Sushruta Samhita Vol III

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AN ENGLISH TRANSLATION
01'
THE SUSHRUTA SAMHITA

Vol.
TIF.
UTTARA-TANTRA
AN ENGLISH TRANSLATION
01''
THE SUSHRUTA SAMHITA

WITH
A FULL AND COMPREHENSIVE INTRODUCTION, ADDITIONAL
TEXTS, DIFFERENT READINGS, NOTES, COMPARATIVE
VIEWS, INDEX, GLOSSARY
(IN
AND PLATES
THREE VOLUMES)
EDITED
I!V
KAVIRAJ KUNJA LAL MI1SHAGRATN A,

M. K. A.
Vol.
III.
TITTARA-TANTRA
PUBLISHED BY
S. L.
10,
BHADURI,
. L.
KASHI GHOSE'S LANE, CALCUTTA
1916
All Rights Reserved.
S.
(Lond.)
PRINTED AT THE BHARAT M1IIIR PRESS BY
M.
BHATTACHARYYA OF
Messrs. SANYAL & Co.,

25, ROY P.AGAN STREET, CALCUTTA.
Kaviraj Kunja Lall Bhishagratna, M.R.R.S. (Lond.)
PKEFACE.
It
was some years ago that we took upon ourof bringing
selves the rather ambitious task

the Sushruta Samhita
the
mention that the appreciation
ment
met with
of our undertaking
scholars at
home and abroad
aged us
completing
We
in
this
Sawai
Sir
Singh
Jai
huge undertaking.
our deepest feelings
Bahadoor, K. C. S.
by
has,
donation, enabled us to bring this
work
to a completion.
out India that the
hands of
at the
Highness the Maharaja
Alwar (Rajputana), who

ant
instal-
first
considerably encour-
desire to record here
of gratitude towards His
out
And we may
English.
in
I.,
highly import-
known through-
It is
Ruler of Alwar
illustrious
of
princely
his
is
a great patron of letters and a lover of Ayurvedic

Science,
and many noble undertakings
country have depended

support.
press
my
No
upon
largely
our
in
his
liberal
words of 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 public,
will
translation does not claim to
be duly judged
have *any
liter-
ary excellence, as our sole aim has been to render

as
faithfully
of the
as
we
could the original into one
European languages.
occurring
in
the
The
technical terms
Sushruta Samhita cannot
be
accurately
English, as
translated into
no corresponding words
there are
that language
in
which
would convey the exact meaning of the original.

We have therefore retained the Sanskrit terms,
and have
in
some
cases put within brackets such
English words as may approximately render the

meaning of the original.
No apology is needed for placing before
the learned world of the
We
of ancient India.
West a scientific treatise

may only mention that
Hindu system of medicine

mere antiquarian interest. It
the
of
not a thing
a living
and even to-day millions of people
tem,
being treated according
are
is
is
system which has stood the
which
still
holds
its
own
sys-
in India
to this system.
test of centuries,
A
and
against rival systems of
the day, cinnot be lightly brushed aside as wholly

unscientific.
It
has been said
that
system
which recognises prayer as one of the means

of curing human ailments, can lay no claim to
any
in
scientific character.
answer
to
this
All
criticism
is
not yet risen above prayer in

world,
and
diseases
in
the
may
be,
is,
that
that
we need say
humanity has
any country
in
the
faith in the efficacy of
prayer
instead of dying out,
gaining ground
modern
in
curing
Whatever that
Hindu medical men,
scientific world.
in actual practice,
like their brethren of
Europe, rely chiefly upon

medicine and surgery, but occasionally prescribe
prayer also as an efficient form of remedy.
While
recognising the influence of mind on body, and the
Ill
efficacy of faith in certain forms of

treat
more properly
as a special method, falling
it
they
disease,
within the province of priests.
however,
few words,
seem necessary
to
show what abiding interest there is for all time

We do
in such a work as the Sushruta Samhita.
not wish to enter into any historical criticism to
prove that the different systems
other countries,
new
of medicine in
more
or old, have received
than a mere stimulus
from
the Indian
System,
and that many foreign discoveries may be traced

to the work we are now presenting to the world.
The
some modern men of
opinions of
science,
who
cannot be accused of having any bias in favour

of our system, will
demonstrate
its
Surgeon General Sir Pardey

T.
M.
S.,
Medical
Council
1.,
Service,
was pleased
"
Many
M.
D.,
Director-General of Indian
K. C. S.
course nf his speech
abiding value.
Lukis,
in
the
of the
to
remark
Imperial
in the
Legislative
so-called discoveries of
recent years are merely re-discoveries of the facts
known
centuries
In noticing the
British
ago
first
to
the
ancients
volume of
this
very work, the
Medical Journal observed in
(Indians)."
its
issue
of
November, 1912: "It is certain that in this ancient medical book there are traces of kpowledge
which is comparatively recent in the West."
We do not know what reception will be accorded to this work by the public, but
fairly
hope that now that
Medical
the
ancient
we may
Indian
System and the Indigenous Drugs of
IV
country arc being investigated by
this
under the direction of the Government
experts
of
India,
Surgery
system of Medicine and
ancient
this
attract the attention of those
will
have hitherto neglected
it
as
unworthy of
The encouragement which we have

from
scientific
who
notice.
received
the Governments of Bengal and Nepal and
from the States of Baroda and Mysore, has helped

us a great
deal
of expressing our
active
and we take
extended to
help
this
opportunity
gratitude towards them.

us
in
The
the preparation
work by Vaidyaratna Kaviraj Jogindra

Nath Sen, Vidyabhusan, M. A., Kaviraj Madhav
Chandra Tarkatirtha, Kaviraj Jnanendranath Sen,
of this
Kaviratna, B. A., Prof. Satyendranath Sen, Vidytivagis'a,
B. A.,
M.
B.
A.,
L.,
We offer
acknowledge.
to Dr.
Dr. Y.
and Babu Sachindralal Bhaduri,

we also specially and thankfully
our sincerest thanks also
U. D. Banerjeo, L. R. C.
M.
P.,
M. R. C.
S.
Bose, M. D. (Chicago^, and Kaviraj
Goswami, Yidyavinode. B. A.,

L. M. S. who have never failed to give us their
valuable suggestions whenever we have sought
Surendranath
their advice.
JO,
KASHl GHCSE'S
Calcutta,
May
I.ANE,
35, /p/6.
KUNJA LAL BHISHAGRATNA,
CONTENTS.
(Uttara-Tantra.)
CHAPTER
I.
Diseases of the eyes, etc. : Diseases of the eye and its appendages Description of Drishti Mandalas and Sandhis Description of
Premonitory symptomsCauses of eye-diseasesClassification

PittajaKaphajaKaktaja and Tri-doshaja eyediseases Seals of the eye-diseases.
8
Patalas
Prognosis of Vataja
...
CHAPTER
...
...
II.
Pathology of the diseases of the eye-joints : Their nomencla...

Number Symptoms.
...
...
...
9 n
ture
CHAPTER
III.
Pathology Of the diseases Of the eye-lids : Causes and names
Specific symptoms of Utsangini Kumbhika Pjthaki Ars'ovarlma

Anjana Klishta-varlma Vartma-bandhaka,
ij 15
elc.
CHAPTER
elc.
,.,
IV.
Pathology of the diseases of the sclerotic coat : Names and

number
laka
Symptoms of S'uklarma Lohitarma S'uktikaArjuna PishBalasa-grathita,

16 17
etc. etc.
Sirii-jdla
CHAPTER
...
V.
...
Pathology of the diseases of the black part of the eye-.
Number NamesSymptoms Prognosis A-vrana-s'ukra

S'ukra Akshi-pakatyaya Ajak.
...
...
Jata
Sa-vrana...
18
19
CONTENTS.
11
CHAPTER
VI.
Pathology of the diseases affecting the eyes as a whole

Names and Causes Symptoms of Vitaja Pittaja Kaphaja and Raktaja
AbhishyandaCauses of Adhimantha Symptoms of Vataja Pittaja

Kaphaja and Raktaja Adhimantha Prognosis Symptoms of Sa-s'opha
and A-s'opha Akshi-pdka Symptoms of Hatadbimantha Vdta-paryaya
S'ushkakshi-pdka Anyalo-viila Amla-dhyushita S'irot-pKta

harsha.
...
...
CHAPTER
...
...
...
S\\i-
24
20
VII.
Pathology Of the diseases Of the Pnpil
-Description of Drishti
Symptoms When second

Patola attacked
and
Blindness
symptoms of Vataja Pittaja Kaphaja and Sannipatika Timira Parimlayi Different colours of the pupil
cases of
Linga-nas'a Specific
of Vataja
Kaphaja and Sannipatika
third
first
fourth
Specific
in
Pittaja
traits
Traits of Vdtaja Pittaja and Kaphaja Vidagdha-Drishti

Hrasva-Jitya Nakulandhya, Gambhirika Symptoms of
Linga-nas'a.
25 31
Linga-nas'a
Smoky
sight
traumatic
...
...
CHAPTER
Classification
fication
Names
Names
Chhedya
of eye-diseases
VIII.
Lekhya Bhedya Vyadhya
where operation not
curable and incurable eye-diseases.
...
CHAPTER
Treatment
vita
...
and treatment of ocular affections :Classi-
of
.Fumigation Snuff
...
to
be risked
...
eye-diseases
Names
...
of
33
32
IX.
Va'taja Ophthalmia : tarpana Puta-paka

Wash Eye-drop Colly ri mn Treatment of Anyato-
of
Vata-paryiiya S'ubhkakshi-pjka.
...
CHAPTER
...
...
34
37
X.
Treatment of Pittaja Ophthalmia : Tarpana measuresWash
Snuff Anjana Rasa-kriya AVchyotana Treatment

and Dhuma-dars'i.
...
...
...
of
S'ukti-p^ka
...
38
40
CONTENTS.
CHAPTER XI.
Treatment of HJleshmaja Ophthalmia : Fomcntationr-Anjana
4146
of Baldsa-grathita Pishtaka Praklinna-vartnia. ...
Treatment
CHAPTER
XII.
Treatment Of Baktaja Ophthalmia : VenesectionInhalation
Eye-dropSnuffs Plaster Vartis Treatment

harsha Arjuna. Scarifying Anjana Treatment
Anjana Soothing applications Treatment
of Ajaka"
lasa Praklinna-Vartma and Aklinna-Vartma.
CHAPTER
amenable
and excessive
to scarification.
S'ukra
Sird-
Kshara-
Akshi-pSka Puyd-
...
...
4753
of treatment by Scarification
scarification
...
S'irotpdta
of
XIII.
Treatment Of Lekhya-roga : Mode
Satisfactory defective
of
...
CHAPTER
Names
...
of diseases
...
5456
XIV.
Treatment of eye-diseases which require Incision : Treatment of Visa-granthi LaganaAnjana Krimi-granthi and Upanaha.
Application of Sneha and Sveda.
...
CHAPTER
...
...
57
58
XV.
Treatment of eye diseases which require Excision : TreatArmans Preliminary actions Mode of operation Medicinal
ment of
Treatment
treatment
Anjana
of
Sird-j ala
Treatment of the inner
Siraja-pidaka Parvanika. Churna-
part of the eye-lids.
CHAPTER
XVI.
...
5g
63
Treatment of diseases peculiar to eye-lashes and eye-lids :

Surgical
treatment of Pakshma-kopa Preliminary actions Mode of
operation Cauterisation and other measures.
.
...
6465
CONTENTS.
iv
CHAPTER
XVII.
Treatment of diseases of pupil and crystalline less : General

treatment
of
and
Pitta
Dravanjana Gudikanjana
S'leslima-Vidagdha-Drishti. Pushpinjana
Treatment
of
Day-blindness
Nocturnal
Vartis Rasa-kriyanjanaKshudrSnjana
blindness Application
of
Treatment of a
type Triphali-GhritaNavana-errhines Puta-
palliative
paka Pratyanjana Treatment of PittajaVataja Kaphaja and Triof ParimlayiDiet Blooddoshaja Kacha Fumigation Treatment
Prognosis Surgical treatment of Kaphaja

after-measures Symptoms and treatment of the disorders
Llnga-nasa
resulting from an injudicious operation Causes of relapse Symptoms
lettingTreatment ofTimira
Its
produced by the defects of the S'aldkd Description of the S'aldka
Derangements due
to
defective
operations
invigorating Anjanas and Vartis.
Their
...
CHAPTER
treatment
Eye-sigM66 83
...
...
XVIII.
Preparations and medicinal measures for ocular affections

The Tarpana measures.-rMode of application Symptoms
in general
excessive and defective
of satisfactory
Tarpana
Treatment
of excessive
Cases of TarpanaThe Puta-pdka measures Scraping and Healing Puta-paka Preparations of Snehana
Lekhana and Ropana Puta-pka Prohibition and Remedies
infringementsSymptoms of satisfactory excessive and defective applications of
and defective Tarpana
Emulsive
for
Puta-pika Mode of preparing Puta-pika Mode of application As'chyotana and Seka their classes Maximum time for Seka Time for appli-
S'iro-vastiLekhana Ropana and Prasadana AnjanaForms of

and dose Materials of vessels and rod
Anjana Their
the use of
cation
size
for
Anjana How to apply Anjana Forbidden cases for the application of

Anjana Symptoms of satisfactory excessive and deficient use of
Lekhana Anjana Prasadana Anjana Ropana Anjana Recipe of several
principal
Anjanai Bhadrodaya-Anjana Vartis
CHAPTER
Findanjana.
...
84
101
XIX.
Treatment Of hurt Or Injury to the eye : General TreatmentPrognosis Treatment of sunken eye Symptom', and treatment of Kukunaka Conclusion.
...
...
...
,
10210?
CONTENTS.
CHAPTER
XX.
Causes and symptoms of Ear -disease : Classifications Symp.
toms of Ka/na-s'ula Prandda Vacihirya Kshveda Karna-srava KarnaKrimikarna Karna-vidradhi

kandu Karna-gutha Karna-pratindha
Puti-karna.
Karna-pfika
...
...
CHAPTER
Medical
Treatment
treatment
of
Pittaja
kinds
ear-ache
kandu
Vddhiryya.
of Ear-drop General and
and
Kaphaja
Karna-s'ula
General and Special Treatment of

Krimi-karna Karna-kshvcda Vidradhi,
Treatment of Deafness
Karna-srava
Treatment-
Karna-s'ula Pranaclaand
S'iro-vasti Dipika-Taila Different

specific
XXI.
of Ear-disease :- General
Treatment of Vataja ear -disease
106108
...
...
Puti-karna
etc.
Kama-pa'ka.
...
...
CHAPTER
...
Kama109
117
XXII.
Causes and symptoms of diseases of the nose -Nomenclature

and Classification Symptoms
of
Apinasa Puti-nasya Nasa-pilka
:
Puya-rakta Kshavathu Bhrams'athu Dipti Pratindha

Parisrava Pari.&'osha Ais'as S'opha Arvuda Pratis'yaya
118 120
Rakta-pitta
CHAPTER
XXIII.
Therapeutics of nasal diseases : Treatment of Puti-naiya

Apinasa. Diet Errhines Treatment of Nasa-paka S'onita-pitta Puyarakta
Kshavathu Bhrams'athu Dipti Nasanaha Nasa-srava
.s'osha etc.
...
...
...
...
121
Nas.'l-
122
CHAPTER XXIV.
Symptoms and treatment of Catarrh '.Causes Premonitory
symptoms Specific symptoms of Vataja Pittaja Kaphaja Tri-doshaja
types Raktaja-pratis'ydya Prognosis General treatment of Pratis'yaya
Regimen of diet and conduct Treatment of Vataja Pittaja Kaphaja
and Tri-doshaja types.
...
...
...
,.,
124
130
CONTENTS.
vi
CHAPTER XXV.
of
SymptotUS Of diseaBOS Of the head : Classification Symptoms

Vataja rittaja Kaphaja Tri-doshaja Kshayaja Raktaja Krimija
S'iro-roga
Symptoms
and S'amkhaka.
of
Suryavarla
Ananla-vata Ardhava-bhedaka
CHAPTER
...
...
...
3< 33
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
...
...
...
...
...
134 140
Here ends the â'la'kya-Tantra.
CHAPTER
Specific features of nine
XXVII.
malignant Grahas : Different names
General course ol altnek Symptom* of attack uy Skanda Skandapasimira S'akuni Revati l'ulana Andha-putana S'lta putana Mukhamandika Nnigam-sha Prognosis Rules to be observed.
141 144
...
CHAPTER
XXVIII.
Therapeutics of an attack by Skanda Grata : General treatment Fumigation Mantras

...
...
...
145 146
CHAPTER XXIX,
Therapeutics of an attack by Skandapasmara: General treatment sprinkling Anointment Uts^dana Fumigation Religious pro-
pitiation
Mantras.
...
...
...
...
|^y
j,8
CHAPTER XXX.
Treatment of an attack by S'akuni graha : Sprinkling Anointment PradehaFumigationReligious propitiation Mantras. I49 150
CONTENTS.
CHAPTER
XXXI.
Theraputics of an attack by Revati-graha : Sprinkling Anointment
Plaster Religious propitiation Mantras.
CHAPTER
...
...
151
-52
XXXII.
Treatment of an attack by Putani-graha :WashingAnointment
Fumigation Religious propitiation Mantras.
CHAPTER
...
153
154
XXXIII.
Treatment of Andha-putani-graha : Sprinkling piaster Fumigation
Religious propitiation Mantras.
...
...
155
156
CHAPTER XXXIV.
Treatment of an attack by
gation
Anointment Religious
fJita-putansC
propitiation
: Sprinkling Fumi-
Mantras.
157
...
CHAPTER XXXV.
Treatment of an attack by Mukha-mandika' : SprinklingAnointment
Fumigation Religious propitiation Mantras
158
...
CHAPTER XXXVI.
Treatment of an attack by Naigamesha : Sprinkling Anointment
UtsadanaFumigation Religious propitiation Mantras. 159 160
CHAPTER XXXVII.
Origin of nine GrahaS The nine presiding
deities.
CHAPTER
...
1C1
I6J
XXXVIII.
SymptomB and Therapeutics of the diseases of the female

organ of generation '.Causes. Enumeration ClassificationNames
Symptoms of Vitaja Pittaja Kaphaja and Tri-doshaja types
Medical treatment.
Internal and
External treatment.
...
Here ends the Kaum&a-bhritya-Tantra.
164
168
CONTENTS.
viii
CHAPTER XXXIX.
Symptoms and Treatment of Fever :Description
Definition
and
classification
Pathology Premonitory
of
Jwara
symptoms
Symp-
of Vataja Pittaja Kaphaja and Tri-doshaja

Abbinyasa Hatatijas SannyasaDwandaja feverVata-pitta-fever VilaS'leshma-fever Pitta-S'leshma fever Pralepaka Tritiyaka
and
Chaturthaka (quartan) fever Vishama-fever Seat and duration of Vishama.
jwara Satataka Anyedyushka Tritiyaka Chaturthaka Action
the
ence of Vayu on Vishama fever Agantuka fever due
of poison
Hay-feverGambhira fever and prognosis General treatment Fasting Prohibition of fasting Effect of fasting Satisfactory and excessive
fasting Tepid water Cold water Peya Yavagu Symptoms of Pakva
administering febrifuge Preliminary treatment
and Ama-jwara Time
Application of Vasti and S'iro-virechanaAdministration of Ghrita
Diet Laja-tarpana Milk as a
Meat-diet Prohibitions fever
VatajaPittaja and Kaphaja fever TreatSams'amana decoctions
ment of Kapha-Viita Pitta-S'leshma Vata-pitta fever and Tri-doshaja
Treatment of Vishama-jwaraGhrita in cases of Vishama fever
Guduchyadi-ghrita Kalasyadi-ghrita Maha-kalyana-ghrita Panchagavya ghrita Triphala-ghiita Pancha-saraMedicated Tailas Fumigaand Anjanas Treatment of shivering and burning sensation General
treatment of the complications Application of Vastis Sympand
toms
fever
fever
(tertian)
Influ-
to
effects
its
for
diet
in
for
fever
tions
specific
toms of the remission of
fever.
...
CHAPTER
...
...
169-211
XL.
Symptoms and treatment of Diarrhoea, etc :Causes PathoPremonitory symptoms Symptoms of Vataja Pittaja Kaphaja
logy
and Tri-doshaja types Symptoms of S'okaja and Amaja Atisara Symptoms of Ama and Pakva Atisara Prognosis General treatment Twenty
Fasting Six Yogas Pittaja Atisara

Astringent
remedies Application of Ghrita PutapaUa-preparations
PeyaTreatment of
Use of milkAsthapana and Anuvasana Vastis
Pichchha-Vasti Diet Causes and symptoms of PakvatisiiraTreatment
and Symptoms of Pravsfllika General Treatment Application of Vastis
Diet Medical treatment Yavagu General principle of treatment
Indications of cure Static or dynamic causes of diseases and treatment
Grah&ni Premonitory symptoms of Grahani Symptoms Specific
symptoms of Vataja Pittaja Kaphaja and Tri-doshaja Grahani Treatdifferent Recipes for
Amatisara
for
thirst
ment and
diet.
,..
...
...
...
...
212236
CONTENTS.
CHAPTER
ix
XLI.
Symptoms and Treatment of Phthisis : Nomenclature SWia
Kshaya Raja-yakshma Etiology and general symptoms Specific

of Vataja Pittaja and Kaphaja types Prognosis Other causes
of S'osha and their symptoms Premonitory symptoms Prognosis Treatment Diet Meat, etc Utsadana Medicated Ghritas Eladi-mantha
milk,
Rules of conduct.
Use of goat's
237 245
symptoms
etc.
flesh,
...
CHAPTER XLI
I.
Symptoms and Treatment
of Ghllma : Definition and NumberLocalisation and Nomenclature

Premonitory Symptoms Specific Symptoms of Vataja Pittaja Kaphaja and Tri-doshaja types Symptoms of
Raktaja Gulma General Treatment of Vataja Pittaja Kaphaja Tri-
Uttara-Vasti Anuvasana Chitrakaghrita Hingvadi-ghrita Dadhika-ghrita Kasona-ghrita. Ghritas in

Pittaja Uaktaja and Kaphaja Gulina Internal use of Kshara Vris'chiBlood -letting Diet andSvcda. Peya Khada-yusha Fomenta Medicated plugs Supervening symptoms Prohibited
Causes and Symptoms of Sula Symptoms of Vataja Pittaja Kaphaja
General treatment Treatment of Vataja
and Sannipatika
Kaphaja and Tri-doshaja
Symptoms and treatment of
P&SVa-S'ula. Symptoms, and treatment of Kukshi-S'ula. Symptoms
doshaja
and
Uaktaja
types
rarishta
tion
articles
S'ula.
S'ula.
Pittaja
and treatment of Hrlch-chhula. Symplon's of Vasti-S'ula
Theii
264
Symptoms and Treatment of Heart-disease : Kiiuloyy
and
^'ula.
CHAPTER
Nomenclature
.md
Mtltra-S'ula
246
Vit-S'ula and Annaja
Kriiuij.i
treatment.
XLII1.
Numbir Specific Symptoms
Pittaja Kaphaja and Krimija types.
Vataja
CHAPTER
Pittaja
Premonitory
Kaphaja
Kunibua-Kamrila
...
ticatuieiit
...
ol
268
265
Specific Symptoms of Va'taja

Symptoms of Kamala
llalimaka. Supervening Symptoms
and Tri-doshaja
and
PittajaKaphaja
Medical
XLIV.
Symptoms
Ugbanrita
Vataja
of Jaundice, etc- : Etiology and

Nomenclature
o(
Symptoms
types Supervening
...
types
CONTENTS.
it
of KamalaKumbha-kamalaLagha-
General treatment Treatment
DietTreatment
ralca.Articles of
nosis.
...
of Supervening
...
...
Symptoms
...
...
Prog-
269276
CHAPTER XLV.
of Haemorrhage : Cause and Patho-
PrognosisPremonitory SymptomsSupervening Symptoms Symptoms of incurable types General principles of treatment, Emetic
Purgative Fasting Articles of fareDiet Lambatives The best
Yogas Asthapana and AnuvrfsanaTreatment of down-coursing type
logy
six
Uttara-vasti.
...
...
...
CHAPTER
...
...
277284
XLVI.
Symptoms and Treatment of Fainting fits :Definition Clarification
Premonitory
Specific
symptoms
Specific symptoms General treatment

of SannyttsaTreatment Incurable
treatment. Symptoms
type Diet.
...
...
...
...
CHAPTER
...
285288
XLVII.
of
Alcoholism : Properties and
Three stages of Alcoholic intoxicaprohibited. Specific symptoms of Pa'na'tyaya

tion Cases where wine
symptoms of Vataja Pittaja Kaphaja and Tri-doshaja types
Symptoms of Para-mada Pan^jirna and Pana-vibhrama Prognosis
Treatment of Vitaja Pittaja Kaphaja Tri-doshaja and Dvi-doshaja
types PanakaTreatment of Para-mada Pandjirna Pana-vibhrama and
Daha. Symptoms and
Panatyaya Treatment of Thirst Remedies
treatment of Raklaja -D.lha. Daha due to
Accumulation of
blood Due to Kbhaya Due to hurt of Marma. Their Treatment
Mode of drinking wine.
289 301
action of wine
Evil
effects of
drinking
is
for
thirst
...
...
CHAPTER
...
...
XLVIII.
Symptoms and Treatment of thirst :EtiologyClassification

Premonitory
types.
Prognosis
symptoms Symptoms of Vataja Pittaja and Kaphaja

KshatajaKshayaja Amaja and Annaja thirst.
Symptoms of
General treatmentSpecific treatment-Treatment of
Kshayaja and Amaja
thirst. General treatment.
...
Kshataja
302308
CONTENTS.
CHAPTER
Symptoms 'and Treatment
3d
XLIX.
of Vomiting
Causes and Nomen-
Specific symptoms of Viltaja Pittaja

Kaphaja and Tri-doshaja typesTraumatic cases PrognosisGeneral
treatment Treatment of VAtaj aKaphaja and Pittaja types. Vomiting
due to pregnancy. Treatment of traumatic and Krimija types. General
clatureBremonitory
symptoms
treatment Diet.
...
...
...
CHAPTER
...
309313
L.
Symptoms and Treatment of Hiccough :CausesDerivation
ClassificationPremonitory symptoms Symptoms of AnnajdYamala

KshudrikaGambhira and Mahd-hikkd. PrognosisTheir treatment
Four liquid compoundsMeat as diet.
314 318
...
...
CHAPTER
of
LI.
Asthma : EtiologyClassification
Specific symptoms of KshudraTaniaka

Pra-tamaka Chhinna Maha and Urdhva-S'vasa. Prognosis General
treatment. Ilinsractt-ghrita S'ringvadi-ghrita Suvahadi-ghrilaTaliLambatives Utkankd Articles
The
s'adi-ghrita Meat as
recommtnded Application of Sneha and Dhuma Purging and
Vomiting.
319 315
Premonitory
symptoms
five
diet.
...
...
...
CHAPTER
...
...
LII.
of Cough : Causes and EtiologyPremonitory sympioms

Specific symptoms of Vdtaja
Kshataja
General Treatment Inhalation

of Dhuma Treatment of Vataja Pittaja Kaphaja Kshayaja and
Kshataja Kasa. Kalyana-guda Agastya-Icha.
326 337
Classification
Pittaja
and Kshayaja
types.
...
CHAPTER
...
LIII.

of Vataja
Pittaja
of Hoarseness: Eticfogy Symptoms

Kaphaja and Tri-doshaja types.
Symptoms of
Prognosis General TreatmentTreatment

of Vatoja - Pittaja Kaphaja Tri-doshaja Kshayaja and Medoja
Kshayaja and Medoja types
types.
...
...
...
...
...
335337
CONTENTS.
xii
CHAPTER
L1V.
Symptoms and Treatment of Worms : Causes Classification

Names and symptoms of Purishaja Kaphaja Raktaja worms? Specific
Prognosis Their Treatment.

causes General symptoms
...
Romacla and Dantdda worms Diet. ...
CHAPTER
Treatment of
338 343
...
LV.
Symptoms and Treatment of Uda'vartta : Causes Classifica-
Symptoms of V.itaja Purishaja Mtitraja UdavartruRepression of

Tears Sneezing Eructation Vomiting Seminal discharge
Hunger Thirst Breath and Sleep. l'mgnosis Their General Treatment Their Specific treatment. Treatment of Adhmana. UdaVartta due
to errors of diet Its treatment.
._
344 351
tion
V'awning
...
CHAPTER
Symptoms and Treatment of
...
LVI.
Visuchikai : Causes Defini- ion
SymptomsAlasakaVilambika Prognosis General Treatment

Kshiragada Kalyana-lavanaDiet. Causes and Symptoms of Ana'ha
Treatment.
352 356
...
...
...
CHAPTER
...
LVII.
of Arochaka '.Etiology ClassificaSymptoms of Vataja Pittaja

Kaphaja and Tri-doshaja types.
tion
Their
Use
Treatment
of
A'ochaka.
Four
decoction
...
specific
Arishta
...
Lambatives
and
Asava.
...
CHAPTER
...
of
of diet
Manasa
of
,
357
jgg
LVIII.
Symptoms and Treatment of suppression

tion Symptoms
Regimen
Treatment
of Urine : Classifica-
V.ita-kundalika VataMhil.t Vata-vasti Mtitritita
Mutra-jathara Mutra-sanga Mulra-kshaya

Mutra-granthi
MulrasarkariUshna-v&a and two kinds of Mutrauka-sada, General treatment
Application of Uttara-Vasti.
.
...
iqx
,,,
,53
CONTENTS.
CHAPTER
LIX.
Symptoms and Treatment of the

fications-Symptoms of Vilaja
xiii
defects of Urine : Classiand Sannipa'tika types
PittajaKaphaja
UlceA r injury in the Urethra Mutri gMla due to Stone or

General TreatmentTreatmet of Viitaja Pittaja Kaphaja
doshaja types. Treatment of Abhighdtaja and Purishaja types,
-
Gravel
and Tri369
372
Here ends the Kaiyachikitsi.
CHAPTER
LX.
Symptoms and Treatment of the diseases brought on through

Superhuman
Graha
influences
'
Action of Graha Causes of influence
by
Indications of attack by GrahasDeva-graha Asura-graha Gan-
Yaksha-graha Pitri-graha Bhujanga-graha Rakshasa Progonosis Times of their Possession Explanation of Bhuta-vidyi General and religious treatment Their specific
religious treatment Medical treatment Special treatment.
373 3S0
dharva-graha
graha and Pis'acha-graha.
...
CHAPTER
of
LXI.
Apasmara : Derivative
signi-
CausesNomenclature Premonitory Symptoms Symptoms of

V.ltaja Pittaja Kaphaja and Sannipataja types. Discussion on
treatment Siddharlha-ghrita
causes. General treatment Specific
Pancha-gavya-ghrita General treatment Preparation of special wine
ficance
its
Venesection,
...
...
CHAPTER
...
...
...
381386
LXII.
of Insanity
: Derivation Classi-
Pittaja Kaphaja ami Tri-doshaja types Symptoms

of S'okaja and Vishaja types General treatment Treats
realmenl by frightening acts Diet Maha-Kalyana-ghrila Kalyana-ghrila Phala-ghrila
Phala-ghrilaVartis Venesection.
387 391
fications of
Vdtaja
rila
...
...
...
Here ends the Bhuta-Vidyri-Tantra-
...
CONTENTS.
xiv
CHAPTER
LXIII.
Different Combinations of six different Rasas -.Taken two at

a time Three at a time Four at a time Five at a time Six at 9, time-
One
at
a time.
...
...
...
...
CHAPTER LXIV.
RnleS Of Health : Indications of Health
Its
of diet and conduct in the
rainy
WinterSpring Summer and

When and how to be taken.
season Rules
for
Medicines Their namts

food.
...
importance Regimen
autumn Hemanta
Tor
Pravrit. Different kinds
Ten proper
Definitions and
?..
399395
...
of
food
times for administration
Effects
...
Propel time
...
...
for
of
taking
396405
CHAPTER LXV.
The Technical terms need In the
Technical terms
CHAPTER
The
Number
different
: Names
of the three Doshas
different
Number of drugs. Different
Their number.
...
of the
406413
LXVI.
of the
Modifications
of different diseases.
End
treatise
NecessityTheir definitions and examples.
...
Doshas :
combinations
...
of the Contents of the TTttara-Tantra.
414
416
THE
SUSHRUTA SAM HIT A.

UTTARA-TANTAKAM.
(SUPPLEMENTARY PART OF THE TREATISE).
CHAPTER
Now we
on the chapter which deals
shall discourse
with the diseases,
viz.,
of the eye,
kam adhyayam)
I.
etc.
(Aupadravi-
i.
commences that
Samhita which is known
Here
portion
of
the
Sus'ruta
the Uttara Tantra (the
as
supplementary part) to which references have been often
made
the preceding one hundred and twenty chapters,
in
as the
fit
cursorily
within
it
place wherein to revert in detail
mentioned
therein.
This
to the
part
topics
comprises
the specific descriptions of a large and' a varied
number of diseases,
viz.,
those which form the subject
matter of the âla'kya-Tantra (Diseases of the eye,

ear,
nose and throat)
Videha
diseases
peculiar to
infants
bhritya), the pathology,

in
as narrated
the aetiology and
the six books of
etc.,
the
the king of
etc.
of
and women '(Kaumaraof those diseases mentioned

Practice of Medicine par
excellence (Kaya-chikitstf) compiled

pld
by
symptomatology,
and diseases known as Upasarga
by the holy sages of

{e.g.
Bhutopasarga
THE SUSHRUTA SAMHITA.
Demonology) as well as
are also included in
diseases of traumatic
I-
origin
Herein
supplementary text*.
this
QP-
are also mentioned the sixty-three combinations of the
Rasas
six different
(tasccs) as well as the
laws of health
and hygiene with their rationale (rules, interpretation

and reasonings) and the classifications of different
Doshas and organic principles of the body and various
accessories
and
successful treatment
shall
agents
remedial
and
cure.
now begin with
required
for
their
of the
num-
2.
the description
bers, the pathology and the curability or incurability

of those specific aiiments of the body which are peculiar
of the
to the region
head out of a myriad of other
distempers reserved for treatment in this portion of the
work
may
which
(Uttara-tantra)
unfathomable deep
depth and magnitude.
be compared to the
of the vastness
respect
in
of
its
3.
Diseases of the eye and Its appendages The eye-ball (Nayana-Budbuda) is two
fingers (about
an inch)
in transverse
breadth of one's
own thumb
and two
and a half
The
fingers
eye-ball
cow.
It
of
is
its
'solid'
'the
of
built up.
the
all
(five)
The element
'heat'
its
(Agni cr Tejas)
veins and
arteries),
gaseous element' (V&yu) contributes to'the formation
the
fluid
(1)
to
element of
blood (that courses in
of the black part
it
is
circumference).
earth (Bhu) contributes to the formation
muscles, the
in the
(in
shape and resembles
in
made up
is
elements of which the universe

of the
depth (Sagittal diameter),

round
all
almost round
is
of a
the teat
in
diameter, about the
The
(Iris, etc.) in
element (Jala)
text
which the pupil
preponderates
has A'gantuka (traumatic ^diseases).
mean Apasmara, Unmida,
etc.
in
is
situated,
the *lucid
GayadSsa explains
(Hysteria, insanity, etc.
).
Chap.
UTTARA-TANTARAM.
I. ]
part (Vitreous body) and
(white)
Space (Akas'a)
the
void
there to form lachrymal
is
(ethereal)
or the other
ducts or sacs (As'rumarga) through which the secretions

are discharged.
now
shall
4.
proceed
tral part of Retina
describe the Drishti (the cen-
to.
'Macula
Lutea')
as
The black
expert ophthalmic physicians.
set
forth
by
portion of the
eye (Krishna-mandaia Choroid) forms one third part

its whole extent while the Drishti, according to them,
of
occupies only one-seventh part of the Krishna-mandaia.
The Mandalas
the
or sub-divisions or circles of the
meet with one another) and the

of
eye-ball,
Sandhis or Joints (parts where these sub-divisions

the eye
number.
are
respectively
I'atalas (layers or coats)

five,
six
and
six
in
5-6.
Mandala and Sand hi :The

the eye are the following,
viz.,
(1)
Mandalas of
the Pakshma-mandala
(the circle of the cye-lashcs), (2) the

eye-lid) (3) the
Vartma-mandala
(the
Sveta-mandala (the Sclerotic and Cornea),
the Krishna-mandaia (the choroid) and (4) the Drishti-
mandala
(the pupil).
the one preceding
These
lies
Sandhis (which serve

circles)
circles arc
so arranged that
within the next in the list*

as
lines of
The
demarcation of the
already pointed out are six in number, the
first
binding the eye-lashes (Paksha-mandala) with the eyelids
(Vartma-mandala), the second the eye-lids and the
Sclerotic coat (Sveta-mandala),

latter
with the
situated
the
fifth
the third binding the
Krishna-mandaia (choroid), the fourth
between the
latter
and the Drishti-mandala,
lying in the interior corner (Kanin^kas) and the
last (sixth) in
of the eye.
the exterior (posterior) corner (Apangas)
7-8.
Evidently some line or

give a complete sense
by
itself.
lines
Ed.
are missing here as the line cannot
THE StfSHRUTA SAMHITA.
ThC PatalaS :Of

Timira
occurs
dreadful
the
Of
(loss of vision).
rior
coat
light
(Patala)
Tejas), *
Chap.
the Patalas, two are in
(Vartma-mandala) and four
eye-lid
wherein
in
known
the
.as
or ante-
first
humour
the
the
the eye proper,
disease
these four the
supports
I.
and
Jala
the second coat or Patala (choroid)
supported by muscles
is
the third coat or Patala (Sceroim
and Cornea) consists of Medas (lit. fat) and there is the

fourth which is a fifth part of the whole and is known
There
as the Drishti.
are,
divisions of these coats.
different parts of the eye-ball are
the
blood-vessels,
by
choroid.-f
held
(in
substance
the
Beyond the
held together
Vitreous body
muscles, the
choroid, the
eye-ball
the orbit) by a mass of Sleshma (viscid
capsule of
of vessels.
sub-
9.
The
and the
is
however, divisions and
Tenon) supported by a number
The deranged Doshas which
pass
upward
the region of the eyes through the channels of the

coursing veins and nerves give rise to
diseases in that region.
dreadful
Purva-rupa,
to
up-
good many
10.
CtC. :Cloudiness
of
vision,
mucous accumulation,
sucking pain (D. Reaching
slight inflammation, lachrymation,
heaviness, burning sensation,
pain) and redness in

(in the
the eyas
are indistinctly
manifest
incubatory stage) in such cases. In cases of an
in-
flammation of the Vartmas
(eye-lids) the
studded with the bristles of
worms (Suka) and attended
with pain
(as
if
pricked into with thorns) and a
impairment of the faculty of the

*
By
"Jala"
is
"Tejas" the blood
eye seems as
sensible
eyes in detecting
meant here the serum (Rasa)
in the veins
if
in
the
skin,
and by
(Sui) carrying the (Tejas) known as the
A'lochaka.
t D. R.
vessels,
important for the
muscles and
aqueous
humour
maintenance of Krishna-mandala.
(Medas) are most
Chap.
colours
An
Uf TARA-TANTARAM.
I- 3
and
in closing
and opening the
eye-lids
freely.
from these symp-
intelligent physician will conclude
toms that the eyes have been affected by the (deranged)

