of

Treatment

drugs of the

reduced to the consistency of a

till

should then be taken

covered

Oiitraka as
treacle should

of the

the decoction

in

be

Vidanga, Musta. Tri-

of

Ajnmodd, Pariishaka, Vyosha and

be duly cooked

to

23-26.

licked b\' the patient.

pJiald,

into

and given

cow's

SaindJiava-sdXi

MandiDa

urine should

continually

for

be
a

month. Mandnra should be burnt in the fire of Vibliitakawood and cooled with cow's urine. The process should
be repeated eight times in succession. The iron-rust
thus

tempered

powders.

should

be

Licked with honey

cure in cases of

subsequently
it

reduced

to

would act as a speedy

Kumbha-Kamala.

28-30.

UTTARA-TANTRA.

Cb.ip. XLI\'.]

Saifid/i(ii'a-^a.\\.

fire

of

275

once made red-hot by heating

V ibhitaka-wood)

should be cooled

in

cow's urine.

(Mandura) should be successively heated

Iron-rust

and cooled with

many

process being repeated

as directed

urine

cow's

times.

The

and made into

urine, should be

in fire

above,

the

two substances

(Sai