Doshas, with a due consideration whereof the remedies
should be (carefully) administered, otherwise the eyediseases might
become too
The simple maxim
serious.
or principle to be followed in the treatment

is
of a disease
simply to forego the primary pathological causes of
The
that disease.
special remedial measures that
pacify the different Doshas,

cribed in detail.
Vayu,
etc.
would
have been des-
12-13.
Eye-disease : The
Causes 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

sleep
tant objects,
in
at
the day time and keeping
dis-
up
hours in the night, fixed and steady gaze, excessive
late
weeping or over-indulgence
in grief,
worry and
fatigue,
a blow or a hurt, sexual excesses, the partaking (in inordinate quantities) of Sukta, Aranala (fermented rice-water),
Masha pulse, and Kulattha pulse, voluntary

any call of nature, exposure (of the eyes)
smoke or dust, trickling down of the drops of sweat
acid gruel,
repression of
to
(into
the
eyes),
pression of tears,
excessive or impeded
constant
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
have been
by
by Pitta and thirteen by
Sixteen are produced by vitiated blood, and
in practice
the deranged Vrfyu,
Kapha.
eye-diseases
twenty-five
of these ten are of iginated
ten
by the concerted action of the deranged

lastly, two are produced by
Doshas (Tri-Doahaja), and
[C^p-
The sushruta samhitX.
causes
external
origin.
they
e.,
i.
traumatic
are
their
in
"
15.
Prognosis of the Vataja Type :Of the

diseases of the eyes which are due to the
deranged Vayu, those
Gambhirika
sha,
known
affecting
the vision,
vartma (Vayu-afflicted Sclerotic coat)

able.
temporary cure (Yapya)
in a case of
Kacha
known
(cataract)
Vayu
deranged bodily
are curable.
of the
is all
is
Nimi-
and Vata-hatasaid to be incur-
that can be effected
due to the action of the
while the affection of the eyes
as the Anyato-Vata,
Sushkakshi-paka,
action
as Hatadhimantha,
Adhi-mantha (ophthalmia),
Abhishyanda and
Maruta-Paryaya
16.
Prognosis of the Pittaja Type :Of

the diseases due to the deranged action of the
known
as Hrasva-jadya and Jala-srava should be
incurable
and
palliative
measures
Pitta
deemed
are the
only
remedies in cases of Kacha, Parimlayi and Nila, while
Abhishynda,
Adhi-mantha
Pitta-Vidagdha-Drishti,
able.
Amladhyushita,
Suktika,
Pothaki and Lagana are
Prognosis of Kaphaja Type: Of

diseases due to the aggravation of
as the Srava-roga
(cataract)
cure
cur-
17.
may
(Kaphaja) Kacha
admits of only palliative treatment, while a

be be effected
Abhishyanda
Grathita,
incurable and
is
the
Kapha, the one known
in
the following cases,
(conjunctivitis),
Adhi-mantha,
viz,,
Balasa-
Sleshma-Vidagdha-Drishti, Pothaki, Lagana,
Krimi-granthi,
Pariklinna-Vartma, Suklarma, Pishtaka,
Sleshmo-panaha.
18.
Prognosis of the Raktaja Type:Of

the diseases of the eyes due to the vitiated
of the blood, those
known
Avalambita (pendent),
condition
as Raktasrava, Ajakajata,
Sonitars'as
and Sukra-roga should
Chap.
UTTARA-TANTARAM.
I-
be regarded as incurable, and the type of jKacha (cataract) due to the same cause admits of ohly palliative
known
measuses, while the diseases
Adhi-mantha,
as
Abhishyanda, Klishta-vartma, Sira-harsha and Sirotpata,

Anjana,
Avrana
Sira-jala, Parvani,
the group of curables.
(non-ulcerated), Sukra-
may
Arjuna
roga, Sonitarma and
be included within
19.
Prognosis of the Tridoshaja Type,

etc.
Of the eye-diseases due to the concerted action

known
of the three aggravated Doshas, those
incurable and palliative measures
Kacha
known
as
lasa,
are only possible in
Pakshma-kopa while those

Vartmavabandha, Siraja-pidaka, Prastar-
cases of
yarma,
Puya-
AkshipAkatyaya and Alaji are
Nakulandhya,
srava,
as
(cataract) or
Adhi-mansarma, Snayvarma, Utsangini, PuyaKardama-vartma, Ars'o-
Arvuda, Syava-vartma,
two
Sarkara-vartma, the
vartma, Sukrars'as,
forms
inflammation with or without local swelling known
of
as)
Sas'opha-paka and
As'opha-paka,
Kumbhika and Visa-vartma
yeild
Bahala-vartma,
to
of eye-disease due
to
the
considered as incurable.
the
curative
Both the forms
efficacy of appropriate remedial agents.
external causes* should be
20
21.
Their Localities ;Thus we
have
finished
enumerating the seventy-six types of eye-diseases, of

which nine are confined to the Sandhis (binding
unions),
to
twenty-one to
the
Vartma
(eye-lids),
the gjukla-bha'ga (the Vitreous body),
Krishna bhaga
(the region
of the Choroid), seventeen
to the entire region (eye-ball)
and twelve td the region

1
of the Drishti (pupil or the "crystalline lens,

*The one due
to
etc.).
The
any external blow or hurt (Sa-nimitta) and the other
originating from the sudden sight of
ancy (A-nhnitta).
eleven
four to the
any
celestial
being of extreme
brilli-
[O^P- L
THE SUSHRUTA SAMHITX.
two cases due
to
the
extraneous cause (are chiefly
located in the Driflhti though
affecting
the whole
the eye-ball and) arc very painful and incurable.

characteristic
symptoms
Thus ends
the
first
The
these will
be hereafter
chapter of the Uttra-tantra in the
Sus'ruta Samhita
described in detail.
which deals with the
of
22
of
all
23.
diseases, viz. of the eye, etc.
CHAPTER
II.
Now we shall discourse on the chapter which deals

with the pathology of diseases which are peculiar to the
joints or binding membranes of the eye (SandhI*
gata-Roga-VIJnanlya).
The names of those diseases :Diseases
peculiar to the joining (Sandhi) of the
eye are nine
number and are named Puyalasa, Upanaha,

kinds
of)
Srava
(viz.
Symptoms
Puya-srava, >leshma-srava, Rakta-
Parvani, Alaji and Krimi-granthi.
srava, Pitta-srava),
na*ha
of
is
called Puyalasa.
2.
Puyalasa and Upa-
suppurated swelling occurring at any
these joining and exuding
pus
in
(the four
sort of fetid
painless
of
and dense *
cyst (Granthi) of
considerable size occurring at the union of the pupil (with
the Krishna-mandala) and attended with an itching sensation
and a
little
suppuration
Symptoms
+
Doshas
is
called
Upangha.
Of SraVa : The
3.
A.
deranged
of the locality passing through the lachrymal
ducts into the binding tissues
of
the four different
up a painless \ secretion (Srava)

from the localities characterised by the specific symptoms of the different Doshas involved. These are known
as SraVas, which according to some, are also called
Sandhis (joinings)
set
* According to
(^ffifc:)*
There
is
Madhava's reading, the swelling should be painful

no mention whether the pus should be dense ('HP5) ot
otherwise.
+ The term "Dosha" here means S'leshma, Pitta, Rakta (blood)

and the concerted action of the above three Doshas. It should be noted
that Vftyu is excluded from the list as it does not produce any secretion,
% Mldhava does not mention
this (painlessness) to
be a symptom.
IO
Chap.
II.
Netra-nadi and are classified into four different groups,
symptoms
the different
presently.
which
of
will
be described
suppuration (D. R. swelling) in
any of the
marked by a discharge of pus

is called Puytf-srava. This is due to the concerted action
of the Doshas (Kapha, Pitta and blood). The secretion of
slimy, white and thick muco-purulent discharges marked
Unions (Sandhi) of the eye
by the absence
flow of thin,
of pain *
is
called SJleshmd-sraVa.
warmf and blood-streaked copious
The
discharge
due to a contaminated state of the local blood is called

Raktrf-srava. A warm, water-like and yellowish blue
(D. R. reddish yellow) discharge from
middle part
the
of the union (owing to the deranged condition of the

Pitta)
is
called Pittrf-sriva.
Symptoms
3.
of Parvanl, etc. : A
small,
round and copper-coloured swelling occurring at the
join-
ing of the Krishna-mandala and Sukla-mandala, due to
the vitiated state of the local blood and attended with a
burning sensation and aching pain,
swelling
possessed
occurring at the very
titis) J.
of
the
same joining
eye-lashes
(Krimi)
in
called
is
and
called Alaji (Kera-
on the joining of the
by an
eye-lids
owing to the germination of parasites
those
localities,
is
called Krimi-granthi.
Parasites of different forms in such a case

Infest
Parvani.
features
cyst or swelling (Granthi) characterised
itching sensation appearing
and
is
preceding
are found to
the regions where the inner lining of the Vartma-
According to
Madhava's reading, the absence of pain
is
not a
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
Parvanl and
that of
AlaJl
is
and that
in the
Alaii
is
smaller,
Ciiap.
it
UTTARA-TANTARAM.
mandala
(eye-lid) is
connected with the S>ukla-mandala
(Sclerotic coat) of the eye
and
substaace of the eye-ball.
Thus ends
IT
to invade
and
vitiate the
5.
second chapter of the
Uttara-Tantra in the Sus'ruta
Samhital which deals with the pathology
of the diseases peculiar to the
the
Sandhi (unions) of the eye.
CHAPTER
Now we
III.
discourse on the chapter which deals
shall
with the pathology of diseases peculiar to the region of the
(Vartmagata- Roga-Vijna'nlyai
Causes and Names : The Doshas of
eye-lids
i.
the
body jointly or severally expanding through the nerves

and veins, (Sira) of the eye-lids (Vartma) bringing about
an augmentation of the quantity of the blood and
the growth of the flesh in the localities (determination of blood toward formation of fleshy growth in
the affected parts) give
a host of local diseases
rise to
which are known as Utsangini,

Vartma-Sarkara.
Ars'o-vartma,
Kumbhika, Pothaki,
Anjana,
Ssushkars'as,
Bahala-vartma, Vartmavabandha, Klishta-vartma, Kar-
dama-vartma,
Syava-vartma,
Praklinna-vartma,
Pari-
klinna-vartma, Vatahata-vartma, Arvuda, Nimisha, iaoni-
Lagana,
tarsas,
Visha-vartma
These twenty-one diseases are

(Vartma).
The
the eye-lids
2.
Specific
symptoms
eases of the eye-IidS : The

have been enumerated
specific
Pakshma-kopa.
and
restricted to
symptoms.
of the disnames
now hear me
(rolled
of these
describe their
up and indented)
boil
or eruption (Pidaka) appearing along the lower eye-lid
on
mouth or head directed

A number of boils or
pustules (Pidaka) to the size of a Kumbhika seed appearing on the joint of the eye-lids and the eye-lashes
and becoming inflamed after being burst is called
its
exterior side
inward
is
Kumbhiki
called
*.
* This disease
three Doshas.
with
its
Utsangini-
34.
(Kumbhika')
is
due
to the
concerted
action of the
UTTARA-TANTARAM.
Chap. Ill,
number
of red
and heavy (hard)
(Pidaka) resembling red
boils
or pustules
mustard seeds attended
with
A rough
and
and large pustule (Pidaka) surrounded by other very
small and thick erythematous pustules (covering the
exudation is called Pothaki-
pain, itching
entire length of the eye-lid)
called
is
Vartma-fl'arkara'.
5-6Vegetations of small (D. R.
and rough
soft)
papilae
(Pidakas) on the eye-lid resembling Ervdruha seeds and
attended with very
little
pain are called Ars'o-vartma.
Long, rough, hard, and numbed papils (Amkura) on the

eye-lid (2) are called ia shkaVrfas.
small,
soft,
8.
copper-coloured
pustule
(Pidaka)
appearing on the eye-lid and attended with burning,

pricking sensation and a slight pain
called
is
an Anjana.
Vegetations of pustules (Pidaka) of equal size (D. R.

attended with hardness) occurring
and resembling
it
(or each
Bahala-vartma.
all
along the eye-lid
other) in
colour 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 pain
and changing suddenly into redness (D. R.

discharging
vartma.
blood
therefrom)
suddenly
called
is
Klishta-
n-12.
case
Klishta-vartma
of
which
in
has deranged and affected the blood ancf

matter (mucus)
is
the
much
discharged as a consequence
a case of Vartma-kardatna.
is
(t)
According
to
Midhava, the
dirty
called
dark brown colour of
the eye-lids both internally and externally marked
inner side of the eye-lid.
Pitta
papilae
in
by a
such cases occur in the
14
swelling (D.
R.pain)
An
ifc.
and attended with a discharge of
pus and with burning and itching sensations

dyrfva-vartma.
Chap.
called
is
13-14.
external swelling of the eye-lid with a deposit
mucous matter
in
of
inner surface accompanied with a
its
pain as well as a discharge, itching and pricking
little
sensation,
is
called a
Praklinna-Vartma.
sticking to-
gether of the eye-lids even in the absence of any suppuration
and
in spite of
(with water)*
is
Pariklinna-vartma.
The drooping down

obstruct the
(lit.
inactivity)
15
16.
of the eye-lids,
attended with any pain or not,
whether
lids
eyes being constantly washed
the
called
(so
as
to
opening of the eye-lashes) where the eye-
seem to be out of
joint
called Va'trfhata-vartma.
is
and knotty swelling (Granthi) of an uneven size

or shape, growing hastily on the interior side of the
red
eye-lid
and attended with a
or tumour.
17
little
pain
is
called
an Arvuda
18.
Constant wrinklings of the eye-lids owing to

incarceration of the (deranged)
Vayu
within
the
the nerves
or veins (Sira) controlling their wrinkings (closing and
opening) are
known
Nimesha.
as
Soft and
fleshy
growths (Amkura) on the eye-lid which reappear even
removed with a
after being
knife,
and are attended with
pain, itching and burning sensation are called Sonitarsas

and should be ascribed to the vitiated condition of the
blood.
19-20.
thick, slimy, hard
and
painless
nodular swelling
(Granthi) on the eye-lid resembling a
size
and marked by an itching
sup-
puration
*
is
called
Lagana
A different reading reads
Kola fruit in
sensation and absence of
+.
'whether washed or not.'
not a good reading,
t Certain
editions read
An inflammatory
NagMUt.
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
Visa-vartma.
An
called
21-22.
accumulation of the deranged Doshas about the
eye-lashes
makes them rough and
give pain to the
The
is
disease
is
sharp-pointed, which
relief when drawn off.

Pakshma-kopa in which the
eye and give
known
as
eye cannot bear the least wind or heat or the glare

of
fire.
23.
Thus ends the
third
chapter of the Uttara-Tantra in the Sus'ruta
Samhita which deals with the pathology of the diseases of the
eye-lids.
CHAPTER
Now we
with
shall discourse
IV.
on the chapter whi ch deals
the pathology of diseases of the Sclerotic coat
(white coat) of the eye (Buklagata-Roga-VijiHtoiiya).
Names The eleven different forms

:
which are peculiar
the Sclerotic coat (white) of the
to
eye, are Prastaryarma,
rma),
r.
of diseases
Suklarma, Kshatajarma (Rakta-
Sndyvarma,
Adhimansarma,
Arjuna,
Suktika,
Pishtaka, Sira-jala, Sira-pidaka, and Balasa-grathita.
Symptoms
: A
thin and
swelling (Granthi) coloured
reddish
on the Sclerotic coat (Sukla)
is
2.
extended glandular
blue and
apearing
Prastaryarma.
called
crop of soft and whitish growths slowly extending
over the entire length of the Sclerotic coat
The
Suklarma.
fleshy
is
eye resembling a (red) lotus flower in colour
The
Lohittfrma.
brown and
coat
is
extended,
soft,
liver-coloured
growth of
(D. R. white) growth of flesh
gaining (slowly)
in
is
called
and
dark-
on the white
rough, yellowish
Sna'yvarma.
coat,
and
3-7.
brown specks resembling
colour or of those having the
oyster-shell
called
of dark
flesh
on the white
in size, is called
The appearance
flesh
thick
The
Adhi-mdnstfrma.
called
called
growth on the white coat of the
colour of an
on the white coat (Sukla) of the eye
Suktika^
The appearance
of
is
a single dot or
speck on the Sclerotic coat (bukla), coloured like a

(drop of the) hare's blood,
is
called
Arjuna.
raised
and circular dot or speck appearing on the white coat

and coloured white like pasted rice and (as transparent
as)
water
is
called
Pishtaka.
Red and
extensive
patches of hardened veins spreading over the white coat
and looking
like
net-work
is
called
Sirrf-jala.
The
UTTARA-TANTARAM.
Chap. IV.
crop of white pustular growths (Pidaka) on the Sclerotic

coat (Jsukla), near the limit of the
black coat
(Iris)
and
covered over with shreds of veins are called the Siri-
The
PidafcC
disease in which a speck coloured like the
Indian bell-metal (Kamsya) and covered
over with a
vein (Sira) appears on the region of the Scleratic coat

called the
Thus ends
hita
which
BaMsa*.
the fourth chapter of the Uttara-T antra in the Sus'ruta
treats of the
is
8-13.
Sam-
pathology of the diseases of the Sceloretic region
of the eye.
The
reading
in
Madhava's Nidana
Dallana seems to support that.
It is
speck appears like a drop of water

bell-metal in colour.
is
quite different
here,
and
defined as the disease in which a hard
on 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

the
eye
Choroid
The
of the
diseases
the
including
Boga-Vijna'niya).
(Krifllma-gata-
Iris
r.
which are found to invade the region
Choroid
including the
Iris
have been briefly said to be four
(Krishna-mandala)
Their
number.
in
A-vrana-Sukra, Pakdtyaya
names are Sa-vrana-Sukra,

and Ajaka, 2,
Symptoms A puncture-like dip in the region

i
with a sensation there as
of the (Krishna-mandala)
with an excruciating pain and a hot exudation
Sa-vrana-ûkra.
If the
offers
it
called
entire part of the Drishti
marked by the absence of pain and discharge
and be not deep-seated and

spots,
is
seat of this disease consider-
ably remote from the pupil

(Retina) be
if
with a needle and attended
the part has been pricked
very
little
there be
if
chance of remedy.
not double
3-4.
Symptoms and Prognosis of

na-3llkra : A
whitish
region of the Choroid
A-vra-
appearing
film
including the Iris
on
the
(Krishna) like
a speck of transparent cloud in the sky, and attended
with lachrymation and slight pain due to the eye-disease
known
called
as
Abhishyanda (Ophthalmia
the A-vrana-dnkra.
case of
Avrana-Sukra
thickened, deep-seated
only with the greatest

case of this disease,
of
flesh,
is
lit secretion)
easily curable.
(non-ulcerated
film)
which
is
A
is
and long-standing, may be cured

while an long-standing
difficulty,
if it is
vein-ridden,
This
mobile, covered with shreds
layer of skin (in the eye) and
down
to the
second
obstructing the
vision,
stretching
UTTARA-TANTARAM.
Chap. V.]
severed in the middle and
the
in
extremities,
marked with a reddish
should be
deemed
as
tint
incurable.
Several authorities aver that the appearance of Mudgalike specks or films
on the region of the
attended
Iris,
with growths of pustules and hot lachrymations, should
be like-wise regarded as incurable. The fact of its (speck)

assuming the colour of the feather of a Tittira bird
is
an additional indication of the incurable nature of
this disease.
5.
The appearance
of a whitish milky film
black part of the eye slowly shrouding
it
mass and attended
is
This
Akshi-Pdktttyaya.
from an attack
with acute pain
concerted action of
is
all
known
its
as the
invariably found to result
Akshi-kopa* and
of
over the
entirly with
the Doshas.
is
due
the
to
painful reddish
growth, like the head of a goat, found to shoot forth
from beneath the surface of the black part and attended

with reddish slimy secretion
Thus ends the
hita
which
fifth
is
called
an Ajaki
6-7,
treats of the pathology of the diseases of the
Sarrl.
black part of the
eye.
* According to Madhava's reading in his Nidana, this disease
not necessarily result from an attack of Akshi-kopa, and
be an acute pain, and
it
would be incurable.
there
need
need not
CHAPTER
Now we
shall discourse
VI.
with the (symptoms and) pathology of the diseases

affecting the eye as a
Vljnsfnfya).
whole
(Sarva-gata- ROga-
Names and causes
:The
four types of
Abhishyandha (Ophthalmatis), the four types of Adhimantha, the two forms of Akshi-paka (suppuration of
the eye) attended with or without swelling, these ten,
Hatadhimantha, Anila-Parjaya, Suskakshi-
as well
as
paka,
Anyato-vata,
Amladhyushita,
Drishti,
Sirot-
pata and Sird-Harsha are the names of the (seventeen

kinds of) diseases which affect the
eye as a whole.
Nearly
may
all
these forms of eye-diseases
result
from
Abhishyanda (Ophthalmitis). Hence a wise physician

to remedy a case of Abhishyanda
tlie
shall try speedily
(Ophthalmitis ) as soon as
Specific
nda
found
symptoms
The symptoms
shyanda due
it is
out.
of
2.
Abhishya-
which mark a case of Abhi-
to the action of the
deranged Vrfyu are
pricking pain (in the eyes), numbness, horripilation and

irritation in the eyes,
organ, cold
roughness and parchedness of the
lachrymations and headache.
Pittaja-Abhishyanda
viz.,
exhibits
case
the following features,
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
Kaphaja type
of the
longs for the contact of
disease,
warm
In
the affected organ
articles
and
is
attended
with a heaviness, itching sensation, swelling, excessive

whiteness and a constant deposit and discharge of slimy
mucus.
The
special
type
of this disease which has
Chap. VI.
its
UTTARA-TANTARAM.
origin in
21
the vitiated condition of the blood, L
Eaktaja type
is
marked by redness
copper-coloured tears, as well

Pittaja type of the disease
stripes all along.
of the
and the presence of deep red
3-6.
forms of chronic Abhishyanda,
and remedied at the
cases
of
the
symptoms of the
as the
Causes of Adhimantha : All

to
<?.,
flow of
eyes,
if
not properly attended
may
outset,
Adhimantha which
the (four)
many
run into as
attended (invariably)
is
with an excruciating pain in the eye, which seems as
if
being torn out, the pain extending upward to and crushing, as
it
were, the half the region of the head.
characteristic
symptoms
of the
Doshas involved
case are also seen to supervene.
in
The
each
7.
Symptoms of Vataja Adhimantha i

In the Va'taja type of
cloudy and seems as

with an
if
Adhimantha the eye becomes
being torn out and churned as
Arani (fire-producing wooden
stick)
attended
and cutting pain, as well

as with a swelling of the local flesh, and a half of the
with an
irritating,
piercing
head (on the side of the affected eye)
is
afflicted
with
a twisting and cracking sensation as well as with local

swelling, shivering
and
pain.
8.
Symptomsof Pittaja Adhimantha :

The symptoms which mark the Pittaja type of Adhimantha are the blood-streaked eye attended with secretion and a sensation therein of being burnt with fire,
as well as swelling, perspiration and suppuration in the
affected
yellowish
organs,
burning sensation
become
with an
in
liver-coloured
alkali.
vision,
the head.
and seem
fainting
The
as
if
eyes in
fits
and a
this
case
ulcerated or rubbed
9.
Symptomsof Kaphaja Adhimantha

In
the
Kaphaja type
of
Adhimantha the eye
is
f Cfaa P*
THE SVSHRVTA SAMHITA.
22
swollen
with a slight congestion (inflammation).
V1,
Dis-
charges with a sensation of itching, coldness and heaviness in the localities
set in,
and there
is
horripilation.
The eye becomes slimy with deposit of mucous matter.

The sight becomes cloudy, the nostrils are dilated, the
head aches and
all
objects
seem
to
be
full
of dust.
10.
Symptoms of Raktaja Adhimantha
A pricking pain in and a blood-streaked secretion

from the affected organ which looks (bright red) like a
Bandhujiva flower, are the symptoms which mark the
type of Raktaja Adhimantha (due to the vitiated blood).
The eye becomes

least
if
and incapable of bearing the
painful
touch or contact, and the objects of vision seem as
enveloped
in
The
flames.
become red and the whole
origin
coat of the eye) looks like an

in blood.
extremities
of the eye
of the cornea (black
Arishta
fruit
submerged
II.
The prognosis
A course of injudicious
conduct or medical treatment

of vision in seven days from
may
diet,
usher in the blindness
an attack of the Kaphaja
type of Adhimantha (Ophthalmia) and
in five
days from
that of the blood-origined (Raktaja) type, in
six days
in a case of
the Vataja
Adhimantha and instantaneously
within three days of the attack)

(i. e.,
Adhimantha.
in- the
Pittaja
type of
12.
Symptoms of Sa-sopha and A- sop ha

Akshi-psCka : A
case of
Sa-s'opha-Netra-pj&a
symptoms, v is., itching sensation,

mucous matter (in the eye), lachrymation and
exhibits the following
deposit of
a redness of the eye like the colour of a ripe Udumbara

fruit.
There
is
a burning sensation in the eye-ball which
becomes copper-coloured, heavy, and attended with a

pricking pain and horripilation.
The eye becomes
swollen and constantly secretes either cold or hot slimy
Chaf. VI.
UTTARA-TANTARAM.
23
and ultimately suppurates.
All these symp-
discharges,
toms except swelling mark the (non-swollen) A-s'jpha-
Netra-p4ka type of the

'
disease,
The 'deranged Vayu
13.
getting incarcerated in the optic
nerve (Sira) impairs the faculty of
an incurable disease which
(blinding Ophthalmia).
sometimes
pain
shifting
rise to
Hata'dhimantha
experienced
of the eye-lashes*
region
in the
and gives
sight,
called
is
or of the
eye-brows and sometimes in the region of
the eye,
owing to the coursing of the deranged and incarcerated
Vayu in
The
those localities,
disease
in
which the
always
hard and remain
cloudy and hazy, and

the eye-lids,
closed,
the
Vayu
the action of the deranged
of the neck
cars,
on either side of the neck), or

place,
is
The
The
incarcerated
due to
in
the
the cheek-bones, the back
Manya
(Avatu), the
5.
open
to
îshkaTtshi-pa'ka.t
excessive pain in the eyes or in the eye-brows
region of the head, the
14-1
become dry and

the vision becomes
eye-lids
becomes very painful
it
called
is
called Va'ta-Paryaya.
is
in
called the Aoyato-va'ta.
(a
particular nerve
any other
(adjacent)
16-17.
swelling of the eye attended with a bluish
red
owing to the partakings of meals composed of an unduly large proportion of acid articles, or
tint all about,
of such food as
action,
is
disease
in
followed
is
called
the
by a digestionary acid
AmMdhyuBhita-Diishti.
which the veins
all
re-
The
over the eye become
copper-coloured and are frequently discoloured, whether
attended with pain or not,
Midhava in
Midhava in
burning sensation
the
the
is
is
called the Sirotpa'ta. 18-19.
Nidana does not mention
the eye-lashes.
Nidana reads ^s^g^ which means
that a highly
produced in the affected eye, in place of "fqtjf
a word which seems redundant.
^H
"
THE SUSHRUTA
24
A
in
case of Sirotpata,
if
SAMIIITX.
Chajv,VI.
not attended to and remedied
time through ignorance, gives
copper-coloured discharges
in
rise to
transparent and
copious quantities from
the eyes and produce a complete blindness of vision.
This
is
known
Thus ends the

Samhiti which
as the Sirrf-harsha.
sixth
20,
chapter of the Uttata-Tantra in the Sus'ruta
treats of the diseases affecting the eye as a whole.
CHAPTER
Now.we
shall discourse
VII.
with the pathology of the diseases which are peculiar to

(pupil)
the Drishti
Roga-Vijnaniya).
Experts well-versed
(Drishti-gata-
the eye
of
i.
anatomy of the eye aver
in the
eye
that the Drishti (pupil) of the
is
the quintessence of
the five material elements with that of the eternal light
predominating therein
this
principle
increasing nor decreasing in
this case.
of light neither
It
accustomed to cold from the very nature of
ment and
is
It
looks like a
pupil of the eye resembles in
naturally
tempera-
action
its
or
is
equal in
pulse*.
The
the phosphores-
glow-worm or that of a minute
cent flash of a
particle
not burning the things coming in contact with
Now we
it).
hole and
of a Masiira seed
dimension to that
fire (in
its
covered by the outer coating (Patala) of the
organ proper.
of
is
shall describe the
pathology of the twelve
kinds of disease peculiar to the region of the Drishti

(pupil), as
well as of the
affecting the
(loss of vision)
pupil).
All
sight
one which
is
known
as Timira
Patala (coating over the
2.
external
objects
appear dim and hazy to the
when the deranged Doshas
of the locality passing
through the veins (Sira) of the eye, get into and are
incarcerated within the first Patala (innermost coat) of
the pupil (Drishti).
3.
Symptomswhen
attacked
second
False images of gnats,
flies,
Patala
f
hairs, nets or
cob-webs, rings (circular patches), flags, ear-rings appear

*
According to Nimi, quoted in Madhava's commentary by S'rtkantha,
the dimension of the

pulse.
Drishti
is
equal to only a half of that of a Masur*-
26
to the sight, and the external objects

in mist or
viewed
haze or as
in the
seem
to
cha P- VIL
be enveloped
under a sheet of water or as
laid
and on cloudy days, and meteors of
in rain
ent colours
if
seem
differ-
to be falling constantly in all directions
event of the deranged Doshas being similarly con-
second Patala (coat) of the Drishti.
fined in the
In
such cases the near appearance of an actually remote

object
and the contrary {Miopia and Biopid) also should
be ascribed to some deficiency

of refraction
(error
in
the
crystalline lens)
patient from
capacitates the
the range of vision
in
and hence from threading a needle.
Symptomswhen
attacked
in-
the eye
4.
Patala
third
Objects situate high above are seen and

unobserved when the de-
below remain
those placed
which
looking through
ranged Dosha are
infiltrated into the
Third Patala
(coat)
The Doshas
affecting the Drishti (crystal-
line lens), if highly enraged,
impart their specific colours
of the Drishti.
to the objects of vision.
Even large objects seem to be

The images of objects and
covered with a piece of cloth.
seem to be otherwise
those organs.
The deranged Doshas
and obstructing the lower, upper and lateral
persons with ears and eyes,

i.e.,
bereft
situated at
etc.,
of
parts of the
Drishti
(crystalline lens)
respectively shut
out the view of near, distant and laterally-situate objects.
A dim
and confused view of the external world
that can be had
and
affect the
when
whole of the Drishti
thing appears to the sight as
when the deranged Doshas

lens,
and as
same
if
affect
(crystalline lens).
cutjinto
two (bifurcated)
the middle part of the
and severed when the Doshas

two parts while a multifarious image
triply divided
are scattered in
of the
is all
the deranged Doshas spread over
object
is
the result of the manifold
tions of movability of the
Doshas over the
distribu-
Drishti.
5.
Chap. VII.
UTTARA-TANTAUAM.
Symptomswhen
attacked
2?
fourth
Loss of vision (Timira)
Patala
results
from the
deranged bodily Doshas being confined within
fact of the
the fourfh Patala (choroid) of the organ.
When the vision
completely obstructed by the aforesaid cause,
is
the heaven, a flash of lightning or

brilliant objects
is
possible in
The
deep-seated) Linga-nas'a.
also called N/lika
and Kacha.
Only a
faint per-
the stars,
any other such highly
a case of superficial (not

Linga-nas'a
(blindness)
is
6.
Specific traits of Timira : All

objects are
is
moon and
called a case of Linga-na's'a (blindness).
ception of the images of the sun, the
it
external
viewed as cloudy, moving, crooked and
coloured in the Va'taja type (of Timira), while
in
red-
the
Pittaja type they appear to be invested with the different

colours of the spectrum or of the rain-bow, of the
worm, of the
flash of lightning,
on black
pea-cock, or with a dark blue tint bordering
while in a case of
like that
of a
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
day, or as
if
laid
under a sheet of water. In a case
Baktaja type of Timira, all objects appear red or

envoloped in gloom, and they assume a greyish, blackish
of the
or variegated colour.
the outer world
looks
as doubled or trebled
stars
and
vareigatcd and confused, appears

to
the vision (of the patient), and
planets, either defective or supplied with addi-
tional limbs,
.
In a case of Sa'nnipa'tika Timira,
seem
to float
Pariml&'yi :The
yellow and appear to
in
the vision.'
quarters of the
the sight as
the light of the rising sun,
with the tangles of
about
and
fire-flies
trees
in
if
7-1
1.
heaven look
resplendent with
seem as
case
if
sparkling
of Parimlayi,

28
Cha P- VIL
which should be ascribed to the action of the deranged

Pitta
in concert
with the vitiated Wood.
The different.colours
12.
of the pupil in
Cases Of Linga-nasa : Now we

the colours of the pupil
The
Linga-nas'a.
in
in
the six
shalfdescribc
types of
different
pupil assumes a reddish (Aruna) colour
the Vataja type of the disease
looks blue or bluish
yellow in the Pittaja, white in the
Kaphaja and
red in the blood-origined one, while
it
blood-
assumes a varie-
gated hue in the Sa'nnipa'tika type of Linga-nasa.

cular patch (Mandala) tinged
bluish yellow colour
cir-
with a shade of bluish or
and looking
like
fire
or a piece of
formed on the pupil owing to the diseased

and aggravated condition of the blood (with pitta) in a
thick grass,
is
case of Parimlayi.
In this case the patient
sometimes
is
permitted to catch faint glimpses of the external objects
owing to the spontaneous and occasional filtering away

of the deranged Doshas obstructing the vision.
13 1 5.
Specific Traits of Linga-nasa :The

circular patch (over the pupil) in a case of Vrftaja Linganas'a is red-coloured,
and
is
moving and rough
touch, while that in a case of Pittaja Linga-nas'a

or yellow or coloured like bell-metal.
Kaphaja
in a case of
Linga-nAs'a
white as a conch-shell, a
Kunda
is
The
is
to the
bluish
circular patch
and as
thick, oily
moon
flower or the
resembling a white drop of water on the moving lotus

leaf
and moving away
The
circular
to
and
disease
(pupil)
when the eye
patch over the pupil in a
(blood-origined) Linga-nasa
or a (red)
fro
lotus-petal.
is
case?
is
of
rubbed.
Raktaja
red-coloured like a coral
Sanuiprftika
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.
is
UTTARA-TANTARAM.
The
twelve.
types of Linga-nas'a (Drishti) have
six
The
been described above.
peculiar to the
disease,
other
six
forms
Drishti (pupil)
Pifra-vidagdha-Drishti,
as
29
of the
named
are
Sleshma-vidagdha-Drishti,
Dhuma-dars'in, Hrasva-Jatya, Nakulandhyata and

bhirika.
The
Gam-
17.
disease in which the region of the Drishti (pupil)
assumes a yellowish colour,
and
all
external objects
appear yellow to the sight owing to the presence of the

vitaited
Drishti
(and augmented) Pitta in the region

is
called Pitta-Vidagdha-Drishti.
an
accumulation
the
third Patala
deranged Dosha
of the
(coat)
of the
eye,
of the
It is
(Pitta) in
and the patient
cannot see anything in the day, but can see only

night.
due to
in
the
18.
The
when
by the accumulation of the deranged Kapha.
The deranged Dosha (Kapha), in this case, is simultait is
external objects appear white to the sight
affected
neously divided over

In
eye.
all
the three Patalas (coats) of the
consequence of this the patient
with nocturnal 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-Drishti. 19.

The external objects appear dusky or smoke-coloured
when the sight is affected through grief, (high and protracted) fever, over-straining or excessive
cise,
or injury to the head, etc.
thus
sight).
engendered
is
called
The
physical
exer-
affection of vision
Dhuma-Drishti
(smoky
20.
The disease in which small things can be viewed

only with the greatest difficulty (even) in the daytime,
but can be viewed (easily and clearly) in the night owing
to
the subsidence of the deranged pitta through the
30
C^P- vlt
coldness of the atmosphere (and a general cooling of the

Earth's surface)*
The form
called Hrasva-jjftyaf.
is
of occular affection
man
of Drishti (pupil) of a
bles (and
objects
called
by the DoshaS resem-
found to emit (luminous) flashes
is
mungoose
of a
affected
21.
which the colour
in
appear
like) that
consequence of which the external
in
The form
Nakulandhya.
day
in the
multi-coloured
time,
is
of occular affection
due to the action of the deranged Vftyu, and in which the

Drishti (pupil) is contracted and deformed and sinks
an extreme pain
into the socket, attended with

affected parts,
Besides the above, there are two more
Linga-iiasa of traumatic origin,
via.,
Under
cause).
the
forms of
Sa-nimitta (of ascer-
tainable origin) and A-nimitta (without

ascertainable
the
in
22-23.
called Gambhirika'.
is
any manifest or
first
may
group
be
arranged those %vhich are produced by such causes as
an over-heated
Abhishyanda,
which the
condition of the head (brain,
marked by the
specific
symptoms
while the
second comprises
loss of one's vision
halo
the witnessing of divine
etc.),
and
of (blood-origined)
those
in
due to causes, such as
is
or effulgence
emanating
from the ethereal person of a god, or a Gandharva (demigod), a holy saint, a celestial serpent, or such other
* The latter part of the
Madhava does not read the last
include
it
in his
read this line,
commentary.
but holds,
incongruous, in as
much
text
line
seems
here
in
his
to
be
incongruous.
Nidana, nor does Dallana
Dallana, on the othei hand, says
that
some
on the authorityof Videha, that the reading
as
"Hrasva-jatya"
is
said to cause
is
one of the
four types of night-blindness.
+ Some read Hrasva-jadya
% This shows
that
man
in place of Hrasva-jatya.
affected with this
form of disease cannot
see anything in the night.

S
The head
is liable
to be
over-heated
by the smelling of poison or
poisonous objects or any other strong-scented flower,
etc.
Chap, VII
UTTARA-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
sunken or pierced or impaired aspect of the pupil.
We
have thus
diagnostic traits
which
affect the
finished
describing
of the seventy-six
organ of
vision.
by a
24.
separately the
forms of disease
We
shall
hereafter
separately deal with the nature of the medical treatment

to
be pursued
in
each
case.
25.
Thus ends the seventh chapter of the Ultara-Tantra

Samhita which
pupil of the eye.
treats
of the
in
the
pathology of the diseases peculiar
Sus'ruta
to the
CHAPTER
Now we
shall discourse
VIII.

according to
with the classification of occular affection
(Netra-RogaChikitsa-Vibh^ga-Vijnaniya).
Classification :We have already described
the different
modes of treatment
i.
the names and
eye disease.
symptoms of the
We
now
shall
seventy-six kinds of
and severally deal
briefly
with the nature of treatment to be pursued
Of
these seventy-six
kinds eleven
be treated
should
with incision operations (Chhedya), nine with

tion (Lekhya), five with excision (Bhedya),
venesection (Vyrfdhya)
operated upon and
twelve cases
measures (Yipya), while
fifteen
should
scarifica-
fifteen
should
admit only of
seven
them.
in
with
not be
palliative
be given up by
an experienced physician (Ophthalmic surgeon) as

curable.
The two kinds
in-
of eye-disease of traumatic
origin should be likewise held as incurable or admitting
only of palliative measures at the best.
2.
Names of the Chhedya and Lekhya

eye-diseases
Diseases which should be
treated
with incision are Ars'o-vartma, Sushkars'as, Arvuda, SiraPidaka,
Sira-jala,
the
five
types of
Parvanika (thus numbering eleven
which
fioarification should
seven in
all)
are Utsangini,
in
Arman*,
all).
and
Diseases in
be resorted to (numbering
Bahala-vartma,
Kardama-
vartma, Syava-vartma, Vaddha-vartma, Klishta-vartma,

Pothaki, Kumbhikini, and Sarkara-vartma.
3-4.
Names of Bhedya and Vya'dhya eyediseases

*
Optical diseases
See Chapter IV, para
2,
in
UUara-Tanlara.
which the affected
Chap. VIII.
localities
33
should be treated with excisions, are Sleshmo-
Lagana,
panaha,
Anjana
UTTARA-TANTARAM.
Visa-vartma,
thus numbering five in
eye-disease beginning with Sira
and
Krimi-granthi
The two kinds
all.
viz.,
of
Sirotpita and Sira-
harsha, the two kinds of Akshi-pika attended or un-
attended with
swelling,
and
As'othakshi-paka,
and
Sas'othakshi-paka
viz.,
Anyatovata,
Puyalasa, Vata-
viparyaya and the four types of Abhishyanda and the

four types of
Adhimantha should
Venesection (Sira-vyadhana).
be
with
treated
5-6.
Eye-diseases not to be operated :

Operations should not be resorted to in cases of Sushka-
Kapha-Vidagdha-Drishti,
kshi-paka,
Drishti,
Amladhyushita-Drishti,
Pitta-VidagdhaArjuna,
>ukra-roga,
Pishtaka, Aklinna-vartma, Dhuma-dars'in, ûktika, Prak-
linna-vartma and Valasa

In the traumatic
thus
making twelve
forms also of
eye-disease
operations are not advised by experts.
in
all.
surgical
7.
Names of curable and incurable eyedisease
Palliative
that can be offered
in
or
described before, as well as
Pakshma-kopa,
if
temporary
relief
is
all
any of the six types of

in
the affection
Kacha
known as
the patient retains the faculty of
Four of the Vayu-origined, two of the Pittaja,

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

Samhiti which deals with the
the different
the
classification
modes of treatment.

of eye-diseases
according to
CHAPTER
Now we
IX.
on the remedial measures of
shall discourse
Abhishyanda (Ophthalmia) due to the action of the
(Va'ta'bhishyanda-Pratlsh-
deranged vayu
edha)*
The
i.
and matured
a case of (Vataja) Abhishyanda
patient should be treated with old
both
clarified butter,
in
(Ophthalmia) and (Vataja) Adhimantha (Conjunctivites).
The
diseased
and
local
organ should be
venesection resorted
effected full
fomented
then duly*
Then
to.
purging with the help
of a
having
after
Sneha-vasti
(oleaginous enema), such measures as Tarpana, Puta-
fumigation, sprinklings (As'chyotana) f, snuffing

(Nasya), oily washings, Siro-vasti (errhincs) or washing
paka,
the organ with Kanjika (Amla) or with any
decoction
prepared with the drugs of the Vayu-subduing group
any aquatic (Jalaja) animal,

marshy places (Anupa), should
or with that of the flesh of

or of one frequenting the
be
resorted
to.
butter, curd, fat
warm
to the
compound consisting of clarified

and marrow should be applied lukeaffected
* It should be noted that the part
and not the eye
should
itself
which should also be
organ,
be
of the
forehead adjoining the eye
fomented, since fomentation should not
be applied directly over the eye.
Consists
t As'chyotana
with the two
stance.
Its
fingers,
(Eye-drop)
doses are
eight drops
lubricating the part with

for the
warm
for
bitter taste
and bitter, warm and
ten drops for
XVIII, Uttara-Tantra.
They should be dropped

eyes.
in the
in
luke-
In diseases of Vataja
oleaginous in diseases
parching
Vaidyaka Nighantu as quoted

also Chapter
purposes,
scarifying
and cold in summer into the
origin they should be of
Pitta
the eye
any oleaginous substance (Snehana), twelve drops
healing of any local ulcer (Ropana).
in winter
dropping into
in
honey, A'sava, drug-decoction or any oleaginous sub-
diseases due
due to the
to
Kapha.
Vaidyaka-S'abda-Sindhu.
Cf.
Chap. IX.]
UTTARA-TANTARAM.
J5
covered with a compress or linen soaked with the precedlardacious compound.
ing
Milk, Ves'avara, Salvana
Poultice, Porridges (Payasa),
etc.,
should be used by a
portion of
cooked with the decoction of
TripJiald,
physician in poulticing the affected organ.

clarified butter
or simply old and matured clarified butter, or milk duly
cooked with the drugs of the Vayu-subduing group, or

of the first group (viz., Viddri-Gandhddi Gand) should
be taken after the meal.
The
than
oil
A.
lardacious substance
other
cooked with the admixture of the Vayu-sub-
duing drugs
prove beneficial for
will
in such cases.
of Fatapa'ka,
likewise
2.
application of any
The
Tarpana purposes
use of medicated Sneha in the shape
Dhuma
(fumigation) and
recommended.
Nasya
(snuffs) is
Oil (duly) cooked with Sthird,
milk and the drugs of the Madhura group should be
employed as a snuff (in such cases). The milk of a

she-goat duly cooked with the admixture of the leaves,
roots or barks of
Eranda
plants,
or with the roots of
Kantakdri, should be employed lukewarm
(Sechana) the affected organ.
liquid
washing
compound conin
and half water, and boiled together

with Saindtiava, Vdld, Yashti-madhu and Pippali, should
taining half milk
washing the eye as well as an Aschyotana

(eye-drop).
A liquid compound consisting of the milk
be used
in
of a she-goat diluted with the addition of water, boiled
with the admixture of Hriveta, Chakra (Tagara),

jishthd,
best
is
2.
thin
Man-
considered to be the
eye-drop in cases of there being any pain
the eye.
and Udumdara-burks
(S>ula) in
B.
plaster
compound
of
Yastki-madhu, Rajani,
Pathyd and Devaddru, pasted together with the milk

of a she-goat should be used as an Anjana (collyrium) in
a case of acute Ophthalmia (Abhishyanda), and
it
proves
THE StfSHRUTA SAMHITX
36
very
(Pippali)
Ktisknd,
Saindhava,
GairikcK&rth,
effective.
tChap.il
and S'unthithe quantity of each subsequent
one being double of that of the one preceding
it' in
the
order of enumeration, should be pasted together with

water,
made
into Gutika (a
large
The
of an Anjana.
(Collyrium)
is
adopt
clarified
duly cooked with (two parts
tion of)
such cases*.
in
of milk
and Artagala
butter
Clarified
Kapittlia
expressed
of) the
of)
milk
In the alternative,
with (the decoction
of)
Pattura,
and with milk, or
duly cooked with milk and (the decoc-
Mesha-s'ringi, or
larly taken.
in
Karkata and (one part
Ghrita duly cooked
clarified butter
method
of) Vrikshddani,
and major Pancha-mula, (one part

juice (or decoction) of
Agnika (Ajamoda)
this
butter and
before the meal, are highly efficacious.
should be taken
be
and Vdta-paryaya.
of Anyato-va'ta
Draughts of (medicated)
will
These
such cases.
2.
Physicians should likewise

cases
application
of the
use of Snaihika (lardacious) Anjana
beneficial in
duly dealt with later on.
treating
and be likewise
pill)
manner
applied (to the eye) in the
of
Viratara should be simi-
3.
Treatment of dushka'kshl-pa'ka :
Saindhava, Devaddru and
juice
butter
of Mdtulunga,
S'untki and the expressed
water,
of Rasa-kriya) should
* According
to
clarified
(in the
manner
be prescribed as an Anjana in
The
cases of ûshkt&shi-pika.
Dallana and
pared without any Kalka.
and
breast-milk
mixed together and duly prepared
Gayadasa,
S'rikartta
taking
this
of
clarified
Ghrita should be pie-
holds that the drugs Vriishaddni,
Kapittha and the Pancha-mula should be taken as Kalka and the Ghrita
prepared with three parts of milk.
view.
S'ivadasa also
seems
to
support this
UTTARA-TANTARAM.
Chap. IX.l
butter cooked
the
filling
with the drugs of the Jivaniya group and
of the cavity of the
well as snuffing with the
eye with the same, as
Anu-taila* are also efficacious
Washes composed of
such cases.
in
37
cold milk with the
admixture of Saindhava salt or of milk cooked with

Rajani and Deva-ddru and mixed with (a little quantity
of)
Saindhava are
milk
is
also
The Vasa
MahausliadJia (Sunthi)
efficacious.
rubbed over a stone-slab with
recommended
butter
clarified
an Anjana
as
and
breast-
(eye-salve)f.
(essence of the flesh) of aquatic animals or of
those which frequent
swampy
grounds, mixed with a
quantity of powdered S'unthi and Sanidliava salt
little
(and rubbed on
eyes as an
should
stone-slab)
Anjana (collyrium)
p&ka (Non-secreting type of

intelligent
be applied to the
in a case of
Sushkakshi-
conjunctivites).
Let the
physician treat the sight-destroying Vataja
affections of the eye of what-soever kind
with the principle herein inculcated.
Thus ends the ninth Chapter
of the
in
accordance
4-5.
Samhita which deals with the medical treatment of Vataja Abhishyanda.
* According
Chapter
to
Dallana, this Anu-taila
of the Chikitsita Sthana
is
not the one described in
but the one described in the S'alakya-
Tantra.
t This couplet may also be translated as follows : Anjana (blackantimony) rubbed over a stone-slab with clarified butter and breast-milk
is
also
recommended
as a best
remedy
in such cases.
CHAPTER
Now we
shall discourse
X.
on the curative treatment of
Abhishyanda (Ophthalmia) due to the action of deranged
(PittsC-bhlshyanda-Pratlshedha). i.
General Treatment : Blood-letting and
Pitta
and
eye-washes
purgatives,
round the
plasters
eyes,
medicinal snuffs and Anjana (collyrium), as well as the
measures
remedial
Pittaja-Visarpa
for
be employed in a case of Pittaja
should
(Erysipelas)
Abhishyanda
(Ophthalmia) and Pittaja Adhimantha (Conjunctivites).

Clarified
butter or goat's
Gundrd, S'dli (paddy),
S'aivdla,
S'aila-bheda,
Ddru-
two parts of Lodhra, Abhra (Mus-
haridrd, Eld, Utpala,
sugar, Durvd, Iks/iu, Tdla,
taka), Padma-\ea.ves,
Padmaka,
2.
milk duly cooked with
Drdkshd,
honey, (red)
Vetasa,
Chandana, Yashti-
&M%,breast-milk, Haridrd and Ananta-mula, should be
employed as a Tarpana measure* or as a wash or

snuff
in the
present
case.
preceding drugs or as
many
able should be daily used in

four forms of Nasyaf.
Anjanas
may
As an alternative, all the

them as would be availthe manner of any of the
of
3.
All
the
Pitta-subduing
be employed in such cases.
cinal
snuffs (as well
Sarpih
(clarified
as
butter
measures,
Application of medi-
eye-drops, etc.) with Kshira-
churned
from
interval of three days, as well as that of
milk) at the
Anjana
(colly-
rium) with the expressed juice of Palds'a or of S'allaki,
mixed with honey and
See Chaptet XVIII,
The
(snuff)
four forms of
and
sugar, should be likewise resorted
ibid.
Nasya
(4) S'iro-virechana.
are (1) rralimarsha.
(2)
Avapida
(3)
Nasya
Chap. X.
UTTARA-TANTARAM.
The
to.
39
of Pdlindi
thick liquid extract (Rasa-Kriya)*
or Yashti-madhu
mixed with honey and sugar, should

As an alternative, a com-
be Iikewfce employed.
Samudra-phena, Utpala,
pound consisting of Musta,
Vidanga, Eld, Dhdtri and Vijaka and prepared in the
manner of
Anjana).
employed
should be
Rasa-kriya
4.
Acompound
of Tdlisa (D. R.
UJira and Samkha
Eld, Gairika,
Karfis'a),
(conch-shell)
pasted with breast-
milk should be applied to the affected organ
manner
an
(as
of an
Anjana
As an
(eye-salve).
the
in
alternative,
the powder or the Rasa-kriya of Dhdtaki and Syandana

(D. R.
Chandana)
mixed with breast-milk should be
an Anjana.
used as
rubbed
Gold-leaf
milk, or the flowers of Kims'uka
or of a
compound
Vacha and
with
breast-
rubbed with honey,
of Rodhra, Drdkshd, sugar,
Yashti-madhu
rubbed
with
Utpala,
breast-milk
should be used as an Anjana. Barks of Varnakaf pasted

in cow's milk, or (red)
Chandana wood, Udumbara and
Toya (Vila) pasted

rubbed either
in
in the same,
or Samudra-phena
honey or breast-milk should be like-
wise applied to the eyes in the
manner
ASChyotana : Rodhra,
of an Anjana.
5.
Yashti-madhu, Drdkshd,
sugar and Utpala should be soaked in
breast-milk.
It
should then be folded inside a piece of silk (Kshaumd)
and employed as an As'chyotana (eye-drop). A compound

of Yashti-madhu and Rodhra rubbed in clarified butter
should be similarly
used.
compound
of Kds'tnari
(Gambhari) Dhdtri, Pathyd (Haritaki) and Tbya (Vila),

* For preparation of Rasa-kriya see Chapter XVIII, ibid.
t According
also
mean
to
Dallana,
'Karnika'ra'
may
Dallana.
It
meaning
here.
also
'Vantaka' Imeans
which
is
'
Rochanika'
not accepted either by
mean 'Chandana' which
is
It
Gay
may
or by
most probably the
tOP-X.
40
as well as that of Katphala
and
Ambu
(Vila) should
be similarly* prepared and applied. 6.

All the above remedial measures with the exception
of blood-letting should be resorted to in a case of
Amla-
and Sukti-paka.
The medicated
Ghritas known as the Traiphala Ghrita or the Tilvaka
Ghritaf should be prescribed, or simply old and matured
dhyushita-Drishti
clarified
butter should
be given
in
such cases.
7.
In a case of Sukti-pa'ka an Anjana with cooling drugs
should be speedily employed in the event of the Doshas

being located in the lower part of the eye. Fine powder
Vaidurya gem, Sphatika (crystal), Vidruma (coral)

and Muktd (pearl), Samkha (conch-shell), silver and gold
mixed with sugar and honey and used as an anjana
would prove a speedy remedy in a case of >ukti-paka. 8.
Clarified butter should be administered in a case of
of
Dhuma-dars'in and the procedure and the remedial measures laid
down
connection with Rakta-pitta
in
Pitta-origined Visarpa (Erysipelas) as well as the
sub-duing remedies
and
Pitta-
should be likewise employed there-
in. 9.
Thus ends
the tenth chapter in the Uttra-Tantra of the Sus'ruta
Samhitd
which deals with of the curative treatment of Pittibhishyanda.
* In the
first two compounds, some take 'Toya'

and 'Ambu" for
But Dallana having explained 'Toya' as 'Valaka' in a preceding
compound we adopt that meaning of the word here also.
water.
t Traiphala-Ghrita
is
piepared by duly cooking clarified butter with

For Tilvaka-Ghritaisee chapter III.
the Kalka and decoction of Trifhala'.

Cbikistsita-Sthana.
Dallana means the remedial measures

clown in connection with the treatment of Pitta-Vidagdha- Drishti.
J By Ktta-subduing remedies
laid
CHAPTER
Now we
discourse
shall
XI.
with the curative treatment of Abhishyanda due to the
(dleshmbhlshya
deranged action of 5>leshma
nda-Pratlshedha).
General Treatment : An
i.
attack of Sksh-
Adhimantha during the stage of

acute aggravation should be treated by opening a local
vein* or by the employment of fomentation, Avapidamaja Abhishyanda or
Nasya, Anjana, fumigation, washes,
plasters, gargles or
non-fatty (Ruksha) eye-drops (As'chyotana)
The
paka.
patient
should
be
made
and Putaon each
to fast
day and to take a potion of Tikta-Ghrita-f in the

morning, and his diet should consist of such articles as
do not lead to the aggravation of the bodily Kapha. 2-3.
Tender twigs or leaves of Kutannata, Ashpotd,
Phanijjhaka, Vilva, Pattura^ Pi/u, Arka and Kapittha\
should be employed in (mildly) fomenting the affected
eye.
A thin plaster composed of Vdlaka, S'unthi, Devaddru and Kushtha, should be likewise applied to the
fourth
affected eye.
4.
Hingu, (Asafoetida),
Trip/iald,
Yashti-madhu
dhava, Prapaundaika, Anjana (black Antimony),
(Sulphate of copper), and copper pasted
The word
local vein should
would
'Atha'
(W(V)
in the text
foil to effect
when
Sain-
Tuttha
together with
means says DaUana,
be opened as the best resource,
that
fomentation,
the
etc.
a cure.
See Chikitsila-sthana, chapter IX.
In place of "Kutannata" and "Arka" both Vrinda and Chakrapani

S'rikantha the commentator of Vrinda how-
read "Surasa" and "Arj'a".

ever
is
of opinion that
Arka should be
better reading
in place
"Atya".
of that of
[Chap. XI.
THE SUSIIRUTA SAMHTTX.
42
water and madcinto a stick (Varti) should be applied a
>
an Anjana to the affected eye. As an alternative, sticks

(Varti) composed of Pathyd, Haridrd, Yashti-mbdhu and
Compounds made
Anjana should be similarly applied.

of the equal parts of Pippali,
Markka,
Amilaki, Vibhitaka, Haridrd and
S'unthi, Hatitaki,
Vidanga-seeds,
or of
Vdlaka, Kushtha, Deva-ddru, (burnt) conch-shell, Pdthd

(Akanidhi),
Anala (Chitraka
roots),
Pippali, Maricha,
S'unthi and Manah-s'ild (Realgar) and
S obhdnjana*
Karanja and
Jdti,
the flowers of
pasted together with
water should be applied to the eye.
The seedsf
of
Prakiryd (Karanja), or of S'igru with the seeds and

flowers of the two kinds of
Chandana, Saittdhava-s&li, Manah-s'ild, Haritaki,
j'ana,
and
Vrihati mixed with Rasdn-
garlic taken
equal
in
with water should be
made
and pasted together
parts
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 (eye-salve) in a case of
as an
VaWsa-Grathita
after the
been properly cleansed by
system of the patient had
means of blood-letting.
quantity of blue barley with the horns should be soaked

(for
a week or two) in milk and dried (after the manner
of Bhavana saturation).
It
should then be burnt into
ashes.
These ashes should then
equal
part
of burnt
be mixed with an
Arjaka,
ashes of
Ashphotaka,
Kapittha, Vilva, Nirgundi and Jdti flowers and an
a'ka-
Dallana quotes the reading of "Panjika'k*'ra" (another commen-
tator of Sus'ruta) according to
whom Murva!
and the flowers of Ja'ti only
should be taken instead of the flowers of Jati, Karanja and Sobha'njana.
This reading seems
to
number of the drugs
in the
According
to
be the correct one inasmuch as

list
twelve in
all,
this
makes the
as given by Dallana himself.
some commentatois both the seeds and flowers of
fraiir/d and of &igru should be taken.
XL
Chap.
UTTAKA-TANTKAM.
43
be duly prepared therewith. Sain-
line solution should
dhava, Tuttha (Sulphate of copper) and Rochand should
now be added to the above alkaline solution and duly

The compound thus prepared should e applied
This is presas an Anjana with an iron pipe (Nadi).
boiled.
Alkaline prepara-
cribed in a case of Va'asa-Grathita.
may
be similarly prepared with (the flowers, etc.

Phanijjhaka etc., and may be employed in a similar
tions
of)
manner.
6.
(thin) plaster
Saindhava
and
composed of S'unthi, Pi/fa/i, Musta,

Maricha* pasted with the
white
expressed juice of Mdtulnn%a and applied to the eye as
an Anjana, would bring about a speedy cure of the eyedisease
known
as Pishtaka.
compound
paste
7.
be gathered when ripe and a
Vrihati fruits shou'd
equal parts
of (the
of)
Pippali and
Srotdnjana should be kept inside those seedless

seven
The
nights.
taken out and
(preserved) paste should
applied
proves beneficial
in
to
case of Pishtaka.
Vdrtdku
Iiidra-Vdruni, Patola, Kirdta-tikta

for the same.
then be
as an Anjana.
the eye
similarly be preserved inside a
fruits for
Taste
It
may
(brinjal), S'igru,
and Amalaki and used
8.
Kas'is'a (Sulphate of iron),

Samudra\, Rasdujamt
and buds of /^/-flowers pasted together and rubbed in
honey,
case of
is
advised to
be
prescribed
Praklinna-Vartma.
as
an Aujaua
9.
an Anjana of the compound

Nddeya (Saindhava) \
salt,
single application as
composed
of excellent
Dallana explains white Maricha as S'igru seeds.
Samudra may
either
mean Samudra-phena
or
Samudra
The commentators are silent on this point.

Dallana explains Nideya as meaning Saindhava, but
KaraJtacha
in a
salt,
i.
e,
salt.
eans Srolanjana (black antimony).
it
generally
THE SUSHKUTA SAMHITX.
44
Chap. XI.
white pippet* and Nepdla-jdta (Realgar-lit., that which

is
produced in Nepala) taken
alleviate
the
Similarly a
in
equal parts and pasted
expressed juice of Mdtulanga, would
together with the
sensation (Kandu) in
itching
compound
the eyes.
of S'ringa-vera, Deva-ddru, Musta,
Saindltavd salt and buds of Jdti flowers pasted together
with wine and used as an Anjana would prove

cious in a case of swelling
judiciously treated
laid
down
in the
Thus ends
in
be
eye-diseases should
accordance
with the principles
treatment of the cases of Abhi-shyanda
and Adhi-mantha.
Hamhita which
(Sopha) and itching sensa-
The above
tion of the eyes.
effica-
the eleventh
10.
chapter of the Uttara-Tantra in
treats of the curative treatment of
the
Sus'ruta
S'leshmabhishyanda.
Dallana explains "S'veta-Maricha" as "S'igni-sccds", but there
particular kind
of Maricha which
supported by some commentator.
is
white in colour and this
is
is
also
CHAPTER
Now we
origin
on the curative treatment

Abhishyanda (Ophthalmia) which has
shall discourse
of the type
its
XII.
of
in
the
condition
vitiated
of
the
blood
(Raktabhishyanda-Pratishedha).
General Treatment : A wise physician
i.
pursue the same course of medical treatment in
shall
known
those four diseases

S'irotpata
and
of the blood.
S'ira-harsha
as
Adhimantha, Abhishyanda,
due
to the
vitiated
Persons suffering from any of the afore-
said four complaints should
be
first
anointed and lubri-
cated with old and matured clarified
known
as
Kaumbha
to.
butter technically
Ghrita*, or with a copious quantity
Venesection should then be resorted
of clarified butter.
The
condition
patient, having been
made
thus to bleed as
much
as required, should be treated with clarified butter duly
ccoked with Siro-virechana drugs and mixed with sugar,

as an errhine for
cleansing the head.
Plasters, washes,
(Dhuma) of medicated smokes,

eye-drops (As'chyotana), Abhyanjanaf, Tarpana (soothing measures), Sncha-karma (emulsive measures) and
snuffs (Nasya), inhalations
Puta-paka should then be prescribed according to the

of the deranged
Dosha involved in each
nature
case.
5.
composed of Nilotpala, Us'tra,

KAHya, Yashti-madhu, MusUx, Lodhra and
Padma-KAshtha (taken in equal parts and) mixed with
plaster (Pralepa)
DAiv-Jiaridrd,
Ghrita
duly washed, should be applied refund the region
* See Chapter
XLV,
t Dallana explains
aome commentators take

butter
Sutra-Slhina.
"Abhyanjana"
it
as,
collyriuiu,
in its usual sense of
washed hundred times
in water, or
but he also says that
anointment with
such other Sneha.
clarified
46
of the affected
Mild
eye.
Cha P- *"
fomentations (Sveda),
leeches should be applied to the region

in the event of there
or
around the eye
being intolerable pain (due to any
defect in bleeding) in the affected organ. Large draughts

of clarified butter tend to alleviate the
mentioned
measures and agents
Remedial
pain.
with
connection
in
J'ittabhishyanda, should be as well employed.
6-7.
Rain-water with powdered Kas'etu and Yashti-malhu
added thereto
may
be squeezed with benefit through a
piece of linen into the affected organ* as an
Aschyotana.
Flowers of Pdtald, Arjuna, S'rfpami, Dhdtaki, D/idtri,

Vilva, the
two kinds of
Manjishthd taken
in
Vrihati,
equal
and of Vimbi-lota and
parts
and pasted together
with honey or expressed juice of sugar-cane and applied

to the affected organ
to
be a curative
an Anjana (Collyrium)
as
compound
similar
consisting
of
said
is
89.
in cases of Raktdbhishyanda.
Ch'indana,
Kumuda, Patra, S'ild-jatu, Kumkuma, powders of dead

and dead copper, Tuttha (Sulphate of copper), lead,
bell-metal, Rasdnjana and the resinous exudation of a
iron
Nimba
tree taken in equal parts should be
honey and made into large Vartis (sticks).

always recommended to be applied to the
as an Anjana.
10.
These arc
affected
Treatment of îrotpa'ta : A
consisting of
honey and
clarified butter
Saindhava
eye-disease.
(salt),
Kds'is'a
together with breast-milk

*
eye
compound
and applied as
an Anjana should be regarded as a patent cure

of Sirotpa'ta
with
pasted
in cases
compound composed of
(Sulphate of iron) and pasted
should be similarly used. The
Both Dallana and S'ivadasa say that pure transparent water may be
used in preparing the compound
if
rain-wnter
says further that the afftcted 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-TANTRAM.
application 4s
an Anjana
S'amkha
of
<
47
(ccnch-shell),
Manah-s'ild, Tuttha, JJdru-haridrd, and Saindhava pasted
with hrfney, or of (white) Marietta pasted with the juice

of S'iiislia flowers, honey and wine, or of Svarna-Garika
pasted with honey would be attended with beneficial

results in cases of Sirotprfta.
Îl*{-harSha
1 1.
'
compound
consisting
of
down to a sticky consistency)
Phdnita{ treacle boiled
and honey should be applied to the affected organ as

an Anjana
a case of Sira-haraha- Similar applications
in
compounds composed of Rasdnjana (Antimony) pasted

with honey, or of Saindhava and Kds'is'a (Sulphate of
of
Vetr&mla* and Saiud/taza
iron) pasted with honey, or of
pasted with Phdnita and
prove highly
efficacious.
Treatment
and remedies
in cases of
for
Arjuna
of
2.
Arjuna: Ai
the measures
Pittabhishyanda should be employed
The expressed
cye-discasc.
honey,
sugar-cane,
would likewise
breast-milk
sugar,
breast-milk,
Ddru-haridra,
Yashti-madhu and Saindliava should be used

nation as a
wash
(Seka),
or
as
juice of
in
combi-
an Anjana.
Amla
(Kanjika, &c.) should also be used as an Aschyotana (eye-
The
drop) in such cases.
following drugs,
viz.,
sugar,
Yashti-madhu, Katvanga, Mastu, Amla, honey, Saindhava,

Vija-puraka, Kola and
acid fruits
Dddimba
cither singly
three should
or
in
of acid taste
and other
combination of two or
be judiciously used (as an Aschyotana
with a due consideration of the vitiated Dosha in each

case).
1314.
These two following compounds
Dallana explains "VetrAmla" us
divide
it
into
two words
sprouts of Vttra (cane) an
viz.,
1
"Am/a
"Vetra" and
viz.,
of Spliatika
vetasa".
Some, however,
"Amla" meaning
Amla-vetasa respectively.
thereby

the susiiruta
48
Vidruma
(crystal),
(coral),
samiiitX.
S'amkha
Ch& r-
m
and
(conch-shell),
Yashti-madhu, pasted with honey, as well as of S'am/cha,

sugar,
and Samudra-phena pasted with honey,
if*
used as
an Anjana would prove curative in a case of Arjuna eyedisease.

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

iron) pasted with honey, should
as
constantly be applied
an Anjana to the affected organ.
15.
Scarifying- Anjana : All

metallic substances (Manah-s
il&,
kinds of powder-
and
Iron, Copper, etc.)
ed (dead) metals (Gold, Silver,
Gairika,
officinal kinds of) salt, all kinds of
etc.),
(the
gems ( Vaidurya,
coral
the horns (of cows,
etc.),
the teeth (of cows, horses,
etc.),
the drugs of the sedative (Avasadana) *
etc.),
five
group,
pulverised shells of hen's eggs, Las'una (garlic), Trikatu,
Karanja seeds and Eld (cardamom) mixed together and

used as an Anjana, should be regarded as Scarifying
(Lekhya) in their action. 16.
Treatment Of SSllkra : In
ulcerated
growth
adopt
case of non-
(A-vrana) Siakra (milky film or white fleshy

the
in
eye)
the preceding
all
skilful
physician
measures
shall
(first)
prescribed
the
in
treatment of (Blood-origined) Abhishyanda,f beginning

(Venesection) and ending with
with Rakta-visravana
Puta-paka
(and
these
failing,
the
Lekhyanjana
collyrium for scarifying) should be adopted.

ulcerated (Sa-vrana)
seated
manner.
*
or
1
rough should
superficial
be treated
in
case of
or deepthe
same
7-1 8.
The group beginning wilh Kas'is'a See Chapter XXXVI,
Sthana, page 334, Vol.
first
Sukra whether
Sutra-
I,
See paras 3 and 4 of (his Chapter.
"Superficial" (TJtt&na)
is
here used in the sense of "seated in the
layer" and "deep seated" (Avagridha) 'seated in the second layer'.
Chap. XII.
UTTARA-TANTRAM.
49
should be
a case of S'lkra the affected part
In
rubbed
(scarified)
with a compound consisting of S'irisha-
Markka, Pippali and Saindhava pounded together,

with Saindhava a'onc. A compound composed of
seeds,
or
powdered
copper, Manah-s'ild, Marietta and Saindhava
each preceding drug being taken
in a quantity double
one immediately succeeding it in the order of enumeration*, should be pounded together and made into a
Applied as an Anjana to the seat of the
thin paste.
the
disease,
it
will
As
cure a case of Snkra.
alternatives,
compounds composed of S'amkha, stones of

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

with the medical
as well be profitably
in
in
connection
treatment of Valdsa-grathita,-f
employed
the present disorder.
as an
Eyc-salvcs
Anjana
made
may
(eye-salve)
of fried husk-
Minima pulse, (burnt) S'omkha and sugar mixed with

honey, or of the pith of Madhuka pasted with honey,
less
or of the inner pulps of the
stones
of Vibhitaka pasted
with honey should be constantly used as an Anjana,

cases of the eye-disease
known
as Snkra.
consisting of conch-shell, oyster-shell,
madhu, Kataka and honey
may
Drdkshd,
to the
Viyu, should be resorted to
cases of Sukra,
second layer (Patala) of the eye

(Ssula).
One
eight of
Yashti-
be used and soothing
application (Tarpana) antidotal

in
in
compound
is
deranged bodily
if
the
attended with pain
19-21.
part of
Saindhwa, two
Somkho and
parts of Maricha,
sixteen parts of copper
four of Manahs'ild,
should be taken in the
paration of the compound.
f See Chapter XI, para
6,
.pre-
THE SUSHRUTA
$0
SAMIItrX.
Chap. XII.
Young bamboo-iprouts, Arushksm, Tdla (palm) and

Ndrikela
should be burnt
(cocoanut)*
alkaline water should be duly
ashes and
to
The
prepared therewrth.
burnt ashes of elephant's bones should be soaked several

(seven) times with the
manner of Bhavana
above alkaline preparation
The
saturation.
in the
application of this
the manner of an Anjana tends to

remove the discolouring nature (whiteness) of a case
preparation in
of Sukra +.
22.
Treatment
of
Ajaka
The
matter accumulated in the eye in
watery
thin
a case of Ajaki
should be drained by making a puncture on either side

(
of the cornea
with a needle after which the incidental
ulcer should be filled
made
with powdered beef mixed with

should
Scarification
butter.
clarified
many
be
in the event of the ulcer becoming raised.
times
23.
Treatment of Akshi-paka : Applications of
Sneha and of Sveda (fomentation) to the
locality should be
disease
known
as
made
in cases of the
affected
two kinds of eye-
Sa-s'opha and A-s'opha
Akshi-pika
(inflammation of the eye-lid whether attended with any

local swelling or otherwise).
nes (Nasya) and
employed.
Venesection should then be
Eye-washes, eye-drops (As'chyotana), errhi-
resorted to.
Puta-paka measures should also be
24.
After having cleansed the system of the patient both

internally
and
externally
the
following
compounds
should be used as an Anjana (in cases of the two kinds
*
fruit
The spathe
palm
(Jati) of the
tree
and the
should be taken in preparing the compound
The
prepartd
powder
of
shell
elephant's bine should
honey and rubbed over the affected part (S'ukra) with the
or with a S'alaki (rod).
fusion of Trifhald
The
Pallana.
of the
cocoanut
S'ivadisa.
be mixed with
tip
of the finger
eye should then be washed with the in.
Chap. XII
UTTARA-f ANTRAlVt.
Saindhava and
of Akshi-pa'ka).
clarified butter
pasted
together in a copper vessel with flesh or Maireya or curd
with
or
As an
curd-cream
or
rust of bell-metal
the
alternative,
clarified butter,
be used as an Anjana.
should
pasted with
Saindhava pasted with breast-milk,
or equal parts of the pith of
pasted with honey,
Madhuka
and Gairika
tree
Saindliava and copper pasted
or
with breast-milk and clarified butter should be used as
The compounds
Dddimba, Ataveta, As'manta, Kola, and Saindhava pasted with any acid juice*
Aojanas.
of
should be applied to the affected
Rasa-kayi measure
of a
of) Akshi-piika.
Animal
organ
in the
manner
of (the two kinds
for the cure
25-26.
and Saindhava
flesh
salt
soaked
in
clarified
mixed with S'uuthi and breast-milk should

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

used
an
as
Anjana with
may
advantage
in
as
Treatment
of
Puyalasa :Blood-letting
(after the app'ication of
Sneha and Sveda) and
ing (Upanaha) of the
affected
in the affecticn of the
measures and
of Akshi-paka
in
(eye-salve)
be
case of
27-28.
Akshi-pa'ka.
cretion
well
eye,
locality arc
known
as
poultic-
efficacious
Puyalasa.
remedies which prove curative
in cases
should as well be employed with
this
case
by
The
dis-
An Anjana
physician.
composed of Ardraka, Saindhava
ajpd Kds'isa
(Sulphate of iron), or Kds'isa Saindhava, Ardraka,
iron
and copper dust pasted together with honey, should be

applied to the affected eye in the
(in a case
*
of Puyalasa).
Some add honey
in the list.
29-30.
manner of an Anjana
$2
Chap. Xtt.
Treatment of Praklinna-vartma :
The deranged Doshas
of the
system should be duly*
removed (corrected) and the patient should be duly

in a case of Praklinna-vartma, after which
soothed
washes, eye-salves, eye-drops (As'chyotana), snuffs (Nasya)
and fumigation (Dhuma) should be resorted
to according
A compound
the Dosha involved in each case.
composed of Musta, Haridrd, Yashti-madhu, Priyangu,
to
Siddhdrtha,
Rod/ira, Utpala-sdrivd
pasted together
should be employed in the manner of an
As an
measure.
ing
alternative,
of Rdsdnjana and
3 l ~3 2
Anjana.
The
the
honey
As'chyotana
compound
consist-
should be used as an
decoction of the leaves and fruits of
Amalaka
be duly prepared (in the manner of Rasa-kriya)
should
and used as an Anjana. Rasa-kriyi preparations prepared with (the expressed juice
or VarttS prepared with the
cooking
it
of) the roots of
same by (condensing
(again) in a copper vessel,
the above purpose.
with Triphald,
bamboo,
it
Rasa-kriya preparations prepared
flowers
of Paldsii,
or
Khara-manjari,
should be similarly applied to the affected organ.

salves
made
by)
should be used for
of powdered
KdmJya-mala
(Tantu) burnt together and
Eye-
and cotton
fibre
pasted with the milk
she-goat and mixed with (white)
-i
of a
Markka and powdered
copper should be used as a Pratyanjana to the eye

(already weakened by the use of Anjana.)
* Dallana says that the
33 -34.
deranged Doshas of the system should be
cleansed with the application of Sneha,
Venesection, purgative,
errhincs
rca;1 '^ttfrfacTCITfonfa:',
meaning,
and A'sthapana.
+ In place of 'ttataSreTRITlfir.'
in this case 'Syama-lata'
som -
by the term
'Rasanjana' by the term 'Asita'.
J Dallana recommends
'Asita-sariva'.
Others again
mean
Dallana.
'rain water' as the liquid for the preparation.
Chap. Xll.
An
UTTARA-TANTRAM.
5j
eye-salve or an
Anjana made of Samudra-phena,
Saindhava, conch-shell,
Mudga and white Markka mixed
together (in the shape of a powder) should be prescribed

in
a case of Akltnna-vxrtma as
alleviate
it
The
the local itching.
would
and remedies should be likewise employed

of Praklinna-vartma
in
a case
according to the nature of the
deranged Doshas involved therein.

pared with
promptly
foregoing measures
An Anjana
the admixture of Kajjala and
pre-
Tuthhaka
(Sulphate of copper) rubbed in clarified butter on the

surface
such
of a copper vessel, would
cases).
Thus ends
Samhits which
be similarly used
(in
35-36.
the
twelfth chaptet
treats of tha curative
of
the Uttara-Tantra in the
Sub'ruta
treatment of Raktabhishyanda.
CHAPTER
Now we
shall discourse
eye-diseases in
XIII.
which Scarification should be resorted to
(Lekhya-Roga-Pratishedha).
The
r.
,
general course of treatment to be adopted in the
nine kinds of eye diseases which arc amenable to Scarifying (Lekhana) operations
should be laid
in
and the gales of wind,

proper
emulsive
as follows
is
The patient
chamber not exposed
after
the sun
to
having been treated with
measures (Sneha-karma)*
and sub-
and purgatives. The eyeshould be over-tumed with the thumb and the index
jected to a course of emetics

lid
and should be very carefully fomented with a
finger
lukewarm water and squeezed.
piece of linen soaked in
The
and
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
(part
of the)
eye-lid
to
at the
The
be scraped, should be wiped
with a linen and marked with a surgical instrument and

the scraping should be effected
knife or
any
the case.
therein with a
scraping
(rough) icaf according to the exigencies of
After the subsidence
of the. bleeding,
part should be fomented
and then gently rubbed
sirana) with a medicinal
compound
s'ild
At/jam
and Mdkshika
finely
pounded together.
with
It
Saindhava
salt
After this the part should be washed
lukewarm water
butter.
after
Mauah-
(Realgar), K&s'isa (Sulphate of iron), Trikatu,
(black antimony),
consisting of
the
(Prati-
and
lubricated
The subsequent treatment
should be noted
that
with clarified
thereof should
be
the patient should also be fomented (Svcda)
being treated with the emulsive measures.
UTTARA-TANTRAM.
Chap. XIII.
like that
of an ulcer (Vrana).*
Fomentations, Avapida,
Thus
should also be employed after three days.
etc.,
I
55
have described
to
you the general measures
to
observed in scraping an affected locality in the eye,
Satisfactory and
fication
and
swelling
deficient scari-
Stoppage of bleeding, subsidence
itching, a
smooth
mark a proper and satisfactory

of the
ness
part
features,
which
scarification.
Red-
and discharge
swelling
eyes,
of the
of the
level aspect
nail are the
like the surface of a finger
be
2,
from the operated
locality, occurrence
ness or darkness
of vision),
of
of Timira
blood
(blind-
non-ameliorations of the
under treatment, brownncss, heaviness, numb-
disease
ness, itching, horripilation
and coating
matter) of the eye-lids and a

tion of the eye
if
(as
if
with foreign
consequent high inflamma-
not attended to in time, are the symp-
toms which attend an incomplete and unsatisfactory

scarification, and this should be remedied by anointing^
and scarifying the affected part again.
3-4.
Excessive Scarification : Excessive

and
charge
pain
in
the
locality
dis-
together with an
upturning of the eye-lids and spontaneous uprooting of

the eye-lashes should be ascribed to excessive scraping.
Fomentation, application of Sneha and employment of

Vayu-subduing measures should be resorted to in such
cases.
5.
In the following diseases
of the
eye,
vis.,
Vartma-
vabandha, Klishta-vartma, Bahala-vartma and Pothaki,

the affected part should
*
For the
first
first
seven days the
incidental ulcer (Sadyo-vrana) after
be gently scraped and then

treatment should be
like
that
of an
which period, the case should be
treated, if necessary, as a case of S'arira -Vrana.
t Dallana says that some read '^fi(t^'
'^f^l'
anointing).
(fomenting)
in
place
of
THE SUSIIRUTA SAMHITA
$6
In Syava-vartrha
scarified.
physician will
intelligent
[Chap. XIII.
and Kardama-vartma, the

gently
scarify
part neither deeply nor superficially.
In
the affected
cases
of Ut-
and Kumbhikini, the seat of the disease

(with a knife) and then carefully
incision should be followed by a scarifica-
sangini, Sarkara
should be
first
scarified.
An
cut
very hard, supperated, copperPidakas (pustules) occurring on (the inner
tion in the case of small,
coloured,
membrane
Small and slightly swelling

Pidakas (pustules) occurring on the exterior surface
of the eye-lid should be remedied with fomentations,
plasters
of)
the eye-lid.
and the general corrective remedies.
Thus ends the

Samhita which
to scarification.
thirteenth chapter of the
6.
Ultara-Tantra in the Sus'ruta
treats of the curative treatment of (eye-} diseases
amenable
CHAPTER
Now we
eye-diseases
shall discourse
XIV.
which require surgical incisions
(Bhedya->
Roga-Pratishedha).
Treatment of Visa-granthi : in
t.
of suppurating Visa-grauthi,
and
its
(so
as to
it
should be
puncture-like holes should be
remove any swelling
first
a case
fomented,
completely incised
in the affected part).
It
should then be dusted with Saindhava, Kds'is'a, Mdgadhi,
Pushpdnjana, Manah-s'ild and Eld pounded together*.
Honey and
should then be applied (over
clarified butter
the dusted part), and
should be duly (loosely) bandaged
it
the complete union of the parts).
(for
Lagan a
the affected
following
An
part
in
drugs,
Pippali and
part
a case of
Anjana
fire will
: In
cases
of the
incised
cauterization
be the remedy.
3.
a case of Anjana, the affected part
spontaneously bursts
if it
should be well pressed and
rubbed (Fratisarana)
Tagara-
with a plaster-compound of Manah-s'ild, Eld,
pddukd and Saindhava,

If,
into
Yava-kshdra, Tuttha,
honey should be applied to the
should be duly fomented and

it
made
be
Lagana, and any
Rochand,
while in serious (lit. big)
with alkali or with
open,
should
incision
viz.,
2.
pasted
however, the surgeon wants to
together with honey.
open
it,
it
should be
rubbed with honey and Rasdnjana mixed together and
* Both Vrinda and Chakradatta read

text and hold that the incision should
Their commentators, however,
They supply the next
two
accept
lines
only the
ba dusted
first
two
lines of the
with Saindhava only,
the reading there to be Sus'ruta's.
of Sns'ruta, and notice the consequent
alteration in the sense.
THE SUSIIRUTA SAMHITX.
58
then coated with
warm
collyrium
[Chap. XIV.
made with
lamp-black collected from a burning lamp flame.
Krlmi-granthl : In a case
4.
of Krimi-granthi,
the affected part should be duly fomented after
been incised and
should
it
Triphald (with the addition

In a case of
Saindhava.
(the
decoction
of)
and
Tuttha**, Kd-sisa
of)
Upanata
has
it
then be treated with the
prepared with
Rasa-kriya solution
the
the
(in
Kapha, the
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
In the foregoing five
until the
eye should
light
in of
setting
parts
5.
of incisable eye-disease,
suppuration therein, the affected
be treated with Sneha and then with
first
fomentation with (the help
a cover over the eye).
In
all
of)
tender leaves (as
the remedies to be adopted
treatment of these (incisable eye) diseases, the
in the
application
cases,
cases
around.
all
of a
Sneha should be
however, where suppuration
the remedies for the healing up of the

carefully adopted.
Thus ends
first
adopted.
had already
ulcer,
In
set
in,
should
be
6.
the fourteenth chapter of the
Uttara-Tantra of the Sus'ruta
Saruhitd which deals with the curative treatment of (eye-) diseases requiring
incisions.
*
'
Both Vrinda and Chalcrapani read 'Mulra' (cow's urine)
Tuttha'.
in place
Both of them also recommend the addition of Rasdnjana
the compound.
of
in
CHAPTER XV.
Now we
shall discourse
which should
cyc-diseases,
be
cured with
excisions
(Chhedya-Roga-Pratishedha).
i.
Treatment of Armas : The patient should

be
with
treated
first
Sneha-predominating
food
before being surgically operated upon in a case of
Arman
marked by the manifest vegetation or polypus
(on the
affected
The
eye).
be irritated by casting powdered

its
cavity
which the
after
intelligent physician
look at his
Apanga
ed eye) and
th;
will then ask
cyst
Muchundi instrument
needle.
is
dangerous to suddenly
under the circumstances.
thus
drawn asunder so as
three
made
flabby
aforesaid
by scraping
it
the
patient
own
to
affect-
with a hook (Vadis'a) and
anywise hurt during
loss of
or the polypus (thus turned up),
held with
firmly
any
and rubbed with the hand.
(the interior corner of his
should be carefully secured
It
care-
Saind/iava-s&h into
eye-ball, without
time, should be duly fomented
The
made
and the affected eye should then
ease
fully to sit at
should then be
patient
the
or with
The two
a thread-
uplift the eye-lid
eye-lids should be
to guard against their being
operation.
The
polypus,
and pendent with the means of the
accessories, should
be fully got
with a sharp Mandalagra
rid of
instrument.
The root of the polypus should be pushed asunder

from the Krishna-mandala (Sclerotic region) and the
Sukla-mandala (region of the cornea), to the extremity
of the
Kaninaka
Kaninaka
to
be
hurt.
should be
in
(pupil)
(pupil) should
and then
repioved.
The
be duly guarded so as not
quarter layer of the flesh (of the polypus)
left
back and then the operation would not
any way hurt
or
injure the
eye.
An
operation at
60
a point beyond
aforesaid limit of the
the
The
its
vegetation or polypus
former size
"
if it is
A shreddy
branous growth (Jala)

it
pain)
grow up again
sure to
is
Arman
in the
to
2.
form of a mem-
eye should
in the
Kaninaka
the locality.
in
cut off insufficiently.
or netted
dent by rubbing
as
well
(as
XV.
Chap.
up a haemorrhage
(might hurt the pupil and) would set
and beget a sinus
be
made
pen-
(with Saind/iava-szh) and then cut
with a bent Vadisa instrument at the junction of the
Sukla-mandala (cornea) and the Vartma-mandala (con-
The
junctiva or eye-lid).
affected part should then be
rubbed with a compound

Trikatu and
Yava-kshdra,
consisting of
(pounded
Saind/iava-salt
and
together)
then (duly) fomented and bandaged up by the skilful

physician.
Lardaceous
nature
of the
or
oily
(Sneha)
application
prescribed with due regard to the
should thereafter be
place*, the
the time
season,
(day or
and the incidental

wound should be treated as an ulcer. The bandage
night) and the strength of the patient,
should be removed after three days and the affected part

should be (mildly) fomented
with the
heated palms of the hands and
treated
or purifying remedies.
3.
Milk duly cooked with Karanja

Yashti-madhu
and
application of
with corrective
mixed
with
seed,
honey
Amalaka and
(when
cold),
should be dropped twice a day (morning and evening)

into the affected eye in
pain in
it.
cold
event
the
plaster
of there being
any
composed of Yashti-madhu,
polens of lotus (Utpald) and Durvd-gra.ss pasted together
with milk and mixed with
mended
'
som
in
clarified
butter
is
such cases to be applied to the scalp.
recom4.
In place of <^jj'_-the particular part and nature of the country,

read '^^'
th.>
particular Dj'iha involved in each case.
Chap. XV.
Any
should
UTTARA-TANTKAM.
Arman,
of the
residue
Ol
left after
the excision,
be removed with the application of Lekhya*
(scraping)
Anjana or
eye-salve.
papilla or protruberance)
which
is
An Arman
as white
(Cyst-like
as
curdled
milk (Dadhi), or which looks blood-red or blue or grey,

should be treated like a case
of
the cornea or a flimy and fleshy
Arqpan which
is
very thick and looks like a piece of skin
and covered over with

as one occurring
well
of the
iris)
Sukrarman (Opacity of
growth in the eye). An
fibres
of flesh
and nerves
f,
as
on the Krishna-mandala (region

The eye assimes its
should be excisioned.
former and natural colour and function, and becomes

free
from pain and other complications by the proper
Arman.
excision of an
Treatment
pidaka
5-8.
and Sira-
of Sira-Jala
In a case of Sir^-Jfida, the hardened veins
(Sira) should be
hung down with a hook
(Vadis'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
ing
amenable
to
be excisioned as
instrument.
the
in
and not prov-
application of medicines, should
a case of
Arma
with a Mandalagra
Pratisarana (rubbing) as in a case of
Arma
and Lekhana (scraping) with due regard to the nature

of the deranged Doshas involved in each case, are also
recommendad
in
both the
Sjra-Pidaka) under discussion.
diseases
(Sira-Jala
9.
Treatment of Parvanika' : In
Parvaniki the
place
and
of junction
a case of
the lachrymal
(of
For Lekhya Anjana see Chapter XII, f ara 16 of lhis Uttara Tantra.
Some here read 'f%n' (veins) in place of 'qjf'
t The 'junction' is the junction of the Krishna-mandala and the
*
S'ukla-inandala of the eye.
Dallana.
Cha P'
XV
fomented.
THE SUSLIRUTA SAMIUTA.
62
sac and
should
the cornea)
be
duly
quarter part only of the protuberance or growth should
be kept apart, while the remaining upper three quarters

should be secured with a
hook and cut with a
knife.
Half of the aforesaid quarter part should then be cut

(very carefully), as lachrymal sinus (and conse-
away
quent lachrymation) would otherwise set

of
should
operation
sarana) with a
subsequently rubbed
be
compound
of
part for the
the affected
disease (any complaint
still
seat
(Prati-
honey and Saindhava-saXi.
Scarifying (Lckhana) powders

to
The
in.
should
be applied
then
complete recovery of the
remaining).
10.
Chuma-Anjana : Powders
S'amkha
of
(conch-shell), Sa>nudra-phena, marine oyster-shell, crystal,
ruby,
coral,
As'mantaka, Vaidurya (Lapis
lazuli), pearl,
iron,
copper and Srotonjana (antimony) taken in equal
parts
and mixed together, should be
horn* and then
let
stuffed in
a ram's
the intelligent one apply this Churna-
anjana (powder) to the affected
locality,
morning and
evening everyday, as such applications are extremely

efficacious in all
types of Armans,
Arsas, Sushkars'as and Arvuda,
etc.,
Pidakas,
in the eye.
Treatment of inner part

lids
The
mode
of the
below.
The
Vartma
affected part should be
then the eye-lid should
n.
of the eye-
of treatment in a case of
tion in the inner lining
Sira-jala,
any
(eye-lid)
first
is
affec-
given
fomented and
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
Mandalagra instrument.
should be rubbed with a
After that the affected part

pulverised
compound
Dallana explains 'Aftikis'riuga' as a kind of InguJi
tree.
consist-
Chap.
XV,
UTTARA-TANTRAM.
63
ing of Saindhava, Kdsisa (Sulphate of iron) and Pippali.
The
affected eye-lid should then be
carefully cauterised
with a (red-hot) rod after a (complete) cessation of the
The
bleeding.
be
tion.
residue of
its
root or base,
if
any, should
with a scarifying alkaline (caustic) prepara-
scarified
Decoctions of strong emetic and purgative drugs*
should be (internally) administered for the

of the Doshas (from the
Vrana
and remedies mentioned
in
elimination
The measures
ulcer).
connection
with
Abhi-
shyanda (Ophthalmia) should also be prescribed with

regard to the nature of the bodily Uoshas involved in
the case.
diet
tion.
The
patient shall
and conduct
month
for a
observe
after
strict
the
regimen
surgical
ot
opera-
12.
Thus ends
the fifteenth chapter
Samhita which
treats of the
in
the Ultara-Tantra
of the
Sus'ruta
remedies of eye-diseases requiring excisions or
surgical operation.
Some commentators
say that emetics and purgatives should
be inter-
nally administered, but Dallana and the Panjikakara oppose this view.
CHAPTER
Now we
shall discourse
XVI.
on the curative measures
for
the remedy of diseases occurring on the cye-lashes and
(Pakshma-kopa Pratl-
hence on the eye-lid
shedha). i.
Surgical
Treatment : in
Pakshma-kopa which
of
case
an affection of the eye-lid and
is
which has been described before as admitting only of

palliative treatment, the patient should be first treated
with a Sneha and
position).
should be
(pupil)
to take
made
in
the
his
and
eye-lid
seat
size of
(in
proper
a barley corn
horizontally parallel to
of the eye-ball lying between) the
part
(the
made
cut in the shape
Kaninaka
and the Apanga (exterior corner of the eye)
leaving
two parts below the eye-brow and one part
above the cye-lashcs. 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 stitching
be carefully removed
'hair should
after
the
adhesion* of the two edges of the incidental
Cauterisation : In
complete
ulcer.
2.
case of the failure of the
preceding measure, the eye-lid should be carefully exa-
mined and
lifted
up
in
an inverted posture and the
diseased cyst (Bali) should be very carefully cauterised
with
*
fifth
fire
or
According
day.
alkali.
to
As an
alternative,
the
Pakshma-
Vagbhata, the stitching hair should be removed on the
'
Chap. XVI.
maid
UTTARA-TANTRAM,
(eye-lashes} -should be all
eye-lid
65
removed and the
affected
having been carefully secured with three hooks"

be rubbed with pasted Haritaki and
(Vadis'a) should
The
Tuvaraka (Lodhra).
well as purgatives,
inhalations
snuffs,
Sneha and
*
(c)
The
four
It
should
Rasa-kriya,
treats of the
Plasters,
be
Pakshma-kopa.
Collyrium,
likewise
held
as
3-5.
Uttata-Tantra in the Sub'ruta
remedies of Pakshma-kopa.
measures are
(fl)
cauterisation with alkali, and
measures* as
eye-drops (As'chyotana), medicinal
the sixteenth chapter of the
Samhitd which
aforesaid
(fumigations),
beneficial -!" i n cases of
Thus ends
four
operation, (t) cauterisation with
(rf)
fire,
application of medicinal drugs.
should be noted that this disease cannot be radically cured,
amenable only to palliative treatments
(?|H?r).
but
is
CHAPTER
Now we
on the curative treatment
discourse
shall
of the diseases
of the
XVII.
and the Crystalline lens
pupil
(Drishtl-gata-Roga-Pratishedha).
Of "the
included
diseases
i.
within the present group,
three are curable, three arc incurable, while the
ing six admit only of palliative

tive
cura-
known as Dhuma-d&rs'i
has been already described
remedies of the disease
(smoky or dusky
(in
remain-
The
treatment.
vision)
connection with the medical treatment of Pittaja
Ophthalmia)
*.
All
the
remedies applicable in cases
and Kapha as well as application of

Seka (sprinkling), Anjana (Collyrium),
A'lepa (plaster), Puta-paka and Tarpana (soothing)
of deranged
Nasya
Pitta
(snuff),
remedies with the exception of surgical operation should
be respectively administered
in
cases
of Pitta-affected
(Pitta-vidagdha) and Kapha-affected (Slcshma-vidagdha)
Traiphala-Ghrita should be prescribed in a case
vision.
of Fitta-vidagdha-Drishti
and Traivrita-Ghrita
matured
are
clarified
in
Potions of old and
case of Sleshma-vidagdha-Drishti.
butter as well as of Tailvaka-Ghrita
equally efficacious in
both
cases
Collyriums
-f\
(Anjanas) should be prepared with Gairika, Saindhava,

Pippali,
and the charred remains (Masi) of cow's
or with beef, Maricha, S'irts/ia-sceds and

or with the stalk of a
Kapitth.%
fruit
together with
honey, or with Atmaguptd pasted with honey
* See
Chapter X,
9,
t Traiphala-Ghrita,
teeth,
Mana/i-s'i/d,
these four
Uttara-Tantra.
Traivrita-Ghrita
and
Tailvaka-Ghriti should
be prepared with both the decoction and Kalka of TriphaU, Trivritu and
of Tilvaka respectively.
Chap. XVII.
UTTARA-f ANTRAM.
Anj anas may
be used with advantage
under discussion.
As oka, S dla, Amra,
Utpala, as well as powdered
of
Renukd, Pippali, Haritaki
and Amlaki mixed with honey and
butter,
clarified
bamboo and
applied
eye in the manner of a collyrium (Anjana)
the
diseases.
in
and Sleshma-vidagdha eye-
Pitta-vidagdha
of
cases
the flowers of
Priyangu, Nalini and of
should be kept inside a hollow

to
both the types
in
2-3.
PUBhpa'nJana Z Powders
Kubjaka,
67
4.
Dravanjana and GudikaViJana : As

an alternative, Renukd pasted with the expressed
of the flowers of
Amra (mangoc) and Jambu
and mixed with honey and
clarified
juice
(black-berry)
butter, should
used in both the above cases as an Anjana.
be
Pollens of
Nalini (red lotus) and of Utpala (blue lotus) as well as

Gairika * pasted together with the
tions) of
may
cow-dung f and made into large
pills
secre-
(Gudika)
be profitably applied to the eye as an Anjana alike

of day-blindness
cases
in
Rasa (watery
Anjana
is
and
night-blindness.
called the Gudikanjana.
Treatment of Day-blindness
Rasa
jana,
(Juice)
J,
honey,
This
5.
Talis' a-patra
:Rasdn-
and Svarna-
gairika should be pasted together with the Rasa of
cow-dung and applied

cases of
Pitta-affected
(in
the
vision
manner of an Anjana)
i)e.
Chakradatta does not read 'Gairika' in the
tin
place
of "ifjuji^"
which may mean a cow
or
of Jiti flower.
of "tq".
'.<r.,
the
liver
any animal, such as goat, sheep,

:
Juice)
it
S'ita
list.
some read "jj^jj"
J According to Dallana, Rasa (lit

A'mahka. According to others, however,
place
day-blindness.
in-
means
ofa' 1 ^"
etc.
means the
juice
of
the juice of the leave's
Chakradatta, however, reads "gj|" (clarified butter)
in
68
(Rasanjana,
according
or
Sauvira should be
then pasted together.
in the
It
in
should then be soaked ag&in
of a tortoise or of a
bile
and reduced
to powder.
The
Rohita
fish
and dried
compound
present
used beneficially for the pacification of Pitta
Kds'mari
flowers,
Ddrvi, Rodhra
and
Rasdnjana,
should
mixed with honey. Used
together and
always efficacious
called
is
may
be
(in cases
of
the Churna-anjatta (powdered Collyrium) and
Pitta-vidagdha-Drishti).
XVIt
Chap.
some Camphor), and

Rasa (meat-juice) * and
to
soaked
Yas/itt-tnadliu,
be
pounded
Anjana
as an
in the affections of the eye.
it is
6-8.
Treatment of nocturnal blindness
The
application of a medicinal Varti (stick) composed
of Sauvirdnjana, Saindhava, Pippali and Renukd pasted

together
with
the
highly beneficial
of a
urine
in cases of
larly the application of a
she-goat would
prove
nocturnal blindness. Simi-
medicinal Varti (stick) com-
posed of Kdldnu-Sdrivd, Pippali, S'untki, Yashti-madhu,

Tdlis'a-patra,
pasted
with
the two
the
in the shade, proves

s'ild,
kinds of Haridrd, and Musta,
Rasa
of
beneficial
cow-dung f
in
and
Haritaki, Trikatu, Bald, Kalanu-sdriva and (S'atnu-
dra-) Pfiena pasted together
and similarly prepared
recommended.
9-1
with the milk of a she-goat

the shape of a Varti
in
urine,
also,
from the context,
mean
and
bile
dung of a cow \ together with wine, should be

(in the manner of Rasa-kriyanjana preparation)
Rasa may
also
is
1.
Rasa-Kriya'njana :The
dried
Manah-
such cases.
boiled
in
the
watery secretions of
the
cow-dung.
t
Dallana's reading
is
evidently
meaning the juice or serum of the
The
text
has
a cow, here stands
"%*fTm"
for
'^719^:9'
which he explains
as
liveT of a goat, &c.
The term
"aft"
which
literally
any female quadruped, such as a she-goat,
means
etc.
Chap. XVII.
UTTAUA-TANTRAM.
69
expressed juice of Dhdtri, or in the Rasa (serum) of the
an animal
liver of
Triphald.
(e.g.
a goat), or in the decoction of

the Kshudrinjana, and
It is called
be applied to the affected organ
Anjana
manner
the
in
An Anjana
(collyrium).
should
of an
of cow's
consisting
urine, clarified butter, Samudra-p/iena, Pippali, Katphala,
Saindhava and honey mixed together should be

kept inside a hollow
night-blindness)
(in
and
liver of a goat, together
butter
skimmed out
first
bamboo and subsequently applied

as a collyrium.
The Medas (fat)
of the
with a quantity of
clarified
milk of a she-goat, mixed
with Pippali and Saind/iava should be boiled and cooked with the (expressed)
Khadira (Catechu)
of
known
pound),
Amalaka
of
juice
manner of Rasa-kriya preparations).

mixed with honey and kept in a
It
closed
The
wood.
vessel
made
use of this (comas an
the Kshudranjana,
as
the
(in
should then be
Anjana
good results.
Harenu, Ptppali-sceds (without pericarps), Eld and the
(collyrium) would
be
liver (of a goat, etc.)
attended
should be pasted with the Rasa of
cow-dung. Used as an Anjana,

in
with
it
would prove
efficacious
a case of Kapha-affccted vision (Slcshma-Vidagdha-
Drishti).
The
12-14.
liver of a
partially
Godha(a kind of wild
lizard) should
be
opened and stuffed with Pippali and roasted
(having been coated with clay ). The use of the

compound * for only once -f" as an Anjana (with honey)
in
fire
According
Dallana the Pippali so toasted should be used with
to
honey as an Anjana.
t Both Vrinda
and Chakradatta read
'ngia' in place of '^jgra'
commentators of both of them say that the sentence means

should
Anjana.
be
taken internally
The commentator
use both of
them together
and the Pippali
and the
the livet
should be used
as an
of Vrinda further says that the practice
as an Anjana.
is to
;o
would be found to be
Anjana made of a
and roasted
in
as
single
liver
goat's
fire
Chap. XVII.
highly beneficial in cases of
Similarly a
night-blindness.
an
of
application
with Pippali *
stuffed
the preceding case would
in
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
and
oil
clarified
and roasted on a
butter,
internally or used
Used
spit.
an Anjana with mustard
as
oil,
it
would speedily cure an attack of night-blindness. 15-17.

An Anjana or a pill composed of Nadija (Saindhava),
S'imbi (D. R.
Samkha
Kataka, Anjana
conch-shell),
(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.
(of a
cow) and
recommended
is
in
18.
Treatment
of
palliative types :
Bleeding by opening the (local) veins should be resorted

to in the six
kinds of ocular affections in which the

us.
The
patient should be as well kept constantly purged
with
palliative
treatment
all
is
that
open
is
to
draughts of matured clarified butter duly cooked with

the admixture of suitable purgative drugs.
In a Vataja
Both Vagbhata and Dallana plainly say thai the roasted
Pippali
only should be used with honey as an Anjana in cases of night-blindness.
t
of
There
"H3f5%'
is
i-e-
confusion
pasted
the reading
in
with
the juice
of this couplet.
of the
other animal), Chakradatta reads "l[q\ Vffl('
cow (and of no
other
liver
to
i.e.
animal) should be
taken.
(of a
say
the
ground of a
faulty
construction.
secretions of cow-dung,
is
but this reading

"Jtff5%''
yet another
i.
e.
variant
commentators of Vrinda and of Chakradatta.
is
any
or
liver
of
Vrinda, however,
reads and his commentator accepts the reading "^jf^f *!|m''
of an animal other than a cow)
In place
cow
(*e
5>
objectionable on the
pasted
in
the watery
noticed by both
the
XVII
Chap.
UTTARA-TANTRAM.
type (of any of these six affections) purging should
induced with castor
re:ommended
Traiphala-Ghrita
purgative
for
purposes,
having their origin
in types
duly cooked with
oil
Purging with
types.
also
is
especially
in
(clari-
cooked with) Trivrit should be induced
butter duly
while
of
blood-origined
the Pittaja
fied
taken through the vehicle of
oil
Administration
milk.
lie
Kapha,
the deranged
in
be adminis-
Trivrit should
tered (for the purpose) in cases of affections having their

origin in the concerted action of all the
The
Doshas.
use
clarified butter,
in cases of
with (the
s'ritigi
The
kept
three deranged
any shape of old and matured
in
an iron
in
vessel,
proves beneficial
Timira of any type. Clarified butter cooked

Kalka and decoction) of Triphald or Mesha-
always proves efficacious
made
be
patient should
in
to
Timira of any type.

a
lick
compound
powdered Triphald with a copious quantity of

butter in cases of Pittaja blindness, with
type,
and
Kaphaja
with
type, of this
of vision).
The
oil in
copious quantity of
disease (Timira
the Vataja
honey
loss
of
clarified
in the
or darkness
19-21.
use as
Navana
(errhine)
of a
medicated
oil
cooked and prepared with the decoction of cow-dung
would be attended with

of Timira.
Clarified
the Pittaja type
beneficial
similarly
results
butter * alone
by churning the milk
clarified
of a
is
in
types
all
beneficial
butter
in
prepared
ewe or a she-goat
and
cooked with the admixture of the drugs of the Madkura

(Kakolyadi)
Pittaja type
of
the
Some
group
would
of Timira.
Sthirddi
beneficial
is
to
in
the
with the drugs
(Vidari-gandhadi) or the
say that this clarified butter
of a ewe or she-goat
prove
Oil cooked
be prepared
Madhura
from the milk
72
'
group * as
well
Chapter V,
(see
the types of the disease due respectively to
in

system.
Chap. XVII.
might be prescribed with the greatest
Chikitsita Sthana),
advantage
Anu-taila
the
as
medicated
oil
Vayu and
vitiated blood of the
duly cooked with an admixture
of Sahd, As'va-gandhd, Ati-vald, S'atdvari, Trivrit
the three fatty
substances,
mentioned before
and marrow,
connection with the treatment of
(in
Maha-Vata-Vyadhi,
Ghrita, lard
and
Chapter
VI,
Sthana)
Chikitsita
might be advantageously employed as an errhine

cases
of Vataja
Timira.
milk duly cooked with the

marsh-frequenting
an errhine
as
Vataja Timira
The
it
flesh
(loss of vision).
Saindkava
species,
in
of the
any aquatic or
fowl or beast should be employed
would prove curative in cases of
of
22-23.
vulture and of a
of a
flesh
churned out
Butter
salt,
honey and
Ena
deer of the
clarified butter
should
be prepared and applied (to the affected eye) in the
manner
of Puta-ptfka (see next
The
Chapter).
lard of
and cocks and Yashti-madhu should be
vultures, snakes
pasted together (with honey) and applied (to the affected
organ)
manner of an Anjana
the
in
Antidotes
soaked
*
last
Ths
page
in
meat-juice,
of the text
part
to 'group' in this
Chakradatta.
Srotonjana
milk and
is
is
not
to
24.
clarified butter
within the two *s from
page
The commentator
say that this part
(eye-salve)-f.
should be successively
'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 in
at a time.
madhu,
to
Dallana
the
jointly or separately used
It
all
of vultures,
lards
taken
either one,
cases they should be
snakes
two or
all
and cocks
the
three
Yashti-
should be noted that the lard of a Krishna-Sarpa (venomous
serpent) should be used.
J Flesh of those animals which give strength

used in lhe preparation of meat-juice.
to the
si^ht
should be
Chap. XVII.
UTTARA-TANTRAM.
73
the manner of Bhavana saturation and used as a Pratyanjana * (in cases of Vataja Timira unattended with
redness). In cases of Vataja Timira attended with red-
ness of the eye, however, the Srotonjana should be placed

inside the blades
month
it
inside the
of Kus'a grass and
mouth
preserved for a
cobra.
Then
mixed with Saindhava salt
Malati (Jati) flowers. It should
of a (dead) black
should be taken out and
and the burnt ashes of
an Anjana to the affected organ.
then be applied as
As an
alternative, Srotonjana should
be soaked
in
milk
days and applied to the seat of the

a case of (Vataja) Ksfoha (cataract) which
for three successive
disease
is
in
by experts to be remediable by
said
Treatment
Anjana.
this
25.
of Pittaja-Ka'cha :Clari-
skimmed from milk (and not from curd)

and duly cooked with the drugs of the Madhura (Kakofied
butter
lyadi)
group f should be employed as a snuff ,(Nasya),

Tarpana in the Fittaja type of this disease.
or as a
The
flesh of
Jangala animals (deer,
of the Kdkolyddi group should be
etc.)
and the drugs
used in the manner
of Pata-prfka in the Pittaja type of Kacha.
A Kshudran-
jana composed of Rasdnjana, sugar, honey Manah-s'ild,
and Yashti-madhu
taken
may
in
mended by experts
soaked
likewise be
applied.
The
use
composed of Rasdnjana and Tutthaka

equal parts and finely pounded, is also recom-
Anjana
of an
in
the
in
such cases.
Powdered Tutthaka
decoction of Bhillota and
Pratyanjana (secondary eye-salve)
is
an antidote
the drugs of
for
the over-use
of an Anjana.
t According
to
some
commentators
the
milk
should
be
first
cooked with the drugs of the Madhura group, and butter should then be
churned out of that milk.
benumbed condition
salves calls for the use of this
of
the
Anjana
as
eye through the
abuse
an antidote.
IO
of
eye-
74
Chap. XVII.
be used as a Pratyanjana, and
the Elddi-gana would
would be found beneficial
in
The
such cases.
use (as an
Anjana) of MesJia-s' ringi and Stotonjana taken in equal

parts and two parts of conch-shell pounded together is
efficacious in the
The
type of this disease (Kacha).
Pittaja
mixed with honey and the

in equal parts)
Madhuka
Rohita and
juice of Palds'a,
(flower)
surface layer of wine
should be prepared
(in
(taken
manner of Rasa-
the
kriya and applied as an eye-salve in this type).
26-27.
Treatment of Kaphaja Type :The

drugs
known
duly
cooked
employed
as Ui'ira, Rodhra, Triphald
the Kaphaja
vapours of
would
together (with
the purposes
for
Vidanga, Pdthd,
prove
cooked with
The
holy
The
fig)
of the
manner
affected
medicated
of the
should
Trikatu,
Ghrita duly
Indian
of
species
Us'ira (as
Kalka).
(forest)
animals,
saturated
prepared
be
of Puta-pdka (and applied
Manah-s'ila,,
be
Vanaspati (the milk-
of
and profusely
honey,
should
part
Haridrd and
meat of Jangala
Pippali
with
Saindltava and
the
in
the
those
e. g.,
with pasted
essence
mixed
with
the decoction
trees,
be
in
and Ingudt-bark
Kaphaja type
Kinihi
beneficial
of cataract (Timira).
likewise lubricated
should
oil)
snuffing (Nasya)
of
Fumigation (Dhumana) with the
Type.
also
exuding
Tila
and Priyangu
to the affected
Saindhava, Mdkshika
with
in
the
part).
(honey),
S'amkha, Kdsisa and Rasdnjana should be combinedly

used for the purposes of Rasa-kriyd
discussion).
Kdsisa, Rasdnjana,
ed treacle) and
benefit.
Ndgara,
may
(in
Guda
the type under
(old
be likewise
and maturused with
28.
Treatment of Trl-doshaja Ka'cha :

Anjana (Antimony) many times heated and (subsequently)
soaked
in the
decoction of Triphald prepared with
(the
UTTARA-TANTRAM.
Chap. XVII.]
9i*ght
be put inside the hollow
kinds of) urine, should
(marrowless) bone of
vulture,
nocturnal
bird (such
as
the
immersed for a month in

The Anjana thus prepared
and kept
etc.)
fo
unruffled (currcntlcss) water.
may
be used with
Madhuka (Yashti-madhu) and

s'ringi in the
the
the measures
Puta-paka,
etc.)
and remedies
applicable
in
As an
alter-
Tarpana,
(e. g.,
the three
all
should be employed in such cases.
of Mesha-
flowers
Tri-doshaja types of Xtfcha.
native, all
with
combination
advantage, in
Doshas
29.
Treatment of blood origlned ParimlsCyi
Measures and
remedies mentioned in con-
nection with the Pittaja type of Timira should
ployed
a case of blood-origincd
in
alternative,
remedial
the
Parimlrfyi.
agents prescribed
be emIn the
for
the
treatment of the different kinds of Ophthalmia (Abhi-
shyanda) should be as well prescribed according to the

nature of the deranged Doshas involved in the case.
In case the deranged
Dos-has
arc not
thereby subdued,
Nasyas of the proper drug, as well as the many other

Anjanas (collyrium) mentioned in the (next) Chapter on
Kriya-kalpa should be employed.
Diet
matured
A person
clarified
butter,
Mudga, Amalaka, Yava

from
all
30.
carefully partaking
Triphald,
of old
(barley) as diet enjoys
attacks of the
dreadful
and
S'atdvari, Patola,
Timira.
immunity
Simply the
Pdyasa f prepared with S'atdvari, or with Amalaka

or a meal of barley corns cooked with the decoction
*
in
According .to
some,
the measures
and remedies
to
be applied
such cases are the measures of Rasa-kriya' applicable in cases
of
Vateja, Pittaja and Kaphaja Timira.
The PatyaBa
of S'ata'vari
and A'malaki should be prepared
duly cooking S'ata'vari or A'malaki, as the case

sugar.
According to others, however,
it
may
be,
by
with milk and
means the gruel (Yavagu) prepared
with the expressed juice of S'ata'vari or A'malaki.
'
;6
of Triphald
and a copious quantity of
would remove (an attack
use of such
Vdstuka,
edibles as Jivanti, Sunishannaka, Tanduliyaka,
Mulaka
Chilli,
etc.)
as well as
meat of
and Jangala animals
sidered as invigorating
Kdravella,
to
should be con-
The
eye-sight.
may
of
use
the
be) of Patola, Karkotaka,
Tarkdri, Karita
Vdrtdku,
plants), S'igru or
birds (such as Lava,
(e g. deer, etc.)
leaves or fruit (as the case
XVIL
clarified butter
The
Timira.
of)
Chap.
(tender
bamboo
Artagala, cooked with clarified butter,
proves beneficial (invigoratiog) to the sight. 31.
should never be resorted
Blood-letting (venesection)
marked by the redness of the

much as it might bring about an
a case of Timira,
to in
eye in as
affected
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 in which the

first
is
Patala (coat) of the organ
curable (Sidhya).
the seat of the disease,
is
The case
which the eye assumes
in
a bright red hue and the second
coat
or Patala of the
organ
may
be regarded as a
is
the seat of the
curable one though
(Krichchhra-Sa'dhya).
or Patala of the organ
terised
by the redness
disease,
only with the greaterst difficulty
The
is
of
case in which the third coat
the seat of the disease (charac-
outer
its
coat)
should
be
re-
garded as (an incurable affection) admitting only of

palliative treatment (Yipya).
Proper palliative measures
and remedies mentioned before should be employed
in
Timira marked by a redness (of the affected

and leeches may also be applied to the region
cases of
organ),
of the affection (to relieve
Dosha
in cases of
of
emergency).
its
Now
we
exuberance of the
33.
treatment
Surgical
Linga-na's'a
it
of
Kaphaja
shall describe
the (surgi-
UTTARA-TANTRAM.
Chap. XVII.]
cal)
measures to be employed for curing a case of Linga-
nrfs'a
due to the action of the deranged Kapha.
Dosha
the deranged
where
cases
choking up at the pupil with a
or
(obstruction
cataract)
the
7?
the
in
organ,
In
i.e.,
part of the organ does not appear semi-
affected
in
the middle, nor, fixed, (hard) nor
irregular (in shape),
nor marked by a large number of
circular or
thin
where
lines or a variety of tints, or
drop of water
a pearl
or
become
painful
be
first
docs not resemble

does not
if it
and red coloured, the patient should

treated with Sneha and Sveda at a season
of the year which

for the
it
in shape, or
is
neither too
Then the hands,
purpose.
nor
cold
too
hot
of the patient
etc.,
should be secured with proper fastenings and he should
be
made
to
looking simultaneously (with his two
sit,
eyes) at (the
tip
his
of)
off
the eye-ball from
the end
having
the eye-lids with
middle
fingers,
the
intelligent
two portions of the white part of
surgeon leaving
the eye) and
Then
nose.
of the Apanga (the end of

and carefully drawn apart
fully
thumb and
his
should
the
index and the
Yava-vaktra (needle)
insert the
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
right hand,
and the right with the
nature of the
sumed from the
left
eye should be pierced with the
operation
Both S'rikantha Dalta
and
satisfactory
be pre-
report or sound
and the
characteristic
f from
following upon the perforation.

*
The
(perforation) should
emission of a drop of water
ively of
left.
the affected
3^-35.
region,
>,
S'ivadasa, the commentators respect-
Vrinda and Chakradatla, read
'sjHffqfjrr JfTOJrsfr'
made of copper.
Blood would come out if the perforation be not
meaning
that the
S'alaka (rod) should be
satisfactorily done.
THE
78
,IRUTA SAMHITA.
Instantly with the
perforation
its
XVll.
the affected organ
The Salaka
should be sprinkled over with breast-milk.

should be retained in
flhap.
growth
place and the diseased
or appearance (cataract), whether fixed or mobile, should
be duly fomented from the outside with the help of the

tender leaves of Vayu-subduing efficacy, and the region
of the Drishti-mandala should be
with the (pointed) end of
phlegm (Kapha) accumulated
subsequently scraped
The mucus
Salaka.
in the affected
or
eye should
be removad by asking the patient to snuff
it
by
off
closing the nostril on the other side oi 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 he
free
Then the
from pain.
Salaka (rod) should be gently withdrawn as soon as
would be able to perceive
vision,
and then the
it
(affected)
eye should be sprinkled over with clarified butter and
bandaged with a piece of
linen.
During
the patient should be laid on his back
chamber
(free
period *
a comfortable
from dust and smoke), and be warned
against indulging in
eructation,
in
this
all
those bodily functions such as
coughing, yawning, spitting, sneezing,
etc.
The regimen of diet and conduct thereafter should be

the same as observed by one internally treated with a
Sneha (See Chapter XXXI, Chikitsita-s'tha'na). 36-A.
The bandage should be removed on every fourth day,
and the organ should be washed with the decoction of
the drugs of Vayu-subduing properties and
again with a fresh one.
The eye
bandaged
should be (mildly)
fomented on every fourth day as before, so that the bodily
Vayu might
+
The
not be aggravated.
period
during
which
'seven days' according to Vigbhata.
these
This rule should be

rules
should be followed
But according
the period during which the operation laiU.
to
Dallana
it is
is
only
UTTARA-TANTRAM.
Chap. XVII,]
followed for ten days, as
Tarpanas,
it
would impart a
After-measures
to the sight.
etc.)
79
as
(such
fresh
vigour
errhines,
snuffs,
should then be employed and the Diet
should consist of light articles of food and be given
only in moderate quantities.
36.
Persons declared unfit for venesection
men,
old
chapter on venesection * should
in the
etc.)
infants,
(viz.,
not be subjected to any surgical operation, in cases of

Niliktt except at the
mentioned before
place
the
(viz.
Daiva-krita Chhidra). 37.

Symptoms and treatment
natural aperture
disorders resulting from an

ous Operation If the incidental
:
(from a puncture in a wrong

the eye, in
clarified
haemorrhage
in the
butter duly
Yashti-madhu and breast-milk.

close to the exterior corner
fill
cavity of
eye should be beneficially
that case the
sprinkled over with
place)
of the
injudici-
An
cooked with
incision
(puncture)
(Apanga) of the eye would
usher in swelling, pain, lachrymation and redness of the

eye,
which should be remedied by poulticing (Upanaha)
the part between the
arches of
sprinkling (Sechana) the

butter.
In
the
event
the
of the
and
eye-brows,
eye over with tepid
clarified
organ bring 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
should be administered and
means of
leeches)
part
of the
pur-
distressing
made on
the upper
should be resorted
pain ensues from the puncture being
butter,
blood-letting (by
to.
eye (Krishna-mandala) and this should be
cured by sprinkling drops of lukewarm clarified butter
on the scat of
*
affection. Excessive
S'arira.Sthana, Chapter VII.
lachrymation
sets
in
80
with pain and redness of the eye
made on
puncture being
Chap. XVII.
event of the
the
in
lower part of the eye
the
(Krishna-mandala) and such cases should be treated
manner.
the preceding
in
Emulsive (Sneha) application
and fomentation (Svcda) of the parts as well as applications of Anuvasana enema should
be considered as
remedies
in cases
of redness, lachrymation, pain,
and
bristling
(of the eye-lashes)
ness
result
of an
excessive
removed
in
its
the
and improper handling of the
instrument during the operation.

If
numb-
in the eye, as
37-38.
acute stage (in a case of Linga-
nas'a) the Dosha is liable to have an upward course

and produce relapse in the red-coloured specks or films
(opacity) in the Sukra (white part of the eye), and it
tends to give rise to an excruciating pain in the locality
and completely obstruct
the
The remedy
vision.
in
such a case consists in sprinkling the eye with clarified

butter duly cooked with the drugs of the
and
in the application of
Siro-vasti (crrhine).
the patient
coming
in
Meat
same
the
in contact
As
Dosha meets
upon with the surgeon's Salaka

:
ranged Dosha
is
its
(rod).
Causes Of Relapse A
its
destruction,
doom,
if
its
act
operated
39-40.
relapse
of the de-
caused by a blow on the head, physi-
cal exercise, sexual excesses, vomiting, epileptic
by an
cloud
full-bodied
with the wind meets
so the fully aggravated
Madhuragana,
manner of
the
should be prescribed for
diet
such cases.
in
fits,
or
of piercing the Linga-nas'a (cataract) during
partially developed (D. R.
immature) stage.
41.
Symptoms produced by the defects

Of the S'alaka' : Care
should be taken not to
remove the cataract with a roughly shaped Sah&tf (rod)

as it might usher in an acute and aching pain in the
affected organ.
rod with an
unsmooth body might
UTTARA-TANTRAM.
Chap. XVII.
lead to an aggravation of the deranged Doshas.
thick-
topped rod would necessarily create an extensive ulcer,

whereas a sharp one begets the apprehension of hurting
eye
the
lar
in
many
An
ways.
lachrymation
excessive
from using a rod with an unequal or irregutop or mouth, whereas its unsteadiness (in the course
in
sets
makes the operation an abortive
of the operation)
Hence a Salaka
purpose
for the
(rod)
should be constructed and used
such a manner as to preclude the
in
possibility of the foregoing defects
Description
Salaka (rod) should be
length,
of
made
and
the
to
injuries.
42.
aia'ka':The
measure eight fingers
in
middle part being covered with strings of
its
thread and resembling the upper section
and
in circumference
of a
one.
The
bud.
its
rod (Salaka) should
copper, iron or gold.
thumb
be
prepared of
43.
Derangements
Operation
of the
ends terminating in the form
Redness
due
to
of the
eye,
defective
local
swelling,
sucking pain, (appearance of) Arvuda or Vudvuda, hoglike eye
(Sukarakshita) * and ophthalmia
&c. are due

improper handling of the rod or to the use of
improper regimen of diet and conduct. These should be
to the
remedied according to the nature of the deranged Dosha

involved in each case. 44.
Their treatment :Now

discourse
on the
(specific)
pain or redness
in cases of
again
hear
me
medicines to be employed
in
the eyes.
medicinal
composed of Gairika, S'drivd, Durvd, and barley

pasted with milk
and clarified butter, should be
plaster
-f
Both
Virinda
and Chakradalta reads
"KekarikstaiU"
*. e.
squinting look.
Vrinda and Chakradatta following Vagbhata do not lead "Payas"
(milk) and they read the
first
line of this couplet in a different form.
II
82
[Chap. XVJI.
lukewarm (about the eyes) for the subsidence

of pain and redness.
A plaster (Lepa) prepared of
applied
Siddhdrthaka (white mustard seeds) and slightly
sesamum
seeds pasted with the
expressed
fried
of
juice
Mdtulunga, or one prepared of Payasyd (Kshira-kakoli),

Sdrivd, Patra, Manjishthd and
together with the
warm
to
the
affected
is
region,
redness of the eyes.

tnaka,
Yashti-madhu pasted
milk of a she-goat,
plaster
recommended
of Drdksftd,
the
for
in
luke-
the same
purpose.
Kushtha
Yashti-madhu,
applied
removes the pain and

composed of Ddru, Pad-
and S'unthi, prepared and used
likewise
if
way
plaster
Saindhava
and
should be likewise used.
Cow's milk cooked with Saindhava should also be used for the alleviation of pain
and redness of the eye.
Clarified butter duly
cooked
with the admixture of S'atdvari, Prithak-farni, Musta,
Amalaka, Padmaka and the milk of a she-goat, should

be applied
alleviation
Clarified
(cold)
to the
affected
and
pain
of
organ (eye) for the
burning sensation
therein.
cooked with the Kalka of the
butter duly
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 (Bhadraddrvidi) group
(in
manner
the
considered as efficacious
externally, in cases
in
of Kshira-p&ka) should be
any
form (internally or
The
of ocular affections.
affected
organ should be treated with Sncha emulsive (applications)
(Sira)
and (Sveda), fomentation and opening of the veins

or
cauterisation
treacle) as described
(by honey, clarified butter, or
before,
should be resorted to
cases where the foregoing remedies
duce any
effect.
would
hear
me
to
in
pro-
45-46.
Eyesight-invigorating
Now
fail
describe
two
beneficial
Anjana :
recipes
of Anjana.
Chap. XVII.
UTTARA-TANTRAM.
8j
which would invigorate the eye-sight and impart a

ness of vision. Flowers of Mesha-S'ringi, S'irisha,
clear-
Dhava
and of Mdlati together with pearl and Vaidurya (ruby)

should be pounded and
addition of the milk
thus
made
prepared should be kept
week and then made into Vartis

lengths and applied to the eyes
Anjana.
Varti
(stick)
in a
paste with the
into
of a she-goat.
The compound
copper vessel for a
(sticks)
in
the
of convenient
manner
of an
should be similarly prepared
with Srotonjam, coral, Samudra-pliena, Manah-s'ild and
Markka 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 seventeenth chaplei in the Uttara-Tantra of the Sus'ruta-
Samhitd which
Drishti (pupil).
treats
of the curative
measures of the diseases of the
CHAPTER
Now we
shall diseourse
on the Chapter which treats
and uses of the medicinal measures
of the preparations
(external
applications) to be
treating
ocular
kalpa).
XVIII.
adopted or employed
affections
in
(Krly(-
general
in
i.
Here follows a general exposition of the instructions

which the sainted lord of Benares, the holy Dhanvantari
of profound
intellect
imparted to
his
disciple
son of Vis'vamitra (Sus'ruta) regarding

medicinal measures (Kriya) such as
the
the
different
Tarpana
(soothing),
Seka (sprinkling), A'schyotana (eye-drops), Puta-paTias

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

known
as
Tarpana should be employed
affected eye either in the fore-noon or in
under
after
the auspices
of propitious
measure
in respect of
an
the after-noon
astral combinations,
having purged the head and bowels of the patient
and subsequent
taken.
The
to the digestion of
patient
should
be
any food previously

on his back in a
la id
chamber not exposed to the rays of the sun, and the gust
of the wind, and where the atmosphere is not charged
The
with minute particles of floating dust.

eye
(i. e.
eye-lids) should
region of his
be thickly coated with powdered
Mdslia pulse, pasted (with water)
in the
form of a circular
wall which should be even, hard and compact.
Then a
quantity of the transparent upper layer of clarified butter

should be stirred with the admixture
of a
quantity of
lukewarm water and poured (Purana) into the cavities of

the eye up to the eye-lashes and retained therein for as
Chap. XVIII.
UTTARA-TANTRAM.
85
long a period as one would take to count
five
hundred,
and ten hundred syllabless

of healthy persons and persons
six hundred, eight hundred,
cases
respectively in
with Kapha-origined, Pitta-origin ed and Vayu-origined
According to certain authorities,
of the eye.
diseases
the periods of such retention
(of clarified butter) should
vary with the seat of the affection

clarified butter
(in
The
the eye-ball).
mentioned above should, according to
them, be retained
in
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
to the region of the Sandhi,
of the
The
clarified butter
confined
Vartman, Sukla, Krishna,
the eye in general (Sarva-gata) and

eye*.
diseases
the Drishti of the
should then be secreted through
the interior corner of the affected organ which should be
by applying poultices of pasted barley. The

Kapha, deranged by the use of this Sneha-Purana should
be then conquered by making the patient inhale some
purified
kind of Kapha-subduing
Dhuma
(smoke).
should be observed for one, three or

sion.
the
of satisfactory, excess-
unembarrassed waking, cessation of
tion, clearness of vision,
Accordtng
to
at
secre-
agreeable sensation, perceptible
amelioration of the disease,
-f
in succes-
and defective Tarpana : Sleep
first call,
period
This rule
days
4.
Symptoms
ive
five
and lightness of the organ
some, the 'Pnrana' should be retained in 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 one,
days in cases of the preponderance of Vayu, Pitta and
pectively,
and according
attack respectively.
to Jejjata, in cases of mild,
three,
Kapha
res-
moderate and severe
86
Chap. XVIII.
symptoms which result from a proper and

satisfactory Tarpana of the eye. Cloudiness of vision,
are the
a sense
of heaviness
(of the
glossiness
the affected
in
eye),
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 affected
in
organ, cloudiness of vision,
lachrymation, sensitiveness
profuse
aggravation of the disease are the

act of defective
Tarpana
to
evils
(of the eye).
light
and .an
which follow an
5-
Treatment of excessive and defective Tarpana Cases of defective and excessive

:
Tarpana should be remedied with the application of

snuffs, Anjanas, washes and inhalations of
smoke and by adopting dry or emulsive measures, (as
medicinal
the cases
may
require).
6.
Cases for Tarpana : Shrivelling
and dcand darkness of

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

the eye-disease.
symptoms (Upadrava)
of
7-8.
The Puta-pa'ka
:~-The Puta-prfka measure
The Puta-paka
Nasya (errhines), Tarpana
application of Sncha (Sneha-pina) are
should be applied in the aforesaid cases.

is
not applicable in cases where
and the
internal
forbidden.
After a complete
subsidence of the Dosha,
the Puta-paka should be applied to the (affected) eye
UTTARA-TANTRAM.
Chap. XVIII.
in cases
87
where the patient would be found capable of
being treated with
The Puta-paka measure may be
it.
viz.,
Snehana (emulsive),
Lekhana (scraping) and Ropana (healing) Puta-paka. The
Snehana (emulsive) Puta-pdka is recommended in cases
marked by the extreme parchedness of the affected
organ or locality, and Lskhana (scraping) ones are
divided
three
into
efficacious
classes,
of
cases
in
excessive applications
of the
Sneha to the eye

is invigorated
by the Ropana (healing) Puta-paka, which restores the
Vata, * the Pitta and the blood of the affected locality
to their natural conditions, and (consequently) heals the
;
while the eye-sight
9-10.
ulcer.
Preparation of Snehana, Lekhana,

and Ropana Puta-pa'kas :The Snehaua
(emulsive) Puta-paka should be prepared with the
flesh
animals frequenting marshy places) abounding
(of
in
Sneha f and with the Vasa (lard), Majjan (marrow),

and Medas (fat), and the drugs of the Madhura group and
it should be retained in the eye so long
as one would
take to utter two hundred syllables. The scraping or
Lekhana Puta-paka should be prepared with

and the
liver
the flesh
of an animal of the Jingala species and
the drugs possessing the Lekhana or scraping properties,

as well
shells,
as
powders of black iron

(corals), Saindhva
Vidruma
(steel),
salt,
copper, conch-
Samudra-phena,
Kdsisa (sulphate of iron) and Srotonjana (pasted toThe affected locality

gether) with the cream of curd.
should be exposed to a
A different
In
Lekhana
Puta-p^Jka
as
long as
reading, mentioned by Dallana, does not read "Vita."
place of
"*JKîs" meaning
different reading "^ftbirfa"
l'-
e> clarified
flesh
abounding in Sneha, a
butter and
flesh)
is
quoted by
Dallana.
88
one would take
to utter a
hundred syllables
healing or
Ropana Puta-paka
cooking the
flesh of
Chap. XVIII.
at most.
The
should be prepared by
an animal of the Jangala group with
honey*, clarified
breast-milk,
and
butter
drugs, 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
the Lekhana-Puta-paka
require to utter three hundred syllables.
The fumigating measures mentioned
one would
11-13.
in
connection
with the Tarpana of an affected eye, as well as theappli
Sneha and Svcda, should be resorted
cations of
to in the
cases of the application of the Puta-paka measures, except
of the
cases
in
may
or
strict
for
may
be
two or three days.f.
continued for
be
Ropana Puta-paka.
made on one day only
application of the
Puta-paka applications
regimen of diet and conduct should be observed
a period twice as long as the preparatory period
(beginning with the time of administering the Sneha to

the patient for preparing him for the application of the
Puta-paka
Putapaka
the time of actually administering the
till
14-15.
itself).
Prohibition and Remedies for infringement : After the application of Tarpana

and Puta-paka
(to the affected
eye)' the
not catch glimpses of the light,
fire,
should
patient
sky, looking-glass or
any other luminous object; nor he should expose the eye

* In place
of
'
a variant "fjsznsg"
^ftqjsij"
lit.
(honey and
sacred clarified
clarified butter)
butter
e.,
Dallana quotes
clarified
butter pre-
pared from cow's milk.
+ Dallana explains that the application

should be
made
for
Puta-paka be a Lekhana one

in Pittaja eye-diseases, or if
Vataja eye-diseases, or
of the
Puta-paka measure
one day only in Kaphaja eye-diseases, or
if it
it
and
it
if
the
should be continued for two days
be a Snehana one
and
be a Ropana Puta-paka.
for
three
days in
TJTTARA-TANTRAM.
Chap. XVIII.]
89
The unfavourable symptoms

and induced by an infringement of the
to the blast of the wind.

incidental to
rules to
be observed after the application of these two
(Tarpana and Puta-paka) measures should be remedied

with the applications of Anjana (collyrium), A's'chyotana
and Sveda (fomentation) to the deranged bodily Doshas,
16-17.
underlying each particular case.
Satisfactory, excessive and defective application Of Pllta-pa'ka :Freshness
and clearness of the colour
bility
(of the
capa-
cornea),
organ (eye) to bear heat, light and wind,
of the
and an unembarrassed gladsome wakening and a lightness of the organ are the benefits which
are derived from Satisfactory Puta-paka applications.
Darkness of vision, pain and swelling of the eye and
refreshing sleep
the appearance of eruptions

organ,
arc
the
(Pidaka)
in
the affected
which mark an excessive applicameasure

while suppuration and
evils
tion of the Puta-pka
lachryrnations of the
eye and a
thrilling 'Sensation
(Harsha) in the affected organ, as well as a further

aggravation of the Dosha (involved) are the characteristic
features of a deficient Puta-paka application.
Mode of preparing
I
shall
mode
describe the
Two
remedy.
of preparing a
together and one
of liquid
made
into
Pllta-pa'ka
Vilva (Pala) measures of cleansed and
pasted meat, one Pala measure

pasted
18.
Pllta-pa'ka : Now
of the
Kudava
medicinal drugs
(half a seer)
measure
be mixed together (and

well covered with .the leaves of
ingredients should
ball),
Kadali, K&smari, Eranda,
Coated with
clay,
burning charcoal
it
(fire)
Kumuda
or of
wood
of catechu
Kataka, AJmantaka, Eranda, Pdtald,

/T.svfoVtf-exuding trees,
Padma
should be duly scorched
or in the
fire
or
in
plant.
in
the
that of
Vdsaka, Vadara,
of the dried cakes

13
THE SUSHKUTA SAMHITA.
90
When
of cow-dung.
taken out of the
fire
drawn and squeezed.
The
and applied
collected
cooked the
well
and broken and
[Chap.
ball
should be
contents with-
its
should then be
fluid extract
the affected organ)
(to
manner of applying a Tarpana.
in
the
19.
The mode of application : The

being laid on his back at the time, the
both the cases
XVIH.
fluid
(Tarpana and Puta-paka)
patient
extract in
should be
dropped cold into the Kaninika (Cornea) of the eye
in
derangement of the blood and the Pitta

it
should be used lukewarm when the Vayu and the Kapha
cases of
would be found to have been aggravated.

sensation in the affected eye as well as
inflammation would
result
its
burning
consequential
from the use of too hot
(warm) or strong or keen-potencied (Tikshna) extract

for the purpose.
numbness
affected
in
thrilling sensation (Harsha), pain
and
the locality and lachrymation from the
organ originate from the use of a cold and
mild-pofincied 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-pika and
Tarpana, whereas a deficient (under-dose) use of them

produces an aggravation of the deranged bodily Doshas
in the locality.
Properly applied, they alley the burning
and itching sensation, swelling, pain, lachrymation and

mucous secretion, as well as the (unnatural) coating and
As every one is desirous
redness in the affected eye.
of avoiding the aggravation of Doshas, so the Puta-paka
and Tarpana measures should be applied in such a way

and happiness (to the eye). The
evils resulted by a course of injudicious application of
as would give health
Puta-paka or Tarpana, are to be remedied with the

application
of errhines
Nasya ), Dhuma and Anjana
UTTARA-TANTRAM.
Chap. XVIII.]
remedial to the
specific
Doshas involved
The
deranged
each case.
in
affected eye should be
gi
Dosha or
bodily
20.
fomented before the use
Tarpana measure with a piece of

cloth soaked in hot water (and rinsed).
Fumigation of
the affected organ in the end should be prescribed in a
of a Puta-paka
case
or
marked by an aggravation
of the locality.
of the deranged
Kapha
21.
As'ChyOtana and Seka ".Properly
pre-
pared and applied, the As'chyotana and Seka measures
would respectively subdue cases of

two also are devided into three
Snehana and Ropana).
in
in
the
Lekhana-AVchyotana
As'chyotana
up a granulative process
setting
The maximum
wound).
for the
in
purpose of
a local sore or
period for which an (affected)
eye should be subjected to the Seka measure

long as
is
ten drops
purposes) and twelve
emulsive
(for
Ropana
(Lekhana,
Seven or eight drops of the
purpose of scraping the affected eye)
Snehana
the
drops
and violent
classes vis.,
medicinal fluid should be used in

(for the
slight
Like the Puta-paka measure these
attacks of the eye.
is
twice as
Puta-paka measure*
enjoined in respect of a
is gradually and wholly removed.f

Both the As'chyotana and the Seka applications should
or until the disease
be made
The
in
the morning or evening or at noon (in accord-
period for which an affected
As'chyotana measure,
is
should be subjected to the
eye
not given in the text, but Dallana says that
should be the same as observed in cases of Puta-patka.
It
Some, however,
hold that in cases of both Seka and As'chyotana the period would be twice
as that for Puta-paka.
This rule
disease
is
for
subjecting
the affected
gradually and wholly removed
but according to some
it
Fula-pa!ka and Tarpana, etc.
is
eye to
is for
the
measure
till
the
Seka and As'chyotana only j
a general rule which applies also to cases of
THE SUSHKUTA SAMHITA.
gi
[Chap. XVIlt.
ance with the aggravation of the deranged Doshas),*

or whenever there would be pain (in the affected
eye),
"f
The symptoms of proper and improper (excessive and

applications of a
deficient)
identical with those of
Ît*0-Vastl
Sneha (emulsive) Seka are
Tarpana.
The
of
very good
effects
known
are
which
Siro-vasti,
as
the
peculiar to
diseases
serious
the head readily yeild to and

application
22-23.
conquered by the
produces the
also
Murdha-tailika ones
The
peculiar to the use of (emulsive) Siro-vasti.
patient
having been treated with purgatives and emetics (according
requirements
to
should be given
a proper diet
made to
when an animal bladder (the
according to the nature of the disease, and

erect
sit
in
the evening,
bladder of a goat being usually used for the purpose)
with the proper Sneha, should be placed on his
filled
crown and firmly

filled
times as
long as
is
retained
Anjana
Ropana
on
24-25.
Proper Anjana for Lekhana (scraping),
(healing),
or Prasadana (invigorating) purposes
should
be applied after the cleansing
of the
system
in
A
*
purging,
etc.)
in the region
of the
26.
Lekhana-Anjana should be prepared with the
The Lekhana-seka and As'chyotana
morning
cases where the deranged bodily
Doshas would manifest themselves

eye only.
the head ten
necessary for Tarpana measure,
according to the nature of the disease.

:
The Sneha-
up with a bandage.
tied
bladder should be so
in the aggravation of
Kapha,
should
be applied in the
while the Snehana one should be
applied in the afternoon in the aggravation of
VttyUi the Ropana
ones
being applied at noon in the aggravation of Blood and Pitta.

t Dillana holds, that bath the Sjka and As'chyotana
be applied when- ver there
is
pain in the
that this rule applies only in cases of Seka.
affected
eye,
measures
but
may
others hold
UTTARA-TANTRAM.
Chap. XVI1I-]
93
drugs of one or more tastes (Rasa) except the sweet

in five different ways accordDosha or Doshas involved in
one and should be used

ing to the nature of the
each
and the
of the eye
and
The Dosha accumulated
case.*
the capillaries of the eye, as well as in the
in
nose
the
of
gristle
the ball, the passages,
in
eye-lids,
the regions
in
mouth, the
nostrils
would be secreted through the

and the corners of the eyes by
of a Lekhana Anjana.
A RopanaAnjana should be prepared with the drugs of bitter
and astringent tastes ( Rasa ) mixed with ( a little
the application
quantity of
cooling in
its
and
butter
clarified
Owing
purposes.
good
is
presence of the
to the
healing
for
Sneha,
it
is
and consequently gives natural
effect
colour and vigour to the eye.
Prasa'dana- Anjana, pre-
pared with the drugs of sweet taste and with (a profuse

quantity of) Sneha, imparts tone and vigour to the eyesight
and should be used with advantage
for all
sooth-
The application
Anjana should be made in the
ing purposes connected with the organ.
of the different kinds of
morning,
evening or in the
* In cases
be prepared
of
the
night
-f-
those of astiingent, bitter

the
accordance
derangement of the local VjCyu, the Anjana should
with the drugs
of acid
and saline
derangement of the Pitta with those of astringent
ment of
in
and pungent
taste
in
in
Kapha
the
with
In cases of the derange-
tastes
bloodt Ihe Anjana should be
(Rasa)
tastes
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.
and
The Anjana
should
be applied in
in the night respectively in the cases of
Vayu and
the Pitta.
According
the
morning, in the evening
the derangement of the
to the others, the
Kapha
S'odhana, the Ropana
and the Snehana Anjanas should be respectively used in the morning, in

Others, however, are of opinion that these
the evening and in the night.
different times should
be judiciously selected in the different seasons of
the year according to requirement.
94
[Chap. XVIII.
with the nature of the deranged bodily Dosha or Doshas

involved in each case.
27-30.
Forms
an
Of Alljana :The forms in which

Anjana may be, are those of pills, liquid (Rasa-kriya)
and powder * each succeeding, one being more

the one preceding
cious than
meration.
it,
effica-
in the order of enu-
31.
Their sizes and closes : The

a Lekhana, Prasadana and Ropana Varti
size (dose) of
(Pill)
equal to that of one and a half and twice as
Kaldya pulse
for ocular affections in general.
should be
much as a
As regards
the application of Rasa-kriya-Anjana in these disorders

the quantity to be
used in a dose should be equal to
that of the
in
Varti
the different
As regards the dose of the powders
respectively.
be used
in
eye-
should be respectively twice, thrice and four
diseases)
it
times as
much
Salaka
cases
(to
(rod).
as would
be contained at the end of a
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
as
well
made
as the Sal&kd (rod) for the
of gold, silver,
respectively (in accordance with the
the drugs the Anjanas arc
Dallana
copper,
horn,
kind of precious stone), bell-metal and iron
(a
says
that
made
Pill-Anjanas,
different
of), -f
tastes
The end
Liquid-Anjanas
of
of the
and Powder-
Anjanas should be prescribed in cases of severe, intermediate and mild

attacks respectively.
According
to
Dallana the Anjana of sweet
taste should
be placed
in a golden vessel, that of acid taste in a silver vessel, that of saline taste
In a vessel
made
of horn (of a sheep),
that of astringent taste, in a vessel
either of copper or iron, that of pungent taste in a vessel
made
of Vaidurya,
UTTARA'TANTRAM.
Chap. XVIII.]
95
rod should terminate in a bud-shaped ball with the girth

of that of a Kaldya pulse,
eight fingers only.
length measuring
entire
its
would be well polished, slender
It
middle and capable of being easily handled.
at
the
rod prepared
Vaidurya,
etc.,
beneficial.
33.
precious stones such as
copper,
of
and horns or bones,
etc.,*
How to apply an Anjana
prove
will
: The
lids
of
the affected eye (of the patient) should be slantingly
drawn apart with the
hand, and
left
Anjana
the
should be carefully applied by holding the rod with the
hand and by constantly moving the rod from the

Kaninika to the Apanga and vice versa ( along the
right
inner side of the
repeated
eye-lid
twice or thrice
The Anjana should be

would be necessary
use
Apanga from
should be washed
ed (bodily)
should
be
when
it
on the outer side of the
it
no case should be thickly paint-
in
ed in the corners of the eye
the
process
according to requirements.
applied with the finger
to
The Anjana
eye-lid.
This
).
Kaninika and
in the
(i.c.,
fear of hurting them), nor the organ
till all
Dosha
removed thereform,
the aggravations of the derang-
in
in as
the
locality
much
as
it
are
completely
might bring on a
and impair the strength of the eyeAfter the subsidence of the deranged local Dosha
fresh aggravation
sight.
and that of
The
bitter taste
should be
placed
S'alikd (tod) for the use of the
in a
different
vessel
made of
bell-metal.
kinds of Anjana should be
also accordingly prepared.
According
to
Nimi, however, as quoted by Dalfetna and S'rikantha
commentaries, the Ropana, Lekhana *and Prasddana

Anjanas should be placed in a vessel and used with a rod prepared respectDatta, in
their
ively of iron, copper
and gold.
The
other materials
may
be,
however,
used with discretion by an experienced physician.

*
The
word
'^ftf' in the text
used with benefit Pallana.
shows
that a rod of gold
may
also be
THE SUSHRUTA SAMHItX.
g6
and of lachrymation,
water, and
the eye should be
[Chap. XVIII.
first
dance with the nature of the
specific
Dosha or Doshas underlying
each case.
in
Anjanas
is
cases
in
much
as
might produce
swelling
(Timira),
An
ness.
it
and intoxication, as
(in
application
The
sight*.
impair
affected with
of
or smoke,
Adhimantha (Ophthalmia) and
aggravation
of
the
The
would be abortive, nay,

Dosha,
if
it
may
bodily Dosha.
fail
on redness,
bring
it
may
if
It
usher in an
application
of
any
to
the
any
an Anjana
in
would rather aggravate the

bath,
or in a
fixedness of the deranged
Similarly, the application of an
to produce
Applied
leads
applied
applied before sun-rise, after a
very cold day, owing to the
would
of
a windy day
local secretion.
the eyes.
disease,
disease of the head.
case
the loss of the eye-
after the use of an errhine (Nasya)

in
giddi-
Application to the eyes
the eye-sight.
aching pain and swelling
in
application of an Anjana in
dust
blindness
pain,
Anjana
the
followed by
urine,
these cases) lachry-
the locality, as well as
in
insomnia might be
and
retention of stool
of the
ûla (aching pain), redness,
mation,
may
of
Uddvarta, and the diseases of the head and during
well as
in as
34.
application
prohibited in cases of persons suffering from
of anger, grief, fear, weeping
fits
accor-
in
deranged bodily
Forbidden Cases : The

fever,
washed with
Pratyanjana should then be used
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).
In some editions there
is an additional text"ff 5fsri

M SRi
which
supplies
-complete
verb
and
a
makes
the
sense
fafTO IPffTOTH"
complete.
The
line
means
the application of an
Anjana in a forbidden
case produces loss of sleep (insomnia) in addition (to redness,
mentioned in the preceding
line).
pain etc,
UTTARA-TANTKAM.
bap. XVIII.]
The
Anjana
application of an
97
'
an aggravated stage
in
of the deranged bodily Doshas, ushers in the distressing
symptoms
peculiar to each of them.
tion of an
Anjana should be carefully made

to induce any of the aforesaid
Hence, the applica-
these rules should be specially observed
with a Lekhana-Anjana.
should be treated with
plasters,
Dhuma
in
such a
in
manner as not
evils,
and
connection
These distressing symptoms

washes (lotions), As'chyotana,
(fumigation),
Nasya and Kavala (gurgle)
with due regard to the specific nature of the deranged

bodily
Dosha or Doshas involved
Symptoms
each case.
in
35-36.
of satisfactory, excess-
and deficient use of a LekhanaAnjana Lightness, whiteness and pristine clearive
ness of the
vision
eye,
by the improved power of

and all other dis-
marked
and absence
symptoms, are
of secretion
tressing
indications which
the
to the fact that the eye has
of the accumulated Doshas (by
An
Lekhana Anjana).
of a
point
been satisfactorily purged

the proper application
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, archedness of the organ

constant dryness in
its
such instances consists
cavity.
in
the socket,
and a sense of
The medical treatment
(Santarpana) and other Vayu-subduing remedies.

insufficient
or
Anjana leads
deficient application
Lekhana^
to the aggravation of the local
deranged
which should
by employing medicinal
be
of
fully
errhines,
secreted
Anjana
and
out
local
37-39.
Symptoms of satisfactory,
ive
An
the
bodily Dosha
fumigation.
in
the employment of soothing
and deficient use
of
excessPrastfdana
r
THE dU.SHRUTA SAMHITX.
98
Chap.
XViH.
(Snehana) and Ropana Anjanas ;The

of a Prasa'dana
action of the satisfactory application
(Snehana) Anjana
the eye, to impart a
to soothe
is
healthy tone to the organ of sight,

natural colour
and
gloss,
to
and to make
restore
its
strong and
it
unclouded and free from the aggravation of any Dosha.
Any
excess in the application
by results
Tarpana
followed
is
identical with those of excessive application of
(soothing measures)* to the organ, and the
remedy con-
employing mild but parching remedies antidotal

to the deranged bodily Dosha (Kapha) involved in the
sists in
The symptoms which mark a satisfactory and

excessive application of a Ropana (healing) Anjana,
case.
as well as the medical treatment
to be applied in
of excess, are identical with those mentioned in

tion
with the
of the
cases
connec-
and excessive application
satisfactory
Pras&dana (soothing)
Anjanas
(respectively).
Deficient applications of both the Snehana (soothing)
and the Ropana (healing) Anjanas

affections) are sure
to
(in
therefore, be taken to
Care should,
respect of ocular
prove abortive in their

apply
it
effects.
properly,
hoped to get the wished-for result. 40-43.

Thousands of remedial measures and remedies
if it is
and
be devised
employed
in
Puta-paka and other measures
the'
manner
on the basis
fundamental principles herein inculcated.
Now we
shall describe the
of several principal Anjanas
crowned heads
eye-sight
(Kacha,
and
etc.)
fit
recipes
for
may
the
of the
44.
and preparations
the use of kings and
for the purpose of giving strength
for the
of
to
the
amelioration of ocular affections
amenable only to the
palliative measures.
Eight parts of Rasdnjana (Antimony) having the hue of
See S'loka 5 of this Chapter,
UTTARA-TANTRAM.
Chap. XVIII,]
99
a (full-blown) blue lotus flower, as well as one part each

of (dead) copper, gold and silver should be taken together
and placed inside an earthen
crucible.
be burnt by being covered with
should then
It
the burning charcoal
of catechu or .As'mantaka wood, or in the
fire
of dried
cakes of cow-dung and blown (with a blow-pipe till they

would glow with a blood-red effulgence) after which the
expressed juice (Rasa) of cow-dung, cow's urine, milk-curd,
honey,
clarified butter,
oil,
urine, lard,
marrow, infusion of
the drugs of the Sarva-gandhd group, grape-juice, sugarcane-juice, the expressed juice of TripJuxld
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
heating thereof, (or to put

should be taken
down
it
after being
heated and then one
of these draughts should be sprinkled
over
its
contents
and then again heated and again sprinkled over with

another draught, and so
After that, the preparation
on).
should be kept suspended in the air for a week, so as to
be fully washed by the rains.
The compound should
then be dried, pounded and mixed together with proportionate parts (quarter part) of
corals
is
a very good
vessel
powdered
pearls,
made
Anj ana and

of
ivory,
should be kept in a pure
crystal,
should then be purified
(lit.
of the purification of the

It
may
worshipped)
wood.
in the
It
manner
Sahasra-Paka-Taila described
then be prescribed even for a king.
Applied along the eye-lids as a collyrium,

king to become favourite with
his
45.
it
enables a
subjects
continue invincible' to the last day of his

ocular affections
S'amkha
Vaidurya,
(conch-shell), stone, gold or silver or of Asatta
before.
crystals,
and Kdlanu-sdrivA. The compound thus prepared
and
life free
to
from
100
Bhadrodaya-Anjana :The
Chandana,
as Kusht/ta,
Eld,
drugs
XVHt.
known
Yashti-madhu,
Patra,
Rasdnjana, flowers of Mesha-s'ringi,
Chap.
Chakra (Tagara),
the seven kinds of jewels*, the pollens of the flowers of
Kantakdri and of
Utpala, Brihati,
Us'ira, Pippali, the shells
Haritaki,
Goroc/wnd,
of hen's
Markka,
lotus, Ndga-kes'ara,
Ddru-haridrd,
eggs,
marrow
kernel
or
of
Vibhita&a-seeds and the flesh of lizards (which are found

to scale the walls of rooms), should be
in equal parts
purified
powdered together
and should be preserved
(sanctified)
in
the
in
and
vessel
preceding manner.
This
is called the Bh adrodaya- Anjana and should

always be used by a king. 46.
Anjana
Equal parts of Chakra (Tagara), Markka, Jatd-mdmsi

and S'aikya with Manah-s'ild equal to the combined
weight of the preceding drugs, four parts of Patra with
Rasdnjana (antimony) twice the combined weight

the
all
preceding
drugs and
of
Yashti-madhu of equalf
weight with the last-named drug (Rasdnjana) should be
powdered together and used as an Anjana

going manner. 47.
in
the fore-
Manah-s'ild, Deva-ddru, the two kinds of Rajani, Triphald, Trikatu, Ldkshd, Las'una, Manjishthd, Saindhava,
Eld, Mdkshika, Sdvaraka Rodkra, dead iron and copper,
Kdlanu-sdrivd and the outer shells of hen's eggs taken

in equal
into
parts
should be powdered together, resolved
a paste with milk and
quate
size.
Diseases
sensation in the eye,
of the
Timira,"
made
into
eye such
as
pills
the
of adeitching
Suklarma and Raktaraji
readily yield to the curative efficacy of this Anjana.

*
The seven kinds
48.
of gems are (1) Padmaraga, [2) Marakata, (3) Nila,
(4) Vaidurya, (5) Mukta (pearl) (6) Pravala and (7) Hema (gold).
t According to some the weight of the Yashti-madhu to be uied in
this
Anjana should be equal
to that of all the other drugs
combiaed.
Chap. XVlli.
UTTARA-TANTRAM.
An Anjana
should be prepared by collecting lamp-
made
black on a vessel
ing
it
lof
Indian bell-metal, and mix-
of
with one part each of
Yashtimadhu, Saindhava,
Tagara and roots of Eranda, as well as two parts of
compound should be pasted
This
Brihati.
together
with goat's milk and thinly plastered on a copper plate.
This process should be continued for seven times in

succession
made
into
and dried
shed.
It
should then be
Vartis and (used as such) would
pain in the eye.
One
in the
part
relieve
49.
each of
Haritaki,
Yashti-tnadhu
sixteen parts of Maricha should be pounded and
together with cold water.
It
should then be
Vartis and would be efficacious

affections.
and
An
in
all
experienced physician
with
pasted
made
into
sorts
of ocular
may
with care
discretion prepare Pindtfajanas with the drugs anti-
dotal
to
the
the case, in
preparations.
Dosha or Doshas involved in

manner of preparing the Rasa-kriya
specific
the
50-51.
Thus ends the eighteenth chapter of the Uttaia-Tantta in the
Sus'ruta
Samhita whieh deals with the preparations and uses of the medicinal
measures
to
be used in different ocular
affection!..
CHAPTER
Now we
shall
discourse
to be adopted -in
XIX.
on the medical treatment
of hurt
cases
A violent and
intolerable
pain
eye
injury to the
or
(Nayana'bhigha'ta-Pratishedha).
i.
the eye accom-
in
panied by redness and swelling therein, resulting from

a blow or from any sort of hurt or injury to the organ,
should be remedied with the application of medicinal
Nasya
(errhines),
sprinkling
plasters,
and Tarpana
(soothing measures),
and
before, as well as the
measures prescribed
Pittaja
other measures
and Raktaja Abhishyanda
lit.
mentioned
in
cases
pain (Sula) caused by the deranged blood and

in the locality.
The
affected
of
remedial to the
Pitta
eye (Drishti) should also
be soothed with the help of cool, sweet and fatty drugs.

This kind of treatment should also be followed in cases
where the eye would be hurt or oppressed by (excessive)

fomentation,
smoke
or glare-fife, or affected on account
These measures
of fear, mental agony, pain or injury.
should also be resorted
during the
first
to
the first
stage (t. e.,

week) of the hurt or injury in the eye.
in
After this period the affected
eye should be treated
Abhishyanda with due regard to the

specific
deranged bodily Dosha or Doshas
of
the
nature
as a
case
of an
involved in the case.
slight
hurt in
the eye
may
be instantaneously relieved by the application of warm

breath-fomentation.
Prognosis
2-4.
:
Any ulceration
Patala (coat) only of the eye
may
restricted
ulcer invading two Patalas of the organ
only with the greatest

ing
three
Patalas
difficulty,
should
be
to
be easily cured
may
one
an
be healed
while the one affect-
regarded as incurable.
Chap. XIX.
UTTARA-TANTRAM.
103
Palliative measures are all that are possible

looseness,
and the
sunkenness
dislocation,
cases of
in
thiashed
condition (Pichchita) of the eyes as well as in a case of

Hata-drishti
of
(loss
Cases of wrong or
eye-sight).
marked by the
erroneous vision,
dilation of the pupil,
absence of any considerable redness and those cases
where the eye

affected
in
(eye-ball)
its
proper place and
in its
power of vision
medical treatment.
is
amenable
not
to,
5-6.
may
sunken eye
prove
is
be uplifted either by holding the
breath (Prana-vayu) or by inducing vomiting or sneez-
by
ing, or
Where
down from the
throttling or obstructing the wind-pipe.
the eyes would be found to be hanging
the measures and remedies prescribed
sockets,
should be resorted
to,
before*
and the patient should be made
to take in long breaths of air (through the
cold water should be poured
on
his head.
nostrils)
and
7,
Symptoms and treatment of Kukunaka
The seventy-six kinds of
eye-diseases
mentioned before, occur to adults as well as to
herein
infants,
but a peculiar disease, due to the action of deranged
Vayu,
in (the
Pitta,
Kapha and
blood, sometimes manifests itself
inner lining of) the eye-lids of an infant and this
known
as
Kukunaka.
exciting cause
is
the
vitiated condition of the breast-milk of the mother.
In
is
Its
this disease, there is excessive itching in the eyes,
child frequently rubs his eyes, nose

fist
there
is
and the
and forehead with
his
constant lachrymation and the child cannot
bear the least light of sun's rays.
The orgkn
should, in
such cases, be speedily bled (by applying leeches) and be

scraped (with rough leaves).
be rubbed with
Tri-katu
The organ should
further
and honey pasted together.
* Sec Chiktt-ita-sthana, Chapter II, Pata 29.
104
[Chap. XlJi.
The mother (or the nurse) should also be treated in the

manner prescribed before (in cases of an affection of the
Compounds of Saindhava salt, honey
breast-milk).
and powdered Khara-manjari (Apamarga) seeds, as well
as those of powdered Pippali, Saindaava-sa.lt and honey
with the vehicle of breast-milk should be given to the
child for emetic purposes, but this should be discontinued
as soon as vomiting would set
To
who
a child
solid food, the
8-10.
in.
both breast-milk and other
takes
emetic should be administered with the
admixture of Vachd, and to a much older child
who
(i.e.,
one
has given up taking breast-milk) the emetic should
be given with the admixture of
Madana
fruit.
1 1.
Decoction of the tender leaves of Jambu, Antra

and Amalaki should be used for washing and sprinkling
Clarified butter duly cooked with Tri-phald
purposes.
or with Guduchi should be
As'chyotana measure.
dropped into the eye as an
12.
Anjanas composed of Manah-s'ld, Maricha, S'amkka

(conch-shell),
and Saindhava pounded
Ras&njana
to-
gether and pasted with honey and treacle should be

applied to the affected organ.
Compounds
honey and powdered copper should

Anjana.
also
The compound prepared by burning
(steel), clarified
the
(onion),
Murvd,
black iron
milk and honey mixed together
butter,
should be similarly used as an Anjana.

tive,
of
be used as
GutiMnjana made up
Yashti-madhu,
of
Saindhava,
As an
Trikatu,
Ldkshd
alterna-
Paldndu
(lac)
Gairika (earth) pasted together, should be used.
and
The
Anjana made of Nimba-X eaves, Yashti-madhu, Ddrvi, *

*
"Ddrvf
generally
means Ddru-haridrd
ofVideha, Dallana takes

Haridri and Da! ru-haridrA.
it
to
mean
the
; but, here, on the authority

two kinds of flaridri, viz.,
Chap. XIX.
UTTARA-TANTRAM.
I05
and
copper (powdered) and Lodhra taken in equal parts
pounded together, is also efficatious. 13.

An Anjana prepared with Rasdnjana (Antimony),
S'amkha,
Saindhava
curd and
of half a fortnight, *
period
affected organ of the
be applied to the
and the
of Sukra,
cases
child in
together for a
kept
should
head of Kaphaja-Abhishyanda
should also be followed by experienced physicians in
directions given under the
such cases of the eye-disease of children.
Conclusion
incomprehensible
described even
Dull
people
The
in
who
ocean.
the
as
14.
Science of medicine
It
is
cannot be
hundreds and thousands of
verses.
incapable of catching the real
are
import of the Science of reasoning would

a proper insight into the
principles (of the Science
to acquire
fail
Science of medicine
thousands of verses.
with elaborately in
as
fully
if
The
dealt
occult
of medicine), as explained in
these pages, would, therefore, sprout and
grow and bear
good fruits only under the congenial heat of a (medical)

genius.
and experienced
learned
would therefore try
to understand the
herein inculcated with

to other Sciences.
(medical)
occult
man
principles
due caution and with reference
1 5.
Thus ends the nineteenth chapter of the Uttara-Tantra

Samhita which deals with the medical treatment
to
in the Sus'ruta
be adopted in cases
of hurt or injury to the eye.
The method of preparing
Saindhava should be
first
this
Anjana, as explained
is
as
follows:
quantity of Rasdnjana should be soalced
days and a half and

to the eye as
Varti
by Dallana
S'amkha (conch-shell) and

pasted together with curd'(Dadhi) and then a
on the authority of Videha,
with
this preparation
for
seven
should then be prepared therewith and applied
an Anjana.
CHAPTER XX.
Now we
ear
the
on the chapter which
shall discourse
of the causes
the
organ
of ear-diseases arc noticed
Vadhirya
of pus,
car),
from the
ear),
Karna-Kandu
Karna-gutha, Krimi-karna
Prati-naha,
the two
ear),
car),
the
ear),
in the
(itching
(vermin-infested
ears),
ear),
Puti-karna (fetor in
four kinds of Ars'as (Cysts
or polypuses
in the
seven kinds of Arvuda (tumour) and four kinds of
Sopha
(swelling).
Symptoms
na'da
ear and
local
Karna-Sula
in
of Vidradhi (local abscess),
kinds
Karna-paka (suppuration of
the
or noise
Kshvcda, Karna-Srava (discharge
(deafness),
etc.,
different forms
practice, vis.,
in
Pra-nada (ringing
to
(Kama-gata-
hearing
of
Roga-Vijna'niya). i.
Classification :Twenty-eight
(ear-ache),
treats
and symptoms of the diseases peculiar
The violent
aggravated and
deranged Doshas
when
by the other
obstructed
in the locality is called the
the deranged
Vayu
Kama-Sala
Symptoms
da SVa'dhirya
in the ear
of the locality
wrong way and remains there
called the Pra-nrida.
of the
caused by the deranged
sound-carrying channels of the organ.
nuance
and Pra
the region
in
Ringing and various other sounds
(ear-ache).
are heard
aching pain
tympanum
inside the
Vayu,
into the
of Karna-ula
gets
stuffed in
This disease
the
is
3-4.
of Va'dhiryaand Kshve-
(deafness)
in the sound-carrying
results
from
the
conti-
channels of the deranged
Vayu 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.
UTTARA-TANTRAM.
peculiar sound in
may
the ear)
10?
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
(errhines), or to the
Vayu
in
by any wasting process
labour,
of the deranged local
by excessive
the system or by
the sound-passage, aggravated

in
taking articles of fare of astringent taste or of parching
(Ruksha) property.*
5-6.
Symptoms
of
Karna-kandU
Any
Karna-Srava
discharge
and
or secretion
stuffing the ear-cavity,
owing
to
a blow
of
Vayu
pus from the ear caused by the deranged bodily
on the head or
a long immersion in water or a spontaneous suppuration
(and bursting) of an abscess in the inner ear,
The
Karna-sraVa.
excessive itching
ear due to the aggravation of the local
Karna-kandu.
Pitta
is
called
liquefied,
nose
-f
Tha
Any mucous accumulation
cases
in
when the
of
J it is
in the
called
"Kama-n&la" and "Kshveda"

is
Kama-
the exciting cause
explain
is
that
in the
produced by the deranged Vayu alone and

it is
of a special kind, vie., that
being the deranged'Jocal
Videha.
Some
dried accumu-
9-10.
of various kinds, whereas, in the latter
local
Karna-gutha becomes
produces head-disease
difference
of a wind-pipe
and blood.
the
called
Karna-gutha and
Karna-gutha
former the sound in the ear

is
in
is
(and comes out through) the cavity of the
and
Prati-niha.
*
Kapha
and hardened by the heat of the
of the ear
lation
sensation
7-8.
Symptoms of
Kai*na-Pl*ati-na'ha
in the ear dried
called
is
"^rtfMrej" to
mean
Pitta,
Kapha
the cavity of the nose and of
the
mouth.
t In place of "firT^rrrfHWTT:" (producer of head'disease) Maclhava

in
his
disease
Nidana
known
reads
'Inoats^SsStff
as Ardha-vedhaka (fee chapter
>'
producer of the head-
XXV).
tHE SUSHRUTA SAMHITX.
toS
Symptoms
of
Karna-Vfdradhi
other local parasites in

pletely
Chap. Xtf.
and
Krimi-karna
Germination of
the
vermins or of
of the
cavities
ear
and
impairs the faculty of hearing
comcalled
is
Krimi-kirna from the existence of worms in the ear.

Any abscess caused by any local ulcer or by a blow,
as well
any idiopathic abscess
as
known
the
in
cavity of the
marked by a
choked and burning sensation, and piercing and sucking pain, and it secretes red, yellow or reddish bloody
ear
is
Karna-vidrathi-
as
It
is
11-12.
discharges.
Symptoms of Karna-paka and Putikarna, etc.

(in
any of these
A process of suppuration
boils) in the car
condition of the deranged Pitta
is
marked by a blocked
and putrid condition of the passage of the

disease
called
is
setting in
through the aggravated
Kama-pika* (suppuration
ear.
of the
The
ear).
discharge of condensed and fetid pus whether accom-
panied or not with pain
accumulation
is
set
up by the
is
symptoms
called
Puti-karna (pus
of swelling (Sopha),
in
before should
experinced physicain
to
be
Thus ends
be
the
the twentieth chapter of the

the
Pitta.
This
the ear).
The
as
causes
symptoms
chapter VI,
XVIII and XXIII,
by an
of
these
Uttara-Tantra in the
Sus'rutft
13-15.
and symptoms of the diseases
peculiar to the ear.
* See
have been
carefully understood
diseases in the region of the ear.
Samhita which deals with
mucous
tumours (Arvuda) and
polypoid growths (Arsas) * in general

described
local
passage of the ear having been
by the heat of the aggravated
liquefied
disease
the
in
Chikitsita-Sthana.
CHAPTER
Now we
shall discourse
XXI.
treats
of the medical treatment of the diseases peculiar to the

car
(Karna-gata Roga-Pratishedha). i.
General treatment '.Potions of clarified
butter (after
nunciation
meal),
of
all
use
sorts
of Rasayana-measures,*
physical
of
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. 2.
Treatment of the Vataja Ear-diseases
:
The course of medical treatment to be
pursued in the four forms of the ear-diseases (all due to
the action of Vayu) vie, Karna-s'ula, Prana'da, Va'dhirya
and Karna-kshveda is the same and is as follows,

Sneha should be first administered (both internally and
externally) and the patient purged with emulsive purgatives after which the affected locality should be fomented
with Vayu-subduing drugs administered
of Na'di-sveda or Pinda-sveda.
in
the
manner
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-roois, Arka, Var-
shdbhu, Kapittha, Dhustura,
S'igru, Ajagandhd,
As'va-
gandhd, Jayanti, barley and bamboo, boiled in Arandla

(fermented rice-gruel) and administered in the manner
of Nadi-sveda (fomentation through a pipe).
An attack
of Karna-s'ula (ear-ache) yieds
* In
place
of
"Rasayana"
(use of meat-soup with meal).
(use
to
of tonic)
the
application
of
some read "Raoas'anam"
THE SUSHRUTA
110
made with
Pinda-sveda
SAMHITA*.
of boiled
pieces
Chap.
XXL
of
fish,
flesh
cock or Lava (jointly or severally), or with (balls of
condensed) milk.
4-5.
of the As'vattha soaked

it
made
bowl-shaped cup should be

in
of the leaves
and Dadhi-mastu* and
oil
The
should be heated by means of charcoal-fire.
made
thus heated and
to
gives instantaneous relief in

affected organ should be
oil,
drop into the affected organ,

a case
The
of ear-ache.
fumigated with the fumes of
burning pieces of Kshautna (linen cloth) as well as

with
clarified butter,
Draughts of
Aguru and Guggulu mixed
clarified butter as
the application
as
well
together.
of Jiiiro-vasti after meal arc also found beneficial.
rice diet
draughts of
clarified butter followed
should be taken in
its
stead.
by potions of milk
The Sata-paka
should also be prescribed as Siro-vasti,
given internally.
kdri
(in
the
ear-ache)
The
if
Goat's milk
manner
cock
first
Vala-Tailai"
as well
crrhine,
and sprinkling.
as Mastikya-Sirovasti
fat (Vasa) of a
6-7.
should be foregone in the night, and
It
may
also be
cooked with Kanta-
of Kshira-paka) and then with
extremely efficacious
is
used as an ear-drop.
Sneha
four kinds of
(in
the
8 -9.
(oil,
of
cases
clarified-butter,
lard
and animal marrow) duly cooked together with the

Kalka of Tanduliyaka, Amkota fruits, Ahimsrd, Kendrakdroots, Sarala, Deva-Ddru, Las'una (garlic), S'untki and
the scrapings of bamboo-skin and with the liquids of acidj
* "Mastu" (curd-cream)
Chakrapani.
According
is
mentioned neither
by
Vrinda nor by
to Videha's recipe, clarified butter should
in place of oil in cases of the aggravation of the
be used
Pitta.
t For "Vala-Taila" See chapter XV, Chikitsita Sthana.
t The
liquid acids here
are
Dadhi,
Takra,
of Kanjika) and the expressed juice of M&tulunga.
Surd,
Chukra
(a
kind
Chap.
UTTARA-TANTRAM.
XXL]
Ill
should be used as an ear-drop
taste (instead of water)
order to alleviate the aching pain therein.
in
10.
The expressed juice of Las'una, S'igru, Ardraka,

Murangi, Mulaka and (branch of) Kadali jointly or
lukewarm into the cavity of the organ
severally poured
acts as
an excellent ear-drop
(in case of acute ear-ache).
As an alternative, the expressed juice 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 she-goatf*

should also be used as an ear-drop in
ache.
cases of ear-
11-13.
Dipika-Taila : Pieces
major Panctia-mula
measuring
fourths of the whole) with
lighted
in
the
The
oil.
and the
oil
a piece
of the
roots
fingures
be covered (extending only
length should
soaked
of
eighteen
to
in
three-
and then
of linen
stick
so
formed, should then be
pouring
in
drops therefrom should
be used lukewarm (as an car-drop).
removes the pain, and
is
know n
Different kinds of Dipika-Taila
It
instantaneously
as the Dipiktt-Taila.
may
be likewise pre-
pared with pieces of Diva-ddru,Kushtha or Sarala wood,
and used
in
the
same manner
in cases of ear-ache. 14-15.
Tender sprouts of Arka plants pasted with Kdnjika

(Amla) should be mixed with oil and salt. The paste
thus prepared should be placed inside the
in a
hollow
made
branch of Snuhi tree and wrapped up with the
Both
"Savpih"
Vtinda and
(clarified
butter).
Chakrapani read
But
we have
"Taila"
(oil)
the authority
quoted by S'rikantha Datta in his commentary
in
place
of
of Videha (as
on Vrinda)
in favour of
clarified butter.
(
Clarified butter should first
be cooked with the urine of a ewe
then with that of a she-goat.Dallana.
ant}
112
XXL
[Chap.
same plant. It should then be scorched

The juice should
in fire in the manner of Puta-paka.
then be squeezed out of it and used lukewarm as an
leaves of the
ear-drop to alleviate the pain in the
ear.
16.
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
alternative, the affected ear
should be judiciously dusted
with powdered Samudra-
in a case of ear-ache.
phena
in
drop
As an alternative, the
made lukewarm and used
such a case.
of officinal urines
may
prove efficacious
Similarly, a case
virtue of
eight kinds
an
as
ear-
removing an ear-ache.
in
of an ear-ache yields to
the curative
an car-drop, composed of the four
officinal
kinds of Sneha duly cooked with the different kinds of

officinal urine
and acids (wine,
sour-gruel,
Vayu-subduing drugs.
as with the
as well
etc.,)
17.
General and Specific treatment of

Pittaja Ear-ache
The above-mentioned mode
of treatment (car-drops and fomentations,
Pitta-subduing drugs should
Kama-Bula
(ear-ache).
The
be
with the
etc.)
followed
in
Pittaja-
use of the medicated Ghrita
duly cooked with milk weighing ten times as
much and
with the drugs of the Kdkolyddi group,- as well as the

Ghrita* duly
(bitter)
cooked
with the
drugs
group would be found beneficial
of the
in
Tikta
such cases.
cooked with the tender sprouts of
Kshira-vriksha (milk-exuding
as
trees),
well
as
with
Yaskti-mad/iu and Chandana wood, or that cooked with

the decoction of Vinibi with (the
* Dallana
says
unauthoritative.
that Jejjatacharya
Kalka
holds
of) sugar, Yasthi-
these
two
recipes
as
Chap.
XXL]
UTTARA-TANTRAM.
madhu and
113
the purgative drugs would
be found
also
18-20.
beneficial.
Treatment
sula : In
or Ingudi oil
will
Kapha J a Karna-
of the
cases of
Kaphaja-Karna-sula mustard
be found beneficial
if
oil
used as an
Decoctions (Yusha) of the drugs of the bitter
ear-drop.
group, fomentation (Sveda) with Kapha-subduing drugs,

as well as the
cooked with the drugs of the Surasddi,
oil
or the major Pancha-mula group would
The expressed
ficial.
Ardraka, as well as S'ukta, or the

of
cooked with any
oil
them should be used as ear-drops
The
is,
be found bene-
Mdtulunga, Las'una and
juice of
in
such cases.
use of strong head-purgatives (errhines), or of gurgles
likewise,
The
recommended
medical
in
such cases.
treatment
in
21-24.
case
ear-ache
of
due to the vitiated condition of the blood should be

just the
fame as that
in
the
of a
case
Thus we have given a general

of treatment
outline of the
of ear-affections,
ache), Pra-nada,
viz.,
Karna-s'ula
in
(ear-
Now we
Vadhirya and Karna-kshveda.
deal with the special recipes and preparations
of ear-drops to
(Va'dhirya).
be employed
in
cases
Treatment of deafness :The
oil
Vilva pasted with
urine (as Kalka) should be used as an ear-drop
of deafness.
Oil
should be
first
milk or the decoction of Vimbi

Yashti-
deafness
of
26.
cooked with water, milk and
cooled
course
and remedial measures to be adopted
the four kinds
shall
Karna-
Pittaja
25
s'ula.
in
duly
cow's
cases
cooked with goat's
fruit
with sugar and
madhu and Vimbi fruit (as Kalka). When

down (it should be churned with the hand
and) the Sneha (oily
portion) should
This oily part, after being stirred
in
be
separated.
the decoction
15
of
,-
SUSHRUTA SAMHITX.
THE.
114
[Chap. XXI.
Vilva* should again be cooked with milk weighing ten

times and with (the Kalka
wood.
(red) sandal
used as an ear-drop in
and remedies, which

with
cribed
be
as
cases
will
be thickened and
employed with benefit
well
in
connection
or have been already de-
the chapter on Vata-Vyadhi
in
Measures
of deafneSB.
be mentioned
(catarrh)
Pratis'yaya-j-
Yashti-madhu and
of) sugar,
should then
It
Chikits.4
the
in
may
present
27-30.
instances.
Treatment of Puti-karna, KarnasraVa and Krlml-karna :The general mode

employed
of treatment to be
Puti-karna and Krimi-karna
is
here (me describe) the general
employed
in
them.
in
cases of Karna-srava,
same as above.
the
mode
of treatment to be
Errhines, fumigating,
cavity of the ear (as with
Now
filling
up the
an ear-drop), cleansing and
washing should be employed according to the exigencies
The
of each case.
affected ear should
be washed with
the decoction of the drugs of the Rdjaorikshddi or the
Surasddi group and

In a
drugs.
case
filled
with the powders of those
of Kama-Sra'va, the cavity of the
affected organ should be filled in with the
decoction) of the Pancha-Kashdya
honey and the expressed
* In
drugs mixed
juice of Kapittha,
t Chap.
XXIV,
t Chapter
JL'ragdadha,
with
,i.
Dallana.
Uttara-Tantra.
V and
According
fruit.
R".
31-32.
place of "Vilvambu-gadhatn" some read "Vimbi-gjldham"
mixed with an abundant quantity of powdered Vimbi
powders (D.
VI, Chikilsita-Sthrfna.
to
S'irhha,
some,
"Pancha-Kashaya"
Jambu,<Sarja and
of
means
Asvamdra
the
barks
(Palas'a),
of
but
Dallana, on the authority of the authors of the Tika and the Panjikd,
(the two commentaries) refutes this and holds that "Pancha-kashaya"
means
the barks of Tinduka, Abkayd, Lodhra,
enumerated below
in this chapter.
Samanga' and of 4'malafto
XX I.
Chap.
The
UTTARA-TANTRAM.
sisting
juice of the
Kdrpdsi
Kama-Sraiva.
of pulverised Ldkshd and
cases of
in
I j
powders of Sarfa-ba.ik mixed with
use of the
honey and expressed
mended
Rasanj&na) should be used in

affected organ in the said
recom-
fruit is
compound con-
Sarja-rasa (D. R.
up the cavity of the
filling
The
disease.
oil
duly cooked
with the tender sprouts of S'aivdla, Mahd-triksha, Jambu
and of Antra, as well as with Karkata-S' ringi honey

and Manduki is highly efficacious in these cases.
Powders of the barks of

Santavgd and of
Amalaka
expressed juice
the
used.
of
Tinduka, Abhayd, Rodhra,
mixed
Kafittha
with honey* and

should be similarly
33-36.
The expressed juice of Antra, Kapittha, Madhuka

flower, Dhava and of S'dla, or an oil duly cooked with
these is likswise recommended as ear-drops in these
cases.
The oil cooked with Priyangu, Yashti-madhu,
Ambdlikd, Dhdtaki,
and Ldkshd
S'ita-pami,
(as Kalka),
Manjislithd,
the sprouts of Kapittha as the liquid,

ear-drop,
sraVa.
arrests
the secretion
in
if
used
of
an
as
37-38.
rubbed and dissolved
honey proves highly

standing cases
charge.
oil,
juice
a case of Karna-
Treatment of Puti-karna
of
Lodhra,
and with the expressed
The
in the breast-milk
\Rasdnjana
and mixed with
efficacious even in chronic
of Puti-karna
and long-
attended with fetid
dis-
compound composed
Ntrgundt and honey mixed
use as ear-drops of the
the expressed juice of
together arrests an attack of Puti-karna.
39-40.
Treatment of Krlmi-karna:Vermifuges should be employed for the treatment of a

* S'rikantha
Datta in his commentary on Vtinda quotes
hut does not read 'honey' there.
He
reads
"nqr*
this
case
couplet
in place of '"fro"
ltd
Fumigation*
Krimi-karna.
of
the
Chap.
XX t.
parts
affected
with the fumes of (dried) Vdrtdku, or (the pouring of)
mustard
is
oil
the
(into
cavity of the
also beneficial in such cases.
(yellow
an ear-drop) as well as
as
and Haritdla
Vidatiga
orpiment) mixed with
organ)
affected
urine (and used
cow's
fumigating the affected
organ with the fumes of (burnt) Guggulu tends to destroy

the fetor in the ear due to local parasites.
tion of emetics,
Administra-
smoke-inhalation and gurgles
beneficial in such cases.
are
also
41-42.
Treatment of Karna-Kshveda, Vidradhi, etc.

is
Use of mustard
efficacious in cases of
as
an ear-drop
Kama-kshvedaf
An abscess
oil
(Vidradhi) in the ear should be treated as an ordinary

abscess. TheafFected ear should be sufficiently fomented
after being filled in with oil
so
as
to soften the filthy
the cavity of the ear, after which the filthy
deposit in
matter should be extracted with a probe or a

(galaka).
Treatment
of
Karna-kandu and
karna-pratina'ha: Fumigation
with the help of a
emetics,
of
cases
(errhines) should be
made
Dallana explains this
at *ell as the use of the
The
use of
oil
to
in cases of
Application of
head-purgatives
Karna-pratinalia,
mean fumigation
of the affected
-eases
recommended.
of
organ,
same in the manner of smoking.
is also
recqmrnended in cases of abscess in the
la cases of acute and painful Vataja Vidradhi scsamum

whereas in
pans
Kapha-subduing measures should be
Karna-kandu.
Sneha and of Sveda and then of
resorted to in
of the
tube (Nidi-BVeda), exhibitions of
smoke-inhalations, head-purging (errhines), as
well as all kinds of
director
43-45.
Kaphaja Vidradhi
Dallana.
the
use
oil
of
ear.
should be used,
mustard
oil
is
Chap.
XXL
UTTARA-TANTRAM.
\\j
and the treatment thereafter should conform to the

nature of the specific deranged Dosha of the body
involved fn the case.
Treatment
46-47.
Karna-pa'ka, etc. :
of
Remedies and remedial measures described

should
in a case of
tion of the
Any
ear).
connection
be
with equal
Karna-psfea (inflammatory suppura-
with Pittaja Visarpa*

profit
in
filth
used
or vermin,
etc.,
lodged in
the cavity of the car should be removed with the help of

a probe, or (by cutting
with a hom.
it)
remaining cases of affections

described before
in
the
XVIII, VI and XXIII).

ends
Thus,
Sus'ruta
liar to
the
twenty-first
in
Cures for the
the ear have been
Chikitsita-sth&na,
Chapters
48-50.
chapter of
the
Ultara-Tantra
in
the
Samhita which' deals with the treatment of the diseases pecu-
the car.
In
place of 'Pittaja-Visarpa',
'Kshataja-Visarpa'.
both VrinJa and Chakradatta read
CHAPTER
Now we
shall discourse
XXII.
with the causes and symptoms of diseases of the nose
(Na'sa'-gata-roga-ViJna'nlya). i.
Nomenclature and Classification :
Diseases which are specifically found to affect the organ
may
of smell
groups,
viz.,
be
into Thirty-one
classified
different
Apinasa, Puti-nasya, Nasa-paka.
Pitta,Puya-s'onita,
Sonita-
Kshavathu, Bhrams'athu, Dipta, Nasa-
naha, Pari-srava, Nasa-s'osha, the four kinds of Ars'as

(polypoids), the four kinds of swelling, the seven types
of tumours
will
and the
types
five
which
of Prati-s'yaya
be described hereafter with the specific treatment
Thus the
of each.
thirty-one in
all.
diseases of the nose are said
2.
Symptoms
sya
of
Chokedness
in their passages,
of smell
and
indications
which are
type)
Apinasa and Puti-na-
and
burning
sensation
in
the
attended with dryness and deposit of filthy slimy
nostrils
mucus
to be
taste for
thereby deadening the faculty
the time being;
of Apinasa,
identical with
of Pratis'yaya
are
obstructions
the
(catarrh).
It
the nostrils
in
symptoms
is
the specific
of the
due
to
same
the
concerted action of the deranged Vayu and Kapha.

The disease in which the fetid breath is emitted through
the mouth and the nostrils owing to the presence of the
deranged Vayu mixed up with the other Doshas ( Pitta,
Kapha and blood ) in the throat and about the root of
the palate
is
called Puti-nasya.
Symptoms
Pitta
3-4.
of Nasa'-pa'ka,
and Puya-rakta : A
mation and the presence
Rakta
purulent inflam-
of pimples (Arush) in
the
UTTARA-TANTRAM.
Chap. XXII.
j
nostrils
owing to the
JI9
vitiated condition of the local Pitta
attended with sliminess and foetid odor
The
prfka..
called
is
four kinds of Rakta-Pitta
N&4-
haemorrhages)
with the two different origins and two different courses
The
be dealt with again later on.*
will
pus
bloody or blood-streaked
disease in
which
discharged through
is
the nostrils either as the effect of a blow on the region

of the fore-head or through the highly heated
of the local blood, Pitta and

(
bloody pus
Kapha
is
called
condition
Fuya-rskta
5-7.
).
Symptoms Of KShavathll
which
in
: The disease
Vayu charged with Kapha repeatedly
the
gushes out of the nostrils accompained by loud reports

or sounds, owing to the fact of the
anywise
affected,
is
called
any pungent
sneezing.
smell, or
Symptoms
The
the sun causes
to
Bhramsathu
of
disease
which
in
and
thickened
accumulated
in the region of the
saline
disintegrated and dislodged from
heat of Pitta and
The
of fare, or of
articles
of looking
undigested
nose owing to
8 -9.
Dipta
nostrils
is
called
is
four kinds are
deranged
Kapha
previously
head
its
Is
seat
due
athu.
to vitiated
The two
The
are
(<$}
the spleen
two courses
are (0) the upper and the
matic.
which
lower
and the
(intestines).
orifice, or (i) the
The
mouth and
(2)
sneezing
U;re
or
through the
Vayu, Pitta and Kapha as well
origins
the Amas'aya (stomach) and the Pakvas'aya
The
dissolved
affection in
liver, or (&)
the nostrils.
and
the
expelled (sneezed off) through the
Bhram
as their concerted action.
into the nostrils, or to the
etc.,
any strong (Tikshna)
of
action
Kshavathu
being
(sneezing).f
gristle of the
trickling sensation in the
the insertion of a thread,
Marma
nasal
is
here said to be of two kinds (1) Doshaja and (2) trau-
the former
is
Doshaja, while the latter
is
of traumatic origin.
*20
the Vayu, in the shape of
comes out of the
warm
[Chap. XXII.
vapour-like breaths,
accompanied by an excessive
the locality is called Dipta. io-n
nostrils
burning sensation
in
Symptoms of Na'sa'-Pratina'ha,
condition under ,which the
of the head
of the region
by a
surcharge
of
The
disease
in
through the
nostrils,
deranged in
seems
to
the
stuff
constant, transparent,
is
water-like
more
passage
its
called Nisi-PratinaTia.
is
which there
discoloured
Udana Vayu
up-coarsing
is
Kapha,
passages of the nostrils, and
slightly
Na'sa'-
Na'sa'-Parisosha :The
parisraVa and
secretion
Nrfsrf-Parisrdva (fluent coryza).
Kapha)
(of
particularly at night,
is
called
of respira-
Difficulty
and exhaling) caused by the drying up

and consequent thickening of the Kapha (mucus) accu-
ting (inhaling
mulating
in the
passages of the nostrils, through the
Vayu and
Pitta, is
Paridosha (parchedness of the nostrils

Local Ars'as (polypoids) as well as
each)
due
are
to
the action
).
called Nrfstf-
12-14.
local
Sopha
of the three
(four
deranged
Doshas of the locality jointly and separately. The

Arvuda (nasal tumour) as mentioned
ent kinds of
differ-
in the
Salakya-Tantra, with the one of Sannipatika origin are

seven in
The
all.
mentioned here
five
will
types 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-Vijnana),
as well
as
those of Ars'as (hemorrhoid growths) in the
Nidana-sthana should be understood to apply to those

diseases affecting the locality of the nose as well. 15-18.
Thus ends
Sus'ruta
the
twenty-second chapter in the Uttara-Tantra
Samhiti which deals with the causes and symptoms
diseases of the nose.
of the
of
the
CHAPTER
Now we
XXIII.
shall discourse
with the therapeutics of nasal diseases
Roga-Pratishedha).
(Nasa-gata**
i.
Treatment of Apinasa and Putinasya
and
Apinasa)
application
The
The
Sveda
use,
water
Kushtha,
applications
affected
drinking should
for
indulged
the
be light and moderate
in
and
part,
the
at
quantity.
boiled
proper time.
before
Hingu,
Tri-
Ldkshd, Katpftala,
Vacfia,
Vidanga, and Karanja
should
S'ivdti*,
S'obhdnjana,
be
in
smoke (Dhuma-pana) should
and inhalation of
katu, Indra- Yava,
Puti-nasya,
to
(i.e.
and purgatives should be made.
of emetics
diet should
first-mentioned disease
those of
in
Sneha and of
of
be
In cases of the
be used daily with benefit in the manner of Avapida-
Nasya.
Mustard
should be duly cooked with the
oil
aforesaid drugs together with cow's urine and be used
an errhine (Nasya).
as
2-3.
Treatment of Nasa-paka,
etc. : In
cases of Na'sa'-pa'ka, all the Pitta-subduing measures both

for internal
and external use should be duly employed.
Barks of the Kshiri (milk-exuding) trees mixed with

clarified butter
should be duly employed as wash and
plaster after a
local
bleeding.
The medical treatment
of Sonita-pitta (Haemorrhaege) from the nose shall
hereafterf
described.
case
charge of bloody pus from the nose
* S'ivdti
may mean
either white
Chakrapani nor Vrinda reads

t See ch.
XLIV
it
Puya-Rakta
of
)
of the Utfara-Tantra.
be
dis-
should be treated
Punarnavd
in the text,
or Sdfkdliki.
Neither
122
of sinus (Nidi) *
as a case
for
all
[Chap. XXIII.
practical purposes,
and Avapida-nasya as well as inhalations of smoke
(Dhuma) of keen-potencied drugs and Nasya

of drugs of correcting
efrhines)
or
used after the satisfactory
should be
of
exhibition
4-5.
emetics.
Treatment
S'athll
Kshavatu and Bhram-
of
Powders
of head-purgaing drugs
form of snuff should be administered into

through a pipe
well as
inhalation of
Vayu
the deranged bodily
Sneha-Dhumaf
should be resorted
All
to.
in
cooling remedies and the drugs
all
of sweet taste should also be prescribed.
Treatment of
as
measures remedial to
measures should be employed
Pitta-subduing
a case of Dipta, and
6-7.
Na'sa'-na'ha, etc. :The
Sneha (Sneha-pana) forms the principal
internal use of
remedy
the nostrils
Kshavathu and Bhram-
other medicinal
similar
the
in
should be duly fomented with Vayu-
drugs and
subduing
of
cases
in
The head
rfathu.
the
(snuff or
purifying virtues
of Nffatt-ntfha, in which
in a case
fumigations
with lardacious drugs as well as head-purgings
The
likewise employed.
use of Bala-Taila or
Vayu-subduing remedy mentioned
in
may
be
any other
the chapter on
the treatment of Vata-vyadhi (Ch. V. Chikitsita Sthana)
may
dered
be similarly
used with beneficial
snuff should
be introduced
Pow-
results.
into
the nostrils
through a pipe or tube, and strong and keen Avapida-
Nasya should be used

fumes of (burnt)
applied to the
in
cases of Nisri-SraVa.
affected
See ch.
XIV
XVII
Goat's
part.
found beneficial in such cases.
t See ch.
Strong
Deva-ddru and Chitraka should be

8-9.
of the Chikitsita-StMna.
of the Chikitsita-Sthana,
flesh
is
also
UTTARA-TANTRAM.
Chap. XXIII.]
ti.3
Treatment of Na'sa'-ôsha :The -use of

clarified butter
of the
oil
churned out of milk, as well as that
as an
errhine
prepared in the manner of
Anu-taila are pre-eminently the best cures in

of Nastf-Sosha.
case
Potions of clarified butter, meals with
Jangala meat-soup, applications of Sneha and of Sveda,
and fumigating the
may
affected
part with lardacious drugs
be similarly prescribed with best advantage.
The
remaining nasal diseases should be duly treated according to the specific treatment of each case as described
before,
io-ii.
Thus ends
the twenty-third chapter of the Uttara-Tantra in the Sus'ruta
Samhitd which deals with the treatment of the diseases of the nose.
CHAPTER XXtV.
Now we
shall discourse
with the (symptoms and) medical treatment of catarrh
(Pratlsysfya-Pratishedha).
Causes
course,
Excessive
heating
indulgence in sexual
inter-
the head, entrance of the minute
of
of dust
particles
i.
or
smoke
into the
nostrils, excessive
application of cold or heat, voluntary retention of stool
may
and urine are the causas which
instantly
usher in
an attack of nasal catarrh (Pratis'yaya). The fundamental

principles
of Vayu,
Pitta
and
causes, bring
catarrh in course of time
and
jointly
becoming aggravated by
separately, as well as of blood
various aggravating
Kapha,
on an attack of nasal
2-3,
Premonitary Symptoms : Heaviness
of
the head, sneezing and aching in the limbs, appearance

of
goose-flesh
different
upon
the body, as well
kinds of supervening
as
many
precede an attack of nasal catarrh (Pratis'yaya).
Specific
throat, of the palate
and of the
in
voice,
the nostrils
of the
secretion, dryness
lips,
to
4.
Symptoms: Hoarseness of
a sense of stuffedness and obstruction
accompanied by a thin mucous
other
symptoms are seen
a -pricking, and pierc-
ing pain in the region of the temples, as well as excessive
sneezing and a bad taste in the

istics
mouth
are the character-
of Vrftaja type of catarrh (Pratis'yaya).
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

catarrh.
these
smoky
mark the Pittaja type
of
Constant running at the nose, the secretion being
white and cold, paleness (of the skin) and swelling (D. R.
Chp.
XXIV.]
UTTARA-TANTRAM.
25
whiteness) of the eyes, heaviness of the head, flabbiness
of the face*
and
tickling
and
regions of the head, throat,
and of the palate are
mark the Kaphaja
the features which

disease.
itching sensation in the
lips
type of the
5-7.
The spontaneous disappearance,

appearance of
Pratis'yaya
the characteristic
be
symptom
well
as
re-
is
of Tri-doshaja Pratis'yaya,
wherein the specific symptoms of

of Apinasa are present.
as
acute or chronic
it
(the three) kinds
all
8.
Symptoms of Raktaja
Pratisya'ya :
Discharge of blood (from the nose), redness of the eyes,

a bruised pain in the chest which seems as
a blow,
fetid smell in the
if
struck with
breath and the mouth, and loss
of the faculty of smelling
are the characteristic symp-
toms of the Raktaja type of Pratis'yaya which has

its origin in the deranged condition of the bloodIn
or blackish
lities {vie.,
hosts of extremely small
these cases
hue are found to
infest
the nostrils) which show
worms
symptoms
with those of the head-disease due to the

of parasites in that region.
of whitish
the affected
loca-
identical
germination
9.
Prognosis : The
malignant
disease (Dushta-Pratis'yaya)
nature
of
the
should be inferred from the
constant alternate sliminess and dryness, as well as constant alternate contraction
* In
i.e.
place of
"the
man
"*rH3*
ft*!??'?',
(patient) gets
flabbiness of the face
is
and expansion of the

'some
read
nostrils,
"jtf^faTT
heaviness of the head."
TC?
In this case the
not sepeialely mentioned.
t According to some
this is the
characteristic
symptom of another
kind of Pratis'yaya, and not one of the symptoms of the Raktaja type as
appears at the
first sight.
t Midhara Kar
f
'$TTT: WHIT:'
'
'
reads '^vx:
1%Wj'
'
>
glossy white in hue, in place
whitish and blackish in hue.
126
and
fetour in the breath
[Chap.
XXIV.
of the faculty of smell.
loss
Such a case of Pratis'yaya should be regarded as extremely

Neglected and not properly remedied at
hard to cure.
the outset of an attack,
may
any type of catarrh
bring on cases of malignant
time gives
rise
deafness,
train
in its
number
to
(Pratis'yaya)
Pinasa, which
blindness,
loss
of smell, violent
ocular affections, cough, dulness of appetite, and

(swelling),
in
of diseases and produces
Sopha
io-ii.
General Treatment of Pratisyaya :

Potions of clarified butter, various sorts of emetics, and
fomentations (Sveda)
(Pratisyaya), except
may be
in fresh
(Nasya) of Avapida type

time,
if
prescribed in nasal catarrh
and acute
may
also
cases.
Errhines
be employed in
Fomentation should be applied and
required.
diet 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-cane-f for the purpose of thick-
ening and maturing the secreted mucus, in cases where

that maturing process has not already spontaneously
set in.
should
The mucus found matured, thick and pendent

be made to secrete by applying head-purgatives
(S'iro-vireka).
Purgatives, Vasti of the
Asthapana kind,
smoke-inhalations and medicinal gurgles should also be

prescribed
according to the exigencies
of each case
under treatment and in consideration of the nature and

intensity of the deranged
Some
explain "A'rdraka" to
while others explain
it
mean
to
Dosha involved
mean
the
+ In place of " Tqtmi Mi tlr."

l
juice of sugar-cane, such

i.
t,,
the expressed juice of fresh ginger,
powder of dried ginger.
w * th
n y modi6cation of the expressed
as treacle, sugar, etc
with articles of pungent
taste.
therein. 12-14.
some read
"qrenj^ q tftl ;"
Chap.
XXIVO
UTTARA-TANTRAM.
27
Regimen of diet and conduct : In a

case of Pratisyaya the patient should
about
and windless rooms-
in closed
and thick turban on
his head.
He
move
and wear warm
sit,
lie,
should take VijayA
(Haritaki) and partake of meals consisting
cooked
or
He
without clarified butter.
of Paldnna*
should also be
subjected to a course of strong head-purging as well
Use of new wine and
of smoke-inhalations.
sexual intercourse, anxious cares, lamenta-
cold baths,
tions,
as
cold drink,
voluntary retention of stools and urine, as well as
partaking of fares which are excessively dry (and beget

dryness in the system), should be foregone
suffering from an attack of Pinasa.
by a person
15-16.
Fastings and employment of digestive (Pachana) and

appetising (Dipaniya) remedies should be
treatment
by such
the
medical
Pinasa (nasal catarrh) accompanied
in cases of
symptoms
distressing
vomiting,
as
aching,
heaviness in the limbs, feverishness, non-relish for food,
apathy, and
Atisara (diarrhoea).
case of an
In
person suffering from an attack of Pinasa
Vayu and Kapha,
concerted action of
be made to vomit by taking

liquid
The
substance.
adult
due to the
the patient should
a large quantity of
any
complications (Upadrava)
in-
in
volved therein should be remedied by appropriate diet

agents and after
and remedial
patient should be
their
subsidence,
17-18.
given before.
Treatment of VsCtaJa Type : in

ydtaja-Pratidyiya
officinal
* Palanna
is
clarified
salts
should
generally prepared
clarified butter as well
should not be used.
cases of
butter duly cooked
with
Vid&ri-gandk&di group or with the
the drugs of the

five
the
treated according to the instructions
be prescribed
by cooking together
as other spices, but
in
thii
case
for
rice,
internal
meat and
clarified
butter
8
.
[Chap.
XXIV.
useâccbrding to the rules of taking Sneha (see chapter
XXXI., Chikitshita-Sthana).
should also
etc.,
The
process
to,
necessary, as
of snuffing,
t
be resorted
case of Ardita (Facial paralysis).
if
in
19.
Treatment of Pittaja and Raktaja

types
In
Pittaja and
the
Pratis'yaya) the
should
patient
Raktaja types
be given
(of
draughts*
cooked with the drugs of the

Kdkolyddi group. Coldf washes and plasters should
of clarified butter duly
Sarjarasa (Resin), Pattanga (red-sandal),
also be used.
Priyangu, honey, sugar, Drdkshd, Madhulikd (Guduchi),

Goji,
and
S'ri-parni
cribed as
Yashti-madku
be
should
and purgings (errhines
gurgles,
pres-
should be
?)
induced with the help of the drugs of sweet potency

(such as Drdkshd, Aragbadha, honey,
duly cooked with
S'ydmd,
Tri'phald,
Tilvaka,
should
of)
etc.).
S'ti-patni,
times as
be preserved for a time and
errhine (Nasya) in either of these cases.
Oil
DAava-bavk,
Yaskti-madhu,
Rajani, and with milk weighing ten

oil,
sugar,
composed
paste
(a
much
20.
Treatment of Kaphaja Type : in

case
of the Kaphaja-Pratis'ya'ya, emulsive
(Sneha-karma) should be performed with
as
used as an
measures
clarified butter,
be made t vomit by using

prepared
(gruel)
with MdsAa-pulse and Tila,
Yava'gU
(sesamum-seed), after which the general Kapha-subduing
and the
patient should
measure should be employed.

the two kinds
*
Some
read
of Bald, the
'ftpS;' in
place
clarified batter for use in this case
Oil
two
of 'tfcif,'
duly cooked with

kinds of
Brihati,
This word means that the
should be duly cooked with the j%^(
(bitter) drugs, viz., the leaves of Patola, etc.
t Both the commentators of Vrinda and
Chakradatta explain the
term ^rtfif (cold) to mean 'prepared with the drugs of Cold potency
such as the drugs of the Nyagrodhidi and Utfalidi groups.'
UTTARA-TANTRAM.
Chap. XXIV.]
129
Tri-kantaka, S'vetd-wots,
Sahd (MudgaBhadrd (Gambhari) and Varshdbhu should be
employed as an errhine. Sarald, Kinihi, Ddru, Nikumbha
(Danti) and Ingudi should be pasted together and duly
Vidanga,
parni),
formed as Vartis.
for the purposes of
These Vartis should be duly used

smoking (Dhuma-pana) 21-22.
Treatment of Tri-doshaja Type :

Clarified butter duly prepared with
and
pungent
tastes, inhalation
the drugs of bitter
of the
smoke
of strong-
potencied drugs as well as the use of articles of pungent
and
taste
appropriate
other
in a case of
would prove curative

(nasal
all
catarrh)
medicinal
Tri-3oshaja Pratis'yaya
brought about by the aggravation of
the three Doshas.
An
physician should
intelligent
prescribe as an errhine the medicated
and
oil
duly cooked
Rasdnjam,
Musta and Bhadra-ddru. Gargles prepared
prepared
AtirvishA,
preparations
with
admixture
the
with the decoction of Musta,
of
Tejovati, Pdt/id,
Katphala,
Katuka, Vackd, Sarshapa (mustard), Pippali-mula, Pippali,

Satndkava, Agnika (Ajamoda), Tuttha, Kara?t/asee6s,
Salt and Bliadra-ddru should be prescribed.
cooked with the preceding drugs
is
Oil duly
recommended
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-darvadi)
should be duly cooked in milk mixed with water weighing half as
much
as
the
milk. *
The
liquid
in
this
case should be reduced to the original quantity of milk,
when
it
should be taken
down and allowed
to
cool.
be
prepared from this

milk and should be agair duly cooked with the drugs
Clarified
butter
should then
of the Sarvagandkd (Eladi) group, sugar, Anantd, Yaskti-
Some
say that milk and water in equal parts should be taken.
17
130
[Chap. XXIV.
tnadku and (red) Chandana and with a quantity of milk

ten times
own weight.
its
yield to the curative

if
All
types of nasal catarrh,
of this medicated Ghrita,
efficacy
used as an errhine (Nasya).
Oils medicated with the
drugs remedial to the specific deranged Dosha involved

in
each case under treatment
should also
All
pres-
the foregoing preparations should be surcharged
with the urine and bile of a cow and used

to the existence of local parasites
a palliative measure.*
in cases
and vermifuges
drugs of the Surasadi group) should be
due
(e.
g.,
administered as
27,
Thus ends the twenty-fourth chapter of

Sus'ruta
be
25-26.
cribed.
the
Uttara-Tantra in the
Samhita which deals with the (symptoms and) medical treatment
of Pratis'yaya.
* In
errhine.
places
He
of
"nm<J|i
also reads
be used
for
Chakradatta reads "^rr^Tt^r*
"^mgrfqW:"
and thus does not read the

reads "T^T^TTfT''
'
bile of
*'
a<i
an
''> pasted with the urine (of a cow),
a cow
(ftpf) in the text. V'rinda,
however,
n place of "nmmw" which means that vermifuges should
washing purposes.
CHAPTER XXV.
Now we
shall discourse
with the symptoms of diseases peculiar to the region

of the head
(iro-roga-Vi jiuCniya).
Classification
to the region
Diseases which
of the head number eleven
i.
are
peculiar
in all,
vis.,
the
four kinds respectively due to the action of the deranged
Vayu,
Pitta,
Kapha, and
their
those which are respectively
combination, as well as
incidental
any bodily
to
waste (Kshayaja), or to the vitiated condition of the

blood (Raktaja), or to the existence of parasites (Krimija),
the remaining four being
Ardhavabhedaka
vata,
known
Ananta-
as Suryavarta,
Samkhaka. 'The symp-
and
toms of these eleven kinds of head-diseases are given

below.
2.
Symptoms of Dosha-on'gined types

A of violent headache without any apparent cause
fit
and which becomes worse
by pressure
or
in the night
of fomentation round
Vitaja-Siroroga.
.
is
relieved
the head, should be ascribed to
the action of the deranged Vstyu, and
in the
and
by being bandaged or by an application
is
known
as the
burning and aching pain
violent
head, in which the scalp seems to
have been
strewn over with bits of live charcoal, accompanied by

a sense of scorching vapour being
nostrils,
and which ameliorates
in
emitted from the
the night
or on the
application of cold, should be ascribed to the action
the deranged Pitta, and
Siroroga.
fit
la
place
of
known
as
the
of
Pittaja-
of headache in which the head (palate)
and the throat* seem
adopted by Madhava.
is
to
"fjiffjRf
be covered with a coat of sticky

some lead
There seems
sth? word fjj^(head)
may
to
"fjfft jutfl".
This reading
is
be no difference in the meaning
include both the palate and the throat.
THE SUSHRTjTA SAMHITX.
t$2
mucus, and
and heavy, and cannot be turned
cold
feel
[Chap. XXV.
abont, and the face and the eyes look swollen or flabby,
the deranged
should be attributed to the action of
and
bodily Kapha,
the Kaphaja-Siiroroga.
called
is
marked by the concerted action of all the three

all the symptoms peculiar to
case
preceding Doshas exhibits

all
of them, and
is
known
as
the
Tri-doBhaja-Siro-
2-6.
roga.
Symptoms
of Raktaja, Kshayaja
Krlmija types of iro-roga :
and
case of headache due to
the vitiated
local blood manifests all
the
type,
This
is
known
as the
Raktaja-Siroroga.
case of headache incidental to the waste of the
Vasi
(
of the Pittaja
and the head becomes incapable of (bearing) the
least touch.
condition of the
symptoms
(fat)
Kapha*
or
is
marked by an
Abhi-tapa) in the head which
is
local
pain
intolerable
aggravated by the appli-
cation of fomentation, fumigation, errhine, emetic and
This
blood-letting.
The
roga.
known
is
and tingling pain
is felt
(by some poisonous
as
head
disease of the
inside the
insect),
the Kshayaja-Siro-
in
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
This disease
parasites.
known
as the
Krimija
Symptoms
roga
is felt
* Dallana
SuryaVarta
of
Majjan,
etc.
is
in
and
one
(Parasitic) Siro-roga.
is
7~g.
S"iro-
which a severe pain
eye and the eyebrow just at sunrise, and
here comments
fatty substances in the
reading
existence of local
a dangerous
The disease of the head
in the
Kapha and
is
There
is
body,
a variant
<Htm{afcwtftT<flrrt
Vrfyu.
that
e.g.,
which
('
term ''Vasjt" means
the
all
the
the brain substance, Medas, semen,
is
not recognised by Gayi.
ty
*e
waste) of
blood,
This, however, seems to be the better reading.
That
Vasi
Chap.
XXV.
UTTARA-TANTRAM.
I^j
which goes on growing worse with the progress of the
day and begins
when
to abate only
begins to set in the western sky,
that great luminary
is
SuryaVarta.
called
abates on the use of cold articles but some-
It (generally)
warm
times on that of
things as well.
It
ascribed
is
to the concerted action of the three Doshas.
Symptoms
rOgSL
The
pain
felt
is
Ananta-vstta S~iro-
of
disease of the head
the
at
10.
Manya and
in
the
which a violent
Ghata (the two
nerves on the backside of the neck) which ultimately

affects
the region of
the
eye, the
eyebrow and the
temples and specially produces a throbbing of the cheek,

as well as
paralysis
disease
known
is
of
Samkhaka: The
is
due to the
n.
concerted action of the three Doshas.
Symptoms
The
of the jaw-bone and the eye.
as Ananta-va'ta and
Ardhavabhedaka and
disease of the
head
in
which
a violent and excruciating pain of a piercing or aching

nature
felt
is
in
one half of
the
which
cranium
makes the patient feel giddy, and which either follows

no distinct periodicity or recurs at a regular interval
of ten days or of a fortnight,
is
bhedaka and
concerted action of the
is
three Doshas.
and more
due to the
violent
called
pain
especially in the temples
the
ArdhaVa-
caused in the head
by the
local
Vayu
in
combination with the deranged Kapha, Pitta and blood

is designated by the holy sages of Ayurveda as the
Samkhaka.
produces a very great pain, and
very
hard to cure even by the joint advice of thousands of
It
physicians and
Thus ends the
is
as fierce as death
itself.
is
12-13.
twenty-fifth chapter in the Uttara Tantfa of the Sus'ruto
Samhiti which deals with the symptoms of the diseases of the head.
CHAPER XXVI.
Now we
shall discourse
with the therapeutics of the diseases of the head (Si 1*0-
roga-Pratishedha).
i.
Treatment of Va'taja-Ssiroroga
:~Re-
medial measures described in connection with the treat-
ment of Vata-Vyadhi should be employed
Vayu-origincd types of the diseases of
entirety in the
the head, and
all
medicinal compounds of
oil
or clarified
butter should be followed by a potion of milk.
Kulattha, or
thing,
their
in
Mdsha
as well
as
pulse,
Mudga,
unmixed with any other

and heat-making
pungent
articles,
saturated with clarified butter and followed by potions

of tepid milk should be taken in
oil
or the paste of
sesamum may
the night.
Sesamum
be taken.
also
Milk
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
to the scalp.
plastered
In the alternative, the scalp
over with the boiled
Kris'ard (preparation of rice
with Saindhava
salt,
lukewarm
of fish
finely
of)
Nasya
powdered together
2-3.
state).
(snuffing) purposes subsequent to the
ment of the (above) fomentation.

diluted
be
Chandam,
Oil duly prepared with Kulira (crabs) should

for
may
or with
and sesamum) saturated
or with (the paste
Utpala, Kushtha and Pippali,

(all in
flesh
luke-
with the addition
of half as
be used
employ-
quantity of milk
much
of water
should be duly boiled with the paste of the drugs of the
Varunddi group and taken down from the

the wnter has evaporated.
Butter should be
fire when
skimmed out
UTTARA-TANTRAM.
Chap. XXVI.]
of
it
when
and
cool
135
therefrom
butter prepared
clarified
should be again duly cooked with the paste of the drugs

of the
Madhura
Nasya
(snuff)
group.
The
highly
is
use of this Ghrita
efficacious in
discussion.
the type under
cooked with the decoc-
tion of the preceding drugs (of the
Varunadi group) and
with milk should be taken with sugar.

(Chikitsa,
as
Snaihika
Dhuma
XL.) should be administered in time when
and Traivrita Ghrita and Bald Taila should

be prescribed as a draught and as an errhine, as
required,
purposes of anointing, sprinkling and
the
well as for
Vasti-Karma.
The food
disease should be taken
subduing
Sneha
and
drugs
(clarified butter).
type
of the
with milk cooked with
Vayu-
in
present
the
meat-soup saturated with
with
4.-5.
Treatment of Pittaja and Raktaja

SirO-fOga
fied butter
Cooling plasters
saturated with clari-
should be applied to the scalp and cooling
head-washes should be prescribed
Raktaja types of Siro-roga.
in
the
Pittaja
and
Milk, the expressed juice of
sugarcane, fermented rice-gruel (Dhanyamla), curd-cream

(Mastu),
honey and sugar mixed
be used for sprinkling

should
lotus),
be
prepared with
these
water
in
purposes.
Nala,
should
Plaster
for
Vetasa,
Kahldra
the
head
(red
Cftandana, Utpala, S'atnkha (conch-shell), S'aivdla,
Yashti-madhu, Musta
mixed with
and
clarified butter,
connection with
lotus
and the
taken together
and
plasters described in
the treatment of Pittaja and
Visarpa (Erysipelas) should also be
uê-d.
Raktaja
The drugs
Madhuta group should be used in a tepid state

the Sneha (oil or clarified butter) duly
cooked with the same drugs should be used as an errhine,
of the
as plasters and
and appropriate medicines should be used as purgatives

as well as in Asthapana and Sneha-Vasti measures.
I36
Vasd
skimmed
butter
Clarified
and
milk,
fresh
should be used as
the drugs of the Utpalddi
cooked with
errhines, and,
from
animals
of Jangala
(lard)*
Chap. XXVI.
group, should be used in the
manner of Asthapana-vasti.
Pood should be taken with meat-soup of Jangala ani-
manner
skimmed from
milk and duV cooked with the drugs of the Madhura
group and mixed with sugar should be used for emulsive
mals, and clarified butter should be used
of an Anuvasana Vasti.
and
purposes (Snehana),
which
are
may
Pitta
in the
Clarified butter
remedial
and
measures
all
deranged
the
to
be likewise employed with
remedies
and
blood
profit in
these
6-7.
cases.
Treatment of Kaphaja iro-roga:

In a
Kaphaja-Siroroga, the Kapha-subduing
of
case
measures, such as strong emetics, head-purgatives (Sirovireka)
and gargling should be resorted
parent upper part

to drink,
of clarified butter
trans-
Head-purgatives should then be
administered with the pith
with Mesha-s'ringi
in
The
should be given
-\
and fomentation should then be frequently
applied to the head.
made
to.
and
of
Madhuka wood,
Ingudi bark.
of Meslia-s'ringi and Ingudi barks should be
smoking.
Snuffs
of
or
Vartis (sticks)
powdered Katphala
used
should be
taken, and gargles with Kapha-subduing drugs should be

used.
Plasters
prepared with Sarald, Kushtfia, S'drn-
gashtd, Deva-ddru, and
Rofcsha pasted together with
mixed with Saindhava salt should

be applied lukewarm to the head. The diet should
the alkaline water and
consist of
cooked barley or Shashtika
In place of 'to'
( lar(1 )
some reaa
+ 1 According to a variant matured

in this case.
"
'TOT*
rice,
which should
which means meat-soup.
clarified
butter
should be used
Up. XXVI.
UTTARA-TANTRAM.
137
be judiciously taken with Yava-kshdra and powdered

Trirkattt
and with the soup of Mudga,
Kulattha pulae.
Patola
and
8.
Treatment of Tri-doahaja and Kshayaja S'lrorOga
The Measures which are severally
remedial to the three deranged Doshas pf the body
marked by
should be employed in a case of Siroroga

the concerted action of the
three Doshas (Tri-doafcaja")
and draughts of old and matured
clarified
butter are
be specially efficacious in such instances. Employment of nutritive (Vrimhana) measures and reme-
said
to
dies
is
recommended
in
cases of the diseases of the head
due to any waste or atrophy of the

admixture of the drugs of the
Madhura groups*
errhines.
Any
should
(Kshay-
V ayu-subduing
be given
and the
as drinks and
medicated Ghrita which acts as a remedy
cough would be found most
cases of consumptive
in
local fat, etc.
butter duly cooked with the
Clarified
aja Siroroga).
efficacious in the present
(Kshayaja) type.
9-10.
Treatment of Krimija Siroroga :

In a case of head-disease (head-ache
?)
due
to the germi-
nation of parasites (Krimi) in the head, the patient should
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, etc).
Head-purgatives composed of the
Hraswa
mixed with
pounded together
should then be used, if necessary, or any vermifuge drug
(Vidanga, etc.) pasted with the urine of a cow should be
pulverised
seeds of
Kdnsya (dead
According
brass)
to
and
Videha the
cooked with the decoction of the

oi
(small) S'igru
Nili (indigo)
clarified
butter in this
V ayu-subduing drugs and
case should be
with the Kalka
the Madhura -do^p
18
I38
[Chap. XXVI.
the manner of an
stuffed into the nostrils in
Avapida
Fumigations should be applied into the
Nasya.
with the fumes of burnt sordid
fishes
nostrils
and vermifuge
foods and drinks of various kind should be given.
1 1.
Treatment of Suryavarta and Ardha'vabhedaka Errhines etc. (plaster, gargle, etc.)

:
should be prescribed in cases of the Suryavarta type of
The
diet should principally consist of boiled
and milk
with clarified butter and the essence
Siroroga.
rice
or extract of the meat of Jangala animals.
These and
similar other suitable remedial agents should be employ-
ArdhaVabhedaka type
ed in cases of the
of Siroroga.
Sirisha* and Mulaka seeds or bamboo-roots camphor,

or Vacha and M&gadhi, or Yashti-madhu and honey,
Manah
or
honey,
with
pasted
sild,
Chandana should be
stuffed
into
manner of an Avapida Nasya
in
type of Siroroga as well as
varta
bhedaka headache.
patient should be
in
group, in
the
in
a case of Ardhavaof the
above, the
to snuff in the medicated clarified
butter cooked with the drugs of the

lyadi)
(pasted)
a case of the Surya-
After the use
made
or
the nostrils
Madhura
both the above cases.
-f-
(Kako-
Plasters
com-
posed of Sdrivd, Utpala, Kushtha and Yashti-madhu pasted with Kanjika(acid gruel) and surcharged with
clarified
butter
arc to be found efficacious
cases, if applied to the
affected region.
employed with equal success

type
may
This
in the cases of the
be
Kapha ja
of Siroroga. 12-14.
* Sripati Dalta, the commentator of Vrinda, prescribes the
S'ivadasa
and
oil
both the
in
Sen,
the commentator
of Chakrapani,
bark and
prescribes the seeds of
S'irisha.
Some take "jrg^Tf"
In place of the Kaphaja type some read the Kshayaja type.
it is
not accepted by Jejjata.
the Vdtaja type.
to
mean "jr^"
Others again read
"Aniltoake"
i.e.
Bui
in
UTTAUA-TAKTRAM.
xkVl.
dhap.
139
Treatment of Ananta-vaCta :Cases of

Ananta-vata Su'oroga should be treated like those of
Suryavarta. Moreover blood-letting should be effected
(by opening a local vein) and
as to subdue the
of
Vayu and
the diet should
Madhu-Mastaka, Sangydsa
kinds of confectionery
fied butter, etc.).
made
be such
the Pitta and should cossist

t.nd Ghrita-pura (different
of wheat, sugar, milk,
clari-
15.
Samkhaka
Treatment of
: Clarified
butter churned from milk should be given for a drink and
Samkhaka and
used as an errhine in a case of
the diet
should consist of (boiled rice mixed with) clarified butter
and the essence of the meat of jangala animals. Plasters

composed of S'atdvari, black sesamum, Yashti-madhu,
Durvd and Punaruavd pasted together, or of

Mahd-sugandhd (Utpla-asariva) or Pdlindi pasted with
Nilotpala,
Kdnjika should be applied to
the
affected
locality.
Cooling washes and plasters as well as different Avapida
Nasyas prescribed
in
cases of Suryavarta should
be prescribed for this disease (Samkhaka).
also
16.
Strong head-purgatives (crrhines) composed of
and honey should be

roga with the
Kshayaja types.
first
exception
Then
remedies would
of
the
in cases
Krimija
oil.
fail
to
oil
of Siro-
and the
the patient should be
snuff in drops of mustard
ing
administered
made
to
where the precedproduce any relief, the
In cases
patient should
be treated with Sneha and Sveda, and
bleeding should
then be effected by opening a local
vein.
17-18.
The Conclusion The

:
causes,
symptoms
and the therapeutics of the seventy-six kinds of ocular

affection,
of the twenty-eight kinds of the
disease
of
the ear, of the thirty-one kinds of nasal disease, of the

eleven
kinds of the disease of the head as well as
THE
t40
STJSHRTJTA SAMHITX.
[Chap.
XXVI.
of the sixty-seven (sixty-five) kinds of the affection of

the
mouth have been
described in
detail
in
other
treatises (eg. those of Videha, etc. dealing with this special
subject
the diseases of the over-clavicular region).
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-bixth chapter of the Uttara-Tantra in the Sus'iuta
Samhita which deals with the treatment of the diseases of the head.
Here ends the dalstkya Tantra (Surgery

Minor).
CHAPTER
Now we
with the
shall discourse
XXVII.
specific features (of the nine diseases
of infant
which are attributed to the influences) of the nine

malignant Grahas (Nava-Grah&'krJti-Vf Jnrflife,
nam).
r.
Different
Names
'.Attentively hear
of the diseases of infancy
me
des-
and medical treatment
Sus'ruta, the origin, cause
cribe,
which are due to the influences

demons as well as the
of malignant stars (Graba) or
symptoms by which each can be

diagonosed. The diseases number nine in
accurate-
Skandapasmara,
Sakuni,
characteristic
ly
are
Skanda-Graha,
called
Andha-Putana,
Revati, Putana,
mandika and Naigamesha or
all
Mukha-
Sita-Putana,
Pitri-Graha.
and
2-3.
General COUrse Of attack :These
malig-
nant stars (Graha) or demons affect the person of a

child in the cases
(in
the
where the directions
Sarira-sthana) in
laid
down
before
respect of the conduct of the
mother or the nurse during the time the child is broughtup on the breast arc not followed, and consequently
where proper benedictory

the child
is
where the
rites
allowed to remain
child
an uncleanly
rebuked, or begins to cry.
is
their
appearance for the purpose
and
omnipresent
when they
fore,
worship.
arc not
They
capable
fright-
They (demons) make

of getting
proper
being 'omnipotent and

of being seen
enter the person of a child.
discourse
state, or
becoming anyhow uneasy gets
ened,
respect
performed and
arc not
in
by man
should, there-
on the symptoms of their presence, as
derived from the authority of the sages of yore.
4.
TILE SUSIIKUTA
i42
SAM HIT A.
[Chap. XXVII-
Symptoms of attack by Skanda

graha and Skandapasmara-graha :
Swelling of the eyes and distorted features of the face
and an aversion to the breast-milk arc the indications of

an attack by the Skanda-graha. The body of the chiid
emits a bloody smell and one of the eyelids becomes
The
fixed or motionless.
his
fists
(as in
fit
become highly
eyes
and constipated.
rolling
and the
Alternate
ciousness, convulsive jerks
foaming
in dancing,
child looks frightened,
moans
of convulsion) and
(at
The
becomes hard
stool
and cons-
of fainting
fits
closes
little.
of legs and hands like those
the mouth), yawning and the
passing of stool and urine with the passage
of wind arc
the characteristic features of an attack by the Skaud^-
pasma'ra-graba.
5-6.
and Revati : Looseness
Sâkuni
of
limbs
which emit a peculiar bird-like* smell arc the indications

of an attack of the child
by
the
such a case starts up
child in
in
Jjakuni Graha.
terror
and
its
The
body
is
covered with a large number of secreting ulcers (Vrana),

or
of
eruptions
sensation
of vesicles
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 infiamation of the mouth, a bruised
pain
is felt all
rubs
its
mark
over the body and
nose and
ears
these
arc
the
child
the
a sure attack of Revati-Graba.
frequently
features which
7-8.
PutansC and Andha-putana' :Looseness of the
By
the
limbs,
word fa^f.
eating aquatic birds.
disturbed
(lit.
sleep
whether
a bird) in fa^rjlfa:
is
by day
here meant rueat-
Chap. XXVII.
UTTRA-TANTRAM.
or at nighc, loose stools, emission
I43
of a
crow-like
smell
from the body, vomiting, appearance of goose-flesh on

the skin and thirst are the specific symptoms of an
by the Putana'-Graha.
attack of the child

the breast-milk as
well
an attack
as
Dislike
of
for
dysentry,
(Atisara), cough, hic-cough, vomiting, fever, discolouring
of the complexion, and swelling in the skin as well
an inclination to
lie
as
always on the fa;c are the symp-
toms which arc exhibited
in
attack by
of an
case
9-10.
the Andha-Putana'-Graha.
ita-putanaand IYIukha mandika :

Constant and frightened startling up, excessive shivering,
comatose
sleep, constant diarrheic stools
and bloody smell
symptoms which characterise a case

an attack by S.ta-Putana'. The child in this case cries
of the limbs arc the

of
almost unceasingly, and a rumbling sound

intestines.
is
heard
in
the
Paleness (emaciation) of the body (trunk) and
a glossy line (swelling) of the face and
the
extremities
voracious appetite, appear-
attended with frightfulncss,
ance of net-like veins on the abdomen and the emission

of urine-like smell frbm the
body are the symptoms of an
attack of the child by Mukha-mandika' Grata,
NaigameSha-Graha : Frothy
u-12.
vomits, bend-
ing of the middle of the trunk, anxious appearance, loud

crying,
upward gaze of the
eyes,
(fever-D. R.), a fatty smell in the
ness are the
symptoms which mark
by the Naigatnesha.
constant emaciation
body and unconsciousa case of an attack
13.
Prognosis : A
stupificcl
state
of
the child
attended with anaversion to breast-milk and constant

of fainting
specific
as
well
as the
full
development of
symptoms show the imminent
of the disease.
Otherwise
medical treatment,
if it
it
may
fatal
all
fits
the
termination
prove amenable to
be not a case of long standing.
14.
THE SUSHRUTA SAWHITX.
144
Rules to be observed sThe
Chap.. X3CVII.
child
be kept in a clean and purified chamber and

should be rubbed
should
body
with old and matured
or anointed
Mustard seeds should be strewn
butter.
clarified
its
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 clnrified butter with the drugs of the SarvaSarvoustiadhi * groups and
gandftd and
garlands
flowers as well as sandal paste should,be cast into the
and kept continually burning by
reciting
incantations, "Obeisance to thee,
to thee,
goddess
Skanda, obeisance to thee,
lord of the
accept the offerings
have made to
child get rid of the disease
Makest
it
it
has been
hale and hearty again."
Thus ends
the
Grahas (which
supplicate thy favour.

I
obeisance
With head down
has cast this malignant influence).

with deep humility,
the following
fire-god,
obeisance to thee,
Krittika,
of
fire
thee.
Dost thou
May my
>ufFcring
from.
1 5.
twenty-seventh chapter of the Uttara-Tantra in
the
Sus'ruta-Samhit which deals with the specific jjjaturcs of an attack by the

nine (malignant) Grahas.
The
drugs of
the
Elidi 'group
are
Sarvaaushadhi drugs here mean Yava, Dha'nya,
known
as
Tila, etc.
Sarv.i-gandha.
CHAPTER
Now we
shall discourse

remedial
with the Therapeutics (and

attack by Skanda-Graha
tlshedha).
XXVIII.
measures) of an
(Skanda-Graha- Pra-
i.
Decoctions of the leaves of the trees (Vilvadi) possessed of Vayu-subduing virtue should be used
ling purposes
and
oil
duly
the decoction of their
for sprink-
cooked and prepared with
roots and with the
drugs of the
Sarvagandha, group and iwith Kaitaryya* and Surdtnanda as Kalka should be
used
in
body
anointing the
of the child laid up with an attack of Skanda-graha.

Draughts of clarified butter duly cooked with Deva-ddru,
Rdsnd, the drugs of the Madhura group and with milk,
should be internally administered.
Fumigation
should be fumigated
2-3.
Moreover the body of the
child
with the fumes of the mustard
of a snake, Vachd, Kdkddani,

and the hairs of a camel, a goat, a sheep
or of a cow mixed together and burnt. 4.
seeds, the cast-off skin
clarified butter
The twigs
of
Soma-balli (Guduchi), lndra-balli (As-
mantaka) and S'ami as well as the thorns of Vilva and

the roots of Mrigddani, should
be strung together
the shape of a garland) and tied (round
The
physician (or any other person
behalf) should bathe in the night and
Skanda
its
neck).
5.
acting
on
child
with various offerings,
viz.,
flags, red
his
worship the god
for three successive nights in the inner
of the house of the
(in
quadrangle
or at the crossing
of roads
garlands of red flowers, red
perfumes such as Kumkutna, edibles of various
* Kaitaryya, according to Dallana,
means Niniba or Guduchi.
19
THE SUSIIRUTA SAMHITA.
I46
5 dli
and newly harvested barley grains,
kinds
Chap. XXVIII.
rice.
cock should be sacrificed on the occasion (to appease
his wrath)
and
The water
bells should
should be consecrated by
and the
be rung
be used for bath
to
sacrificial
(for his propitiation).
course of worship),
(in
the Gayatri Mantra
reciting
should be duly
fire
with (three,
lit
seven or ten) libations (of clarified butter).
Mantras
guarded by
The
body of the
6.
should be
child
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
is
the receptacle of
(vital energy),
gods and of the Grahas and
is
enemies of the army of the gods

been
installed,
gods).
May
the
deity
lit.
he
all evils
the
(in
of the
destroyer
acknowledges
exalted motherhood of Ganga,
god who pierced with a
comfort.
single
Uma
and
May
the
shaft
through the heart of the mountain Krouncha and

is
the
all
the begotten son of the supreme
is
the Krittikas, give thee health and

beautiful
of the
which rank he has
god of the gods and who
severally the
Guha
army
wedded, with the suffrage of
who
of
May
be propitious to thee.
the commander-in-chief both of the
is
all sorts
austerities, fame, valour, or organic
almighty Guha protect thee from
who
Mantra
Skanda, the eternal and
effulgent with the red
rays of his
own
right
who
divine person
smeared with the paste of red sandalwood and decked

with the garland of
perils."
red
flowers, protect thee
from
all
7.
Thus ends the twenty-eighth chapter of the Uttara-Tantra

Sus'ruta Samhiti
in
which deals with the Therapeutics of Skanda-Graha.
the
CHAPTER XXIX.
Now we
shall discourse

Skandapasmara
with the Therapeutics of an attack by
(Skandapasmara- Pratishedha).
A decoction of Vilva S'irisha, Golomi (Durdlabhd),
i.
and the drugs of the Surasddi group should be employed

in
sprinkling the body of the possessed child in a case
of the present
Medicated
disease.
with the drugs of the

used in anointing;
its
duly
oil
cooked
Sarvagandhd group should be
body. Clarified butter duly cooked
with milk and the decoction of the barks of the Kshiri

trees together with the
drugs of the K&kolyddi group
Kalka* should be prescribed for internal use. 2A.

The body of the affected child should be rubbed
(UtBttdana) with the paste of Vachd and Hingu taken
The dungs of an owl and a vulture, human
together.
as
hairs, the nails of
an elephant,
hairs of a bull should be
clarified butter,
mixed
and the
and used
tog'ether
for
fumigating the child's body. Anantd, Vimbi, Markati,

and Kukkuti should be strung together and fastened
215.
(as a charm) to the body of the child.
The
votary officiating for him)
physician (or the
should worship the presiding deity

ditch (dug out for the purpose)
of the disease
in
with the offerings of both
cooked and uncooked meat, fresh blood
(of
a goat
milk, and edibles prepared with the Mds/ia pulse for the
ghosts,
the
*
and the possessed
crossing
of roads
child
by
should
physician
'
be bathed at
observing
Although Dallana prescribes the drugs of the Kikolyadi group
used as Kalka,
we
are inclined
to
take
decoction of those drugs should be used.
the sentence
to
mean
the
to
be
that the
14&
necessary
Mantra
fast,
"O
etc.
whom
may good
the recital
the world knows
Thus ends
the
Skandapasmara.
XXIX.
following
and beloved friend of

Skandapasmara, O thou ugly-faced
by the
epithet of Visakha,
befall this child in distress."
Sus'ruta Samhita
of the
Chap.
thou, the trusted
the god Skanda,
one
with
twenty-ninth chapter
of the
2.
Utlara-Tantra in the
which deals with the Therapeutics of an attack by
CHAPTER XXX.
Now we
shall discourse
with the medical treatment of an attack by Safcuni
(akuni-Pratishedha).
A
child
wise
physician
possessed
should
i.
sprinkle the body of the
by Sakuni with the
decoction (duly
Vetasa, Antra and Kapittha. Oils duly

cooked with the drugs of the sweet and astringent groups
prepared) of
be
used in anointing its body. Pradehaa

composed of Madhuka, Us'ira, Hrivera, Sdrivd,
Utpala, Padmaka, Rodhra, Priyangu, Manjishthd and
Gairika, should be applied.
2A.
Various kinds of medicinal powders and diet and
should
(plasters)
measures
remedial
in
general described
with the medical treatment
in connection
of Ulcers * as well as the
fumigations (Dhupana) mentioned
in
the chapter on the
treatment of Skanda-graha (vide
ch.
XXVIII.) should
be prescribed for the disease under discussion. Drugs

such as S'atdvari, Mrigddani,
Ervdru, Ndgadanti,
Nidigdhikd, Lakshmand, Sa/iadevd and
be fastened
(as a
the preceding manner).
The
offerings
Graha)
by a physician of self-control
Karanja bower and be propitiated with
worshipped
of huskless
sesamum, garlands of
Haritdla (yellow crpiment) and Manahs'ild
and the
(in
2B.
presiding deity of the disease (Sakuni
should be
inside
Vrihati should
charm) to the body of the child
be bathed duly inside the bower

down in the treatment of
The medicated Ghrita prescribed foi
child should
(according to the
Skanda Graha).
flowers,
(realgar)
rules laid
* See Chapter I, Chikit&hila Sthina.

i{|0
the
Skanda Graha may
of
treatment
vantageously given
[Chap.
in
the present instance.
XXX.
also be
ad-
2C.
Various sorts of worship should be made with the
The
Mantra to be recited on the occasion runs as folllows
"May the ever down-looking sharp-beaked goddess,
Sakuni, who (with her keen and far-seeing eyes) is
decked with all sorts of ornaments and who traverses
offerings of various species of auspicious
flowers.
sky
the ethereal
May
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 XXXI.
Now we
shall discourse
of the Therapeutics of an an attack by Revati
Pratishedha).
The duly prepared
Ajas'ringi,
treats
(Revati
i.
decoction of A/vagandkd, Sdrivd,
PunarnavA, the two kinds of Sahd
and
Viddii should be employed in
sprinkling (Sechana)
the body of the affected child (in a case of an attack
by Revati). Medicated oil duly cooked with Kushtha

and Sarjarasa (resin) * should be used in anointing
the child's body.

the decoction of
and
Medicated Ghrita duly cooked with
Dhava' As'va-k&rna, Kakubha, Dhdtaki
Tinduka and with the
group
(as
draught.
drugs of the
Kdkolyddi
Kalka) should be employed internally as a

2 A.
Kulattha, (burnt and) powdered S'amkha (conch-shell)
and the drugs of the Sarvagandha group should be used

as Pradehas (plasters), and the body of the child should
be fumigated {Dhupand) morning and evening with the
smokes of barley, Yava-phala (bamboo), and the dungs

Neckof vultures and owls mixed with clarified butter.
ornament should be made with (the wood or pith of)
Varuna, Arishta (Nimba), Ruchaka, Sinduka (Nirgundi),
and Putranjivaka and should be always worn on the
neck (as a charm) by the child. 2-3.
The
presiding deity of the disease
known
as
Revati
should be worshipped in a cow-shed by a self-controlling

physician with the offerings of white flowers, milk, parched
* There is an additional text in the Bhivaprakas'a which says that

Guggulu (Palamkashi), Nalada (Khus-khus) and Giri-kadamba should also
be used in the preparation of the medicated oil.
152
paddy and boiled

the child should
S'dli rice
be bathed
[Chap.
XXXI.
and the nurse as well as

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

as follows :"May the goddess, Revati, of dark complexion who is clad in parti-coloured garments and
garlands of flowers of various colours and painted with
anointments of various kinds and with oscillating earrings,
who
be pleassd with thee.
is tall,
May
the
goddess, Revati,
drooping and terrible-looking, and
mother of many sons be always propitious
who
is
to thee."
the
2.
Thus ends the thirty-first chapter of the Uttara-Tantra in the SuVruta

SamhitX which deals with the Therapeutics of an attidi by Revati.
CHAPTER XXXII.
Now we
shall discourse
treatment
of the medical
(Putana'- Prati shed ha),
treats
an attack by Putana
of
r.
decoction of the barks of Kapota-bankd, Araluka,.
Varuna, Pdribliadraka and A'sphotd should be used in
washing, and medicated oil duly cooked and prepared

Kalka and decoction of) Vac/ia, Vayasthd,
(Brahmi), Golomi, Haritdla, Manah-s'ild, Kushtha and
with (the
be
Sarja-rasa (resin) should
body
used
by Putana.
of a child possessed
anointing the
in
2-3.
duly cooked with the Tugd-kshiri,
Clarified butter
Khadira and Chandana, and the drugs

of the Madhura group would be found beneficial. 4.
Kushtha, Talis
Deva-ddru,
a,
Vachd,
Kushtha,
Hingu, Giri-kadamba,
Eld and Harenu should be used in fumigating the

Fumigation of Gandhandkuli,
body of the child.
Kumbhikd, marrow of Vadara-fruits, shells of crabs,
and mustard-seeds pounded together and mixed with
clarified butter
may
fhald, Vimbi and

(as a
v
also be used.
Kdkddani, ChitraGunjd should be worn on the body
charm) by the
child.
5-6.
Putana, the presiding deity of the disease, should
be worshipped
in
the interior of a lonely chamber with
oblations and with the offerings of boiled
with the admixture of
fish
prepared
rice
as well as those of Kris'ard,
and Palala (meat or puddings of sesamum) placed in a

saucer and covered with another, and th? child should
be bathed with the water
behind after worship.
left
The worshipping Mantra

the
slovenly
dressed
in
shag-haired
is
as
goddess,
dirty clothes, and
who
follows
PutanS,
7A.
"May
who
is
loves to haunt lonely
20
THE SUSHRUTA
154
dwellings, .preserve
frightful
who
goddess
loves
to
SAMIIITX.
the child.
who
is
haunt
May
as black as
lonely and
[Chap. XXXII.
the fierce-looking,
a
dark rain-cloud,
dilapidated
human
dwellings and whose body gives off filthy odours protect

the child from
Thus ends
Sus'ruta
PutanS.
the
all evils."
7.
thirty-second chapter
of the
Uttara-Tantra
in
the
Samhita which deals with the medical treatment (of an attack) by
CHAPTER
Now wc
shall discourse
XXXIII.

by) Andha-pu-
>vith
the medical treatment of (an attack
tana
(Andha-putana-Pratishedha).
The
of the
decoction
of
leaves
the
i.
trees
of the
Tiktaka gana (trees of bitter taste) should
be used
sprinkling (the body of the possessed
Surd
Souviraka
kind
(a
Sarjarasa
and
Manah-s'ild
due proportion
of acid
Kalka and decoction

of the
should
(resin)
Madhura
be used
cooked
with
of Pippali, Pippali-mula, the
group,
S'dlaparni and the two
in
and
the child)
oil (for
Ghrita should be duly
medicated
(wine),
Kusktha, Hantdla,
gruel),
medicating the
in
child).
in
the
drugs
kinds of
Vrikati with the addition of honey (as an after-throw). 2 A.
Plasters of the drugs of
the'
Sttyva-gandhd (Eladi)
group should be applied to the body of the
The
with
should be soothed
eyes
its
feces of the the
cast-off skin of a
(Buddhist)
body.
roots
of)
a charm.
and skin*, the
feather
its
and
child
applications.
snake and the ragged garment of a
monkf
child's
cock,
cold
should
The
be used for fumigating the

be
child should
Markati,
Kukknti,
made
to
S'imbi and
wear
(the
Anantd as
2B.
Offerings of meat, cooked or uncooked, and of blood
should be
made
Some
explain
Andhaputana)
(to
roads or inside a
at
the
crossing
of
house for the preservation of the
"%HP^"
(hair)
and
=q*r
(tkin) as
those
of
man and
not of a cock.
|
Bhavaprakas'a reads "^W^rifl'^liT 3T8:"
'
'
v cry old cloth. This
reading does not suggest that the cloth to be used should
by a Buddhist monk.
have been worn
tHE SUSURUTA SAMIIITX
t$6
child,
which (with
its
the decoction of the
group.
ful,
[Chap.
nurse) should also be
XXXltt
bathed with
holy drugs of the Sarva-gandha
The Mantra
runs as follows
"May the dread-
brown-coloured, bald-headed, goddess Andha-putana,
wearing a red-coloured garment be pleased

this child."
Thus ends
to
save
2.
the
thirty-third
Sus'ruta Samhita which deals
by Andha-pulana.
chapter
with
in
the
UttaraTantra of the
the medical treatment ol (an
attack)
CHAPTER XXXIV.
Now we
(an attack by) S'ita-putana
shedha).
The
(lta-putana'-Prati-
t.
Suvahd (Risna), Vimbi,

Nandi ( Vata) and Bhalldtaki should
sprinkling (the child's body). The urine of
decoction of Kafittha,
Vilva, Prachivala
be used
on the medical treatment of
shall discourse
in
(?),
a cow and of a she-goat, as well as Musta, Deva-ddru,

Kushtha and the drugs cf the Sarva-gandha (Eladi)
group should be used

oil
(for
the
in
duly preparing a medicated
purpose) and
medicated Ghrita should be
duly cooked with (three parts

Rohitri
of)
the decoction of
Sarjarasa (resin \ Khadim, Paldsd and barks of
Arjuna and (one part
of) milk.
2 A.
Dungs of an owl and a vulture, the cast-off skin

of a snake as well as Ajagandhd and Nimba leaves and
Yashthi-madhu should be used for fumigating purposes,
and Lambd (Tiktalavu), Gunjd and Kdkddani should be
be worn (as a charm) by the child.
2B.
The goddess îtaputana should be worshipped with

the offerings of the preparation of rice and Mudga
pulse (cooked together) as well as with
Vdmni wine and
blood, and the child should be bathed near a
river
or a
"May the goddess

tank. The Mantra is as follows
Sita-putana, who is fond of the preparation of rice and
Mudga pulse, who delights in drinking wine and blood
and who resides by the side of a river or a tank, preserve
:
thee."
2.
Thus ends
Sub'ruta
the
thirty-fourth
chapter
in
the
Uttara-Tantra of
the
Samhita which deals with the medical treatment of (an attack
by) S'itaputani.
CHAPTER XXXY.
Now we
shall discourse
with the medical
on the
treatment
:hapter which
of (an
attack by)
deals
Mukha-
mandika(Mukha-mandikaf-Pratishedha)
The decoction
of Kapittha, Vilva, Tarkdri (Jayanti),
Vants' a-lochana (D.R. Visa), Gandharva-hastakd (Eranda)

and Kuvcrdkshi (Patala) should be used in sprinkling
(the
body of the possessed
parts) should be duly
child).
Oil
fat
equal
(in
cooked' with the expressed juice
of the Bhringardja, Ajagandlid and
gandhd) and be used
and
Harigandhd (As'wa-
anointing the child's body.

Medicated Ghrita should be duly cooked with Madhulikd
in
(Murva), Tugd-ksliiri and the drugs of the
Madhura and
the minor Panchd-mula groups and with milk.
with
2.
A.
Sarjarasa and Kushtha
Fumigation
mixed with clarified butter would be found beneficial
and the child should be made to wear the tongue of a
Ch&sa
Vac/id,
bird, a Cldralli bird or a
Offerings of
snake (as a charm).
2. V>.
Varnaka (Kampillaka), Cliurnaka, gar-
lands of flowers, Rasdnjana, Pdrada (mercury), RTanahS't/d,
be
Pdyasa
made
(rice
boiled in milk) and
(to the deity)
puddings should
inside a cow-shed
and the
child
should also be bathed therein with water consecrated
The Mantra
with Mantra.
beautiful
runs as follows
"May
and blessed goddess, Mukhamandika, who
decked with
ornaments,
forms at
and who
will
who
resides
can
in
assume
the
is
different
cow-sheds, preserve
thee".
Thus
ends
Sus'ruta Samhita
the
thirty-fifth
Chapter of the Uttara-Tantra
in
the
which deals with the medical treatment of (an attack
by) Mukhamandiki.
CHAPTER XXXVI.
Now wc
shall discourse
attack by)
with the medical treatment of (an
(Naigamesha-Pratishedha).
sha
Naigamci.
Agnimantha and Putikd

should be used in sprinkling (the body of the possessed
child) and sprinkling with Surd, Sauvira and Dhdny-
The
of
decoction
dmla (Kanjika)
medicated
oil
Vilva,
also
is
advisable
such cases.
in
be duly cooked with Priyangu,
should
Sarald, Avantd, S'ata-pnslipd and Kutannata and

of the
cow's urine, the liquid
and Kdnjika
A
with
milk-curd (Dadhi-mastu)
Medicated Ghritas shoulJ
be duly pre-
Madhura group as Kalka,

oflhe Dasamula and with milk or
pared with the drugs of the

with the decoction
with the head of a date-palm tree
The
child should be
made
A,
2.
wear
to
Vac/td, Vayasthd,
Go/omi and Jatild as a charm and the utsa'dana measures
recommended
in
treatment
the
should be used in this case
also.
of
Skandapasmara
Siddhdrtliaka (white
mustard), Var/id, Hingii, Kushtha, parched
rice,
Bhalld-
Ajamodd should be used in fumigating the

body of the child. In cases of attacks by Navagraha the
dungs of a monkey, an owl and a vulture should also
be used by persons wishing the good of the child for
taka and
a fumigating purpose and that
when
all
persons arc asleep.
Offerings of husklcss
and
various
Naigamcsha
dishes
(the
dead of the night
V>.
scsamum, garlands of flowers
should
preserver
of a Vata tree on the sixth

child should be
at the
2.
be
made
of the
child)
to
the
deity
at the
foot
day of the fortnight and the
bathed there at the foot of the
tree.
THE SUSIIRUTA SAMIHtX.
l6o
The Mantra
runs as
follows
"May
[Chap.
XXXVI.
the far-famed
who has a
eyes and who
god, Naigamcsha, the preserver of children,

goat's face with
moving brow and
can assume different forms at
Thug ends
the
Sus'ruta Samhita
by) Naigaraesha.
thirty-sixth
rolling
will,
chapter
of
preserve the child."
the
Uttara-Tantra
in
2.
the
which deals with the medical treatment of (an attack
CHAPTER XXXVII.
Now wc
shall discourse
(Grahotpatti-
with the origin of the (nine) Grahas
Adhyaya).
The
i.
nine presiding deities
of the nine
ethereal
frames,
distinction
divine
life
arc
all
possessed of
and specific sexThey were created by the
effulgence
own.
of their
Skanda and others
vr'rj.,
of infant
diseases
gods Agni, Mahadcva and the goddesses Krittika and
Uma for guarding the person of the new-born Guha

though protecting himself with his own divine prowess
amidst the stems of
the females
who
arc
described before arc
Rajasa
the
Krittika.
as
Grahas
these
of various
possessed
considered
essence of
2
Of
S'ara grass.
shapes as
made
originally
the goddesses Ganga,
Uma
of
and
A.
The Naigamcsha Graha who
is
possessed of a sheep's
was created by the goddess l'arvati as the friend

and protector of the young god Guha and who was as
Skand&pasmara, the
dear to him as his own self.
presiding deity of the disease named after him, was
created by Agni, the fire-god (Vulcan).
]]c is as bright
as fire itself and is a constant companion of the god
Skanda and is also known by the name of Visakha.
face
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 of Kumara

dcva).
It is
child, viz.,
of
Maha-
impossible that the god springing from Rudra
and Agni, with

jn
(lit.
2B.
his exalted
parentage would find pleasure
such a dangerous disease even
out
of childish frolic21
162
somcness and
authorities
XXXVH.
been asserted by eminent
has also
it
[Chap.
on the physical science that some
gent persons have been misled
into holding,
mistake due to the identity of
unintelli-
through a
the names, that the
author of the disease under discussion (Skanda)

other than the invincible Skanda.
On
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- in
his
of their
subsis-
them
referred
turn,
to
His Holiness the god Siva for the answer, whereupon
they went to the
body and made the same
latter in a
query. Mahadcva, the Destroyer of Bhaga's eyes, replied
"Gods,
men and
animals, O, ye
other
men and
to the wants of
ter
different seasons
of
down the
turn, propitiate the gods
forming the
beasts, etc.,
minis-
by marshalling
year and by setting the air
the
in motion and sending
Grahas, exist
The gods
on the principle of reciprocal benefit*.
rain,
and men,
their
in
by duly and reverentially
sacrificial rites,
blended palms, by bowing
by saying
down
per-
their prayers with
and by
vows and other religious
and their emoluments in
in
reverence,
repetition of prayers, religious
observances.
All
services
consequence have been
filled
remains nothing for you to
up and
and there
Your proper means of
fill.
subsistence will, therefore, be
settled
in
the
life
of an
infant
(though the emoluments
you
stained with
many
the tears of
and night-worn parent).

*
Exchange or
distinct
shall
receive
shall
3 A.
reciprocity of services underlies
the
foundation
and cognitive existences, whether beasts, men or gods.
worlds are linked
to
one another hy bonds of service.
lh? law of the universe.
be
an anxious, watchful
Duty implies
obligation.
of all
The
Give-and-take
is
XXXVtt.
Chap.
UTTARA-TANTkA.
tC^
Children of the families in which the gods, the Pitris
(departed fathers), the Brahmans, the

tors
pious, the precep-
and the seniors and the guests arc not properly
worshipped and attended upon and wherein the
and
cleanliness
bers of which do not
make
daily
and
rulc.i
observed and the
virtues arc not
offerings
the
to
of
memgods
live
on food prepared by
others and cat from broken bowls
and plates of Indian
and give alms
bell-metal
to beggars
whom
would be the proper persons
you might
strike with impunity, and by your malign influence
them
lay
shall
be your duty
are visited
least
up with diseases peculiar

on their children.
compunction
of
heart
Attack
(It
life.
children
will
them without
means
and ample
subsistence will be thereby secured
parents of tho:-e
to infant
to sec that iniquities of the parents
to
you).
worship you
of
There the
in
their
you shall get plenty to live upon." 3B.

Thus the Grahas came into being and began to
calamities and
attack the children (of iniquitious

therefore that a child attacked
becomes very hard

disfigurement of
to
parents),
all
the
Grahas.
case
attack by any other Graha should

incurable.
Thus ends
Sus'tuta
it
is
Death or permanent
be cured.
any limb or organ
is
sure
from an attack of Skanda Graha, since he

dreadful of
and
by a malignant Graha
is
to ensue
the most
of full-developed
be likewise held as
3.
the thirty-seventh
chapter of the
Uttara Tanlra in the
Samhita which deals with the origin of the Grahas.
CHAPTER
Now we
shall discourse
XXXVIII.
with (the symptoms and) the therapeutics of the diseases

of the female* organ of generation
(Yoni -vya'pat
Pratlshedha).
Causes : The
well
i.
bodily (as
of a girl of tender years, weakly
build
and dry organic temperament,
aggravated
local)
constitution
of
abnormally
developed reproductive
on getting into her organ
of generation
(yoni) gives rise to different local vaginal diseases
become manifest through the presence
of the
In the chapter on the enumeration

diseases which
affect
2.
of diseases, the
organ of generation
the female
(yoni) have been classified into twenty different

injudicious conduct of life
females, menstrual disorders,
accidental
cause
these female
of
separately.
which
may
is
be
fairly
diseases.
Now
of the
set
kindsf.
usually found in
the diseased
(of the parents
nature of the seed
which
symptoms
of the aggravation of the three specific Doshas.
The
or
deranged and
is
consequence of her excessive indulgence
in
man
organ, and
the
as
Vayu
with a
or defective
hear-
or
girl),
clown
any
causes
as
them discussed
3.
Enumeration and Classification :

Udavarta (dysmenorrhea), Bandhya
(introversion of the
uterus),
retroflexion of the uterus)

*
The leim "yoni"
is
+ These three
Gtbana).
lines
and Vatala are the
ol generation,
correspond
Vipluta
five
here used in a very conip.ehensive
means the whole female organ

Cbaraka
(sterility),
Paripluta (retroversion
verbatim
Samhita (vide Charaka Samhita,
'.
t.,
or
kinds
sense and
Uterus, Vagina, etc.
with three lines in the

Chapter
XXX,
Chikitsita-
Chai>.
UTTARA-TANTRA.
XXXVIII.]
165
of Vtftaja vaginal diseases. Rudhirakshara (menorrhcea),
Vamini,
Puttraghni and Pittala are the

Atyananda (nymphomania), Karnini, the
Sramsini,
Fittaja ones.
two kinds of Charana and Slaishmiki find their origin

Kapha, and Shandi, Phalini, Mahati, Suchivaktra
and Sarvaja arc said to be due to the aggravation of
in
the three Doshas.
4.
Symptoms of the Vataja types
: An
Udavarta' yoni discharges painful and frothy menses

and a Bandhya' yoni is marked by the absence or
of the
suppression
catamenial flow.
always complained of
in
Faripluta' yoni an excessive
pain
local
local
yoni
Viplttta'
pain
and
in
is
experienced
is
A Va'tala' yoni is marked

by an aching and piercing pain in the organ which
seems rough and numbed. The peculiar pain due to the
at the time of sexual congress.
derangement of the Vayu

types of the
scries.
is
also
in
felt
the
first
four
5.
Symptoms
of the Pittaja types :
Discharge of the menses with a burning sensation

the passage
is
the
kshara' or Rudhira-kashra' yoni.
the semen charged with the menstrual blood,
with
Vayu
(sound)
is
called Va'miui
(prolapsus) of the organ (uterus)

difficult
or
in
symptom of LohitaThe yoni from which
characteristic
when
painful parturition arc the
the
is
ejected
coming out
disturbed
and a
symptoms
of a
Frasramsini yoni. The yoni in the case of repeated

abortions due to the excessive discharge of catamenial
blood
during
the
An
Puttraghni.
suppuration
in
symptoms
which
period
'of
extremely
the organ
mark
gestation
burning
is
called
sensation
and
attended with fever are the

a
Pittala'
yoni.
The
four
previous vaginal diseases are also marked by the specific
symptoms
of the aggravated Pitta.
6.
THE SUSHRUTA
1(36
Symptoms
An
SAMlIITA.
[Chap.
Kaphaja types :
of the
Atyanandst yoni knows no satisfaction
of sexual
XXXVIII.
matters
in
Hemorrhoid growths or
pleasures.
polypii
due lo the aggravation of Kapha and vitiated blood

appear on the
Karnini yoni.
ovum
of
act,
and
semen
secreted before
is
other
in the
completion of
the
sexual
an Aticharana' yoni the
in
/. ?.,
not retained in consequence of over-indulgence.
is
Sleshmala' yoni
local
membrane of the organ in a

Acharaua' yoni a greater quantity
living
In an
itching
series of vaginal
Kapha
(lit.
yoni of a
and
canal) which
the
is felt
her girlhood,
when
of tender years,
ravished
An
the
by a
non-
of her
vagina (vaginal
the
time of coition
at the
mally developed genital

of a Phalini yoni.
Tri-doshaja
non-development
roughness of
A woman
Shandhi.
7.
woman marked by
appearance of the menses,

breasts
deranged and
the
of
the
of
vagina) arc also
diseased
actions
kinds of this
four
first
in the locality.
Symptoms
types The
and slimy and has a
cold
The
disease
by the
characterised
aggravated
very
is
sensation.
called
is
who has just

man with an
abnor-
organ, offers the illustration
extremely dilated
vagina
Mahayoni, while an extremely constricted one
called
called a
SucMvaktra*
vulva).
The yoni marked with
aggravation of
all
passed
(lit.
is
is
a vagina with a needle-eyed

the
symptoms
the three Doshas
is
said
of the
to
be a
Sarvaja yoni. The four preceding kinds of vaginal

malformations or diseascs^rc also due to the concerted action of the three deranged Doshas
and these
last (five)
are incurable.
of the
the
locality
8.
MedtCal Treatment : The

ment
in
kinds of Tridoshaja vaginal diseases
curable types
of vaginal
medical treatdiseases
should
UTTARA-TANTRA.
Chap. XXXVIII.]
67
begin with the administration of a Sneha according to

the Dosha
involved
each case and applications of
in
enemas
properly charged vaginal
be particularly resorted
In
to.
sensibility
during sexual action
manner
it
cases
where the yoni
numbed and be marked

its
mucous membrane
(vagina) would feel cold, rough,
by diminished
(Uttara-vasti) should
of
be
should
of Kumbhi-sveda, with
fomented, in the
the flesh of aquatic and
and drugs of the Madhura group

mixed with Ves'avara (all described before) should be
A'nupa animals
applied
(in
the form of poultice) to the part, and
should
cotton
of oil-soaked
Proper vaginal
the yoni (vagina).
as well as the measures of Purana
lotions
medical
c.
in
and washes
injection
Vayu-subduing drugs) should also
(prepared with the

be employed
plugs
be constantly retained
cooling
measures should be adopted
in
the cases marked by dryness and sucking pain (Osha and
Chosa)
filled
in
The vagina
the affected locality.
up with the powders of the
and slimy mucous
secretion,
officinal
kinds
marked by
fetour
five
of drug (Pancha-kashdyd) in a case,
and the decoction of the
drugs of Rajavriksh&di group should be used
Pindas
ing.
of disinfectant (Sodhona,
(balls')
should be
wash-
in
purify-
lit.
and saturated with
ing)
drugs pasted with cow's
salt,
should be inserted into the vagina marked by the
discharge of pus.
A yoni
sensibility
(vagina)
urine
T2.
marked by an
should be
itch
and impaired
with the vapour of
fumigated
Vrihati and the two kinds of Haridrd j)takcn
together,
which should be as well inserted and retained

vagina
(in
the shape of a plug
in
the
plug or stick com-
posed of a paste of disinfectant (or Sodhana) drugs should

be inserted into and
prolapsing
retained in a
Karnini yoni
and a
(Prasramsini) yoni should be fomented with
168
hot milk and rubbed with

then be restored to
its
clarified
butter.
Diet. Suti,
14.
Asava, Arishta, (wines of medicinal
be prescribed according
to
the expressed juice
morning and her

meat-soup,
We
etc.
have
described
and the
respectively pursued
in
the semen,
child
remedial
complaints,
and
all
those
equal benefit in these diseases
may
of
Thus ends
the
thirty-eighth
of
the
of
pregnancy
peculiar to the
etc.)
female
may
which
arise
in
the
treatment of those
16,
chapter of
Sus'tuta Samhita which deals with the
of
be
be employed with
from immature delivery should be treated
diseases in the Uttara Tantra.
to
presentation
Other diseases (such as fever
in the respective
the
for diseases
sex.
manner described
of
agents
affections
of false
cases
during the period
diseases
and motherhood,
nature
the
and prescribed
menstrual
impotency,
and
mainly of milk,
consist
15.
already
medical treatment
mammae,
made
be
of garlic {Las/tuna) every
should
diet
Dosha
the
involved in each case and the patient should

to take
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
CHAPTER XXXIX.
Now we
discourse on
shall
the (symptoms
dha). i.
The Divine Dhanvantari, who
of ambrosia on his head,
(when
gods and the demons) and
on Indra and
in
his
it
who
conferred immortality
brother celestials, was
his
thus interro-
"You have
gated by his disciples, Sus'ruta and others

instructed
subject
O, you, the foremost of physicians, the
us,
on
incarna-
first
Ocean with a pitcher

was churned by the
of the primordial
tion arose out
and)
(Jwara-PratlShe-
treatment of Fever
medical
all
concomitant distressing symptoms
the
Now
(Upadrava) of Ulcer iVrana).
let us
have a general
and detailed description of the concomitant distressing symptoms, physiological and pathological condioutline
tions e.g. fever, dysentery, cough, etc.
An
patient.
greatest
may
Upadrava)
symptom
and
difficulty
appearing
in
take time to
Dflshas and
be
such
an emaciated
showing
many
ulcer attended with
cured
concomitant
and weak
Hence illumine
an
ulcer-
concomitant
only
be subdued because of the

Dhatus.
in
with the
symptoms
ulcer-patient,
loss
us fully,
of his
sir,
on those diseases affecting the whole body (and not

localised in any particular limb or organ) observed by
the holy sages of yore, and instruct us the nature and
application of the therapeutic agents to be employed
in their cure".
2.
Description Of Jwara :To

as follows
"First
origin of fever for
shall discourse
it is
the king of
the query of
Dhanvantari replied
the disciples, the divine physician,
all
on the nature and

bodily distempers
2?
THE SUSHKUTA SAMHITX.
IfO
[Chip.
XXXIX
much .as it affects the whole orgainsm at a time.

was begotten by the fire of wrath of Rudra, and afflicted the whole animal world or organic kingdom. The
different names by which it is designated amongst the
in as
It
known.
different kinds of animals are well

is
creature can
come
and hence
life,
but a god or
into being
it is
man
Its
presence
condition under which a
perhaps an indispensable
or
can depart from this
called the lord of ailments
can bear the heat of
and none
Men may
fever.
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
in
man
it
enables
that
in
at
this divine or
is
him
to
bear this
abnormal heat of fever whereas the lower animals are

simply
lost
under
its
influence.
3.
Definition and Classification of

FcVCr The disease which is marked by the arrest
:
by increased heat
of the flow of perspiration,

skin),
by pain
numbness
all
(of the
over the body and by a sense of
in the limbs,
is
called
Jwara
(fever).
Cases
of fever of which the causes are numerous, are divided

into
eight types
as they
according
are
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 and in the hours of their

specific
dominance^ they bring on an attack of fever by
* There can be three cases of fever due to the derangement of the three
Doshas separately, three cases from the derangement of two of them
at a
time and one case only from the concerted action of the three Doshas
These are the seven cases while that due
t Kapha
{))*
evening.
is
to an extraneous cause is the eighth.
aggravated in the morning,
Pitta, at
noon and Vayu, in
Fever follows a distinct periodicity determined by
the
XXXIX.
Chap.
UTTARA-TANTRA.
171
The deranged
spreading through the whole organism.
bodily Doshas augmented or enraged by their specific
aggravating causes, enter into the Amas'aya and soon
lodgment
find
their
the Rasa
in
inherent heat
deranged and
(lymph-chyle) by virtue of
Ushman
mixed with
The
).
Rasa
Doshas
obstruct
thus
Rasa-
the
carrying and sweat-carrying ducts, impair the digestive
and cxpelthe inherent heat (Ushman) out of
fire
and spreading
seat in the Pakvas'aya,
all
its
over the body
during the period of their specific dominance, bring on

fever
and causes
on the
and exhibit, their
its rise
skin, etc. (of the patient).
Pathology
The
of Sneha,
application
sence of
any
other
puration (of an
and
improper
excessive
of blow, the pre-
in
the organism,
or
ulcer
affection
boil
colour
7.
any kind
etc.,
existing
specific
in
sup-
the body),
any process of physical waste, indigestion,

introduction of any extraneous poison or poisonous
matter into the system, infringement of any habitual
over-fatigue,
rule of diet
and conduct, the sudden change or contrariesmelling of any kind of poisonous
ty of seasons, the
herb or flower,
grief,
the malignant influence-? of inaus
dynamics
picious stars or planets (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
dusk
night, one
one due
due
to the
the deranged
to
Kapha comes on
Pitta
comes on
morning or
in the
at
noon or mid-
deranged Vftyu comes on in the afternoon or during
the small hours of the night.
In a case of Dvi-doshaja fever (due
combined action of the two deranged bodily Doshas) the heat

vated during the specific hours of domination of
continues through those
peculiar
to
the.
stronger
each of them.
ig
t<j
Dosha and
All night
attacks
should be regarded as connected with the action of the deranged Pitta.
a Tri-doshaja case,
strongest
weakest.
one and
Vayu
S'arat (autumn)
is
the
is
heat comes on
the
aggra-
In
with the specific hour of the
abated on the approach of the time peculiar to the
aggravated
in the
Varsha (rainy) season,
and Kapha, in the Vasanta
(spring).
Pitta, in the
?HE SUSHRtfTA SAMHITX.
t/2
of deadly
incantations or charms,
manas and
effects
superiors),
of miscarriage
cious conduct of
breast (after
of the
untimely parturition, injudi-
the
fundamental
is
after
the causes which
lead to
derangement and aggravation

principles,
vital
body being the existing

stomachic heat
woman
accumulation of the milk in the
first
fever,
Brah-
any fancied dread or anxiety,

or
delivery) are
an attack of
XXXIX.
curses (from
on the part of a
life
and the
delivery,
[Chp.
origins
(Doshas)
the
of
of the disease.
The
propelled by the extremely deranged
and aggravated Doshas
of the
through the wrong channels
in
body,
and, coursing
the orgainsm, tends to
escape through the surface (the skin of the body) and, by

incarcerating
a
rise
Rasa Dhatu generally causes
the vitiated
the bodily temperature and puts a stop to
in
perspiration.
9.
Premonitory Symptoms : A
fatigue
or
physical
languor, aversion to
work, paleness of complexion, bad taste

tearfulness
of the
for
cold
of
heat,
the
limbs,
horripilation,
alternate
eyes,
and
air,
a sense of
disrelish
for
all
in the
and
liking
constant
heaviness
sense
yawning,
of
food, darkness
of
sorts of
mouth,
dislike
aching
the
body,
of
vision,
and a feeling of creeping cold in the

body are the general premonitory symptoms which
depression
usher in an attack of fever
Constant yawning, burning
of the
to
eyes and aversion
food are the special pre-
monitory symptoms of the derangement of Vdyu,

Pitta and Kapha
respectively.
The derangement of
the three Doshas is marked by the presence of all
the symptoms, while, in the derangement of any two
all
of these, the
appear.
special
symptoms
of those
two Doshas
10.
Symptom* of Vrftaja
fever : Shivering;
UTTARA-TANTRA.
XXXIX.]
Chap.
irregular
173
of fever, dryness of the throat, lips and
fits
of the mouth, loss of sleep, stoppage
of sneezing, par-
chedness of the skin, pain in the head, chest and limbs,
mouth, suppression (D. R. hardness)

of stool and aching pain (in the abdomen) arc the
distaste
in
the
case of fever due to the action of
of a
characteristics
the deranged
Vayu
of the body.
Symptoms-
11.
Pittaja fever : High
of
fever (hyperpyrexia), diarrhoea, scanty

sleep, vomiting,
and
nostrils,
fainting
fits,
perspiration,
delirious
burning sensation
consciousness, pungent taste in

of the stool,
fever.
urine and
of
mouth
lips,
swoon
talks,
or
in
the body, loss of
the
mouth, yellowness
the
and
eyes
symptoms which mark
the
are
but disturbed
inflamation in the throat,
the
vertigo
Pittaja type of
1 2.
Symptoms
Kaphaja fever :
of the
Heaviness of the limbs, shivering, nausea, appearance

of goose-flesh, excessive sleep, obstruction of the internal
of
passages
the
body,
slight
water-brash, sweet taste in

the body, vomiting,
pain
the
(in
lassitude,
mal-assimilation
pakata), whiteness (glossinss) of the eyes arc

tions
which
disease.
point
Kaphaja
the
(Aviindica-
of the
origin
13.
Symptoms
fever
the
to
limbs),
the mouth, slight heat in
Insomnia,
of
the
vertigo,
Tri -doshaja
laboured
or
difficult
breathing, drowsiness (somnolence), a sense of innertness

in the limbs, aversion
to food, thirst, swoon,
delirium,
numbness, burning sensation and shivering of the body,

pain about the region of the heart, delayed assimilation
of the deranged bodily Doshas, (temporary) insanity,
blackish yellow coat
on
the
teeth,
blackness
roughness of the tongue, pain in the head,
in' the
and
'joints
THE SUSHRUTA SAMHItA.
r?4
and
[Chap-
XXXIX.
the bone, dilation of the pupil and cloudiness
in
of the
pain and ringing in the ears, delirious
eyes,
inflamation
talks,
of the
membranes
living
channels (of the nose and of the mouth),
sound
coma
the mouth,
in
(loss
of the
indistinct
of consciousness)
and
well as perspiration, scanty emission of urine
as
faecal
matter at long intervals, are the symptoms which are

exhibited in a case of fever due to the concerted action
of
the three deranged Doshas of the body
all
shaja or Sannipataja)
rise of the
me
hear from
the peculiar forms of this type of fever the

:
fri-do-
14.
AbhlnyeCsa fever :Now

whereof are as follows
about
symptoms
Where a slight or impcrceptibje

or a slightly subnormal tempera-
bodily heat,
ture attended with a subcomatose state, erroneous vision,
of
loss
voice,
cracked
or
injured
tongue, dryness of the throat,

perspiration
thorax
urine,
aversion
*,
difficult
and
tearful
food,
to
patient always confined to
name
of Abhiayisa, while
Hataujasa
An
fever.
attack
dulness
complexion,
of
specific
other conin a
indications
his bed,
it is
others
call
known by
the
a case
of
it
15.
of Sannipataja fever can be cured only
with the greatest
almost
of stool,
hardness of the
eyes,
breathing and delirious talks and
comitant symptoms are the
of the
condition
suppression
difficulty,
incurable.
ded with somnolence
while others hold
called
is
it
to
be
of Sannipataja fever atten-
case
Abhiuya's-t,
is
it
called
Hataujasa when the vitality of the patient is greatly

diminished and it is called Sanny&a when there is
an innerrness of the limbs.
* "OTjfWlInir."
VT^T."
loan to
Tne
f^f
>s
term ftw^j
16
different
is
reading in
more appropriately
both grammatically and in sense.
place
of
<
qrgt fnj-
applicable
to
tpqif
UTTARA-TANTRA.
Chap. XXXIX.]
When
175
a case of Sannipataja fever), the Ojo-dhatu
(in
(one of the fundamental
organism
of the
principles)
being disturbed or agitated by the deranged and aggravated
and Vayu,
shivering
and
numbness of limbs and makes the patient drop
into
Pitta
of
fits
gives
whether
unconsciousness
asleep
and when there are somnolence

the
body)this kind
of fever
fever (due to an obstruction or

tion of the Ojo-dhatu)
The
awake,
or
delirious talks,
by the
called
is
an overwhelmed condi-
experts.
day
seventh, the tenth or on the twelfth
17.
when
on the
the case
takes either a favourable turn or ends in death.
18.
Dwandvaja fever :
which involves, and
of fever
case
of
(in
Ojo-nirodhaja
disease, (in such cases) finds aggravation
Symptoms
hor-
limbs and slight pain
looseness, of the
ripilation,
to
rise
is
due
to
the
combined action of any two deranged Doshas of the

body, is called Dwandvaja fever and such cases are
classified into three different
types
(e.
g. Vata-pitta-fever,
Yawning,
Vata-s'leshma-fever and Pitta-s'leshma-fever).

distension of the
pain
ing
in
abdomen,
loss of consciousness,
shiver-
the joints, emaciation of the body,
thirst,
delirium and heat or increased temperature of the skin,
are the characteristic
symptoms of Vita-pitta fever (due

and Vayu).
to the action of the deranged Pitta
pain (Sula), cough, the

coryza,
to
The
that in
that in
day.
and a
fever in
which
feeling of
general numbness,
are
the
which Vayu predominates gets aggravated on the 7th,

predominates becomes aggravated on the loth and
Pitta
which Kapha predominates comas

According
to
some
Dalhna,
to
be
authority, however,
Sannyasa types of fever are pacified

respectively.
of the limbs, aversion
sense of heaviness
cold,
food,
Aching-
vomiting of Kapha, shivering,
aggravated
on the
I2th
Abhinyasa, Hataujasa, and
on the 7th,
10th
and
12th.
day
l?6-
symptoms of a
case of Vita-dleshma-fever (due
to the
Vayu and Kapha).
and heat, aversion
of cold
ration,
XXXIX,
deranged
of the
action
[Quip.
epileptic
cough,
vertigo,
and nausea are the symptoms which charac-
lassitude
Pitta-rfleshma-fever (due
terise a case of
Kapha)*
of the deranged Pitta and
Even a small
in a
numbness, perspi-
to food,
unconsciousness,
fits,
Sensation
21.
Doshas
residue of the deranged bodily
cured
patient just
of an
attack of fever but
from weakness and
sufferring
19
to the action
regimen of diet and
rule of conduct, is apt to
by
ed and aggravated
still
indulging in injudicious
the deranged
Vayu
be augment-
of the body,
and thus begets five different types of fever lodged in

any of the five specific locations of Kapha -f\ These five
types arc
known
Anyedyushka, Tritiyaka,
as the Satata,
Chaturthaka and the Fralepaka
\.
The
(residue
of the)
deranged Dosha of the body, shifting from one location
Kapha
of
to the next in the
* Dallana in his
course
commentary has quoted
wordings the symptoms of these kinds of

lines
tion,
in eight
lines
Dwandvaja
have been adopted by Madhava in his Nidana
transtated would be thus
day
of the entire
with different
fever
The
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
yawting
the
are
all
( f^fijfl )
symptoms
over
of the limbs, pain in

sensation of heat,
of Vstta-pitta-fever.
catarrh, cough,
the head,
Sensation of moisture
scanty perspiration, slight
and pulsation not too quick
symptoms of V^ta-s'leshma-fever.
mouth, somnolence,
alternate
'
the body, pain in the joints, excessive sleep, heaviness
unconsciousness,
bitter
nor too slow,

taste,
are
the
coating on
the
cough, disrelish for food,
thirst,
and varying sensation of heat and cold are the symptoms of
rileuhma-pitta-faver
+ The
and the
five
locations of
Kapha
are the Amas'aya,
chest, throat,
head
joints.
t There
is
another kind of
31 of this Chapter) and

residue of the deranged
Vishama Jwara named Santata
Dallana remarks that
Dosha
is
lodged in
all
it
is
begotten
(cf.
S'loka
whin
the five seats of Kapha.
the
Chap.
UTTARA-TANTRA.
XXXIXO
and night, ultimately
177
lodgment
finds
Amas'aya
the
in
(stomach) and thus brings
on the virulent attack of

Of these the type known as the Pralfr-
(those) fevers.
paka appears
its
attak
is
in cases of
a mild one,
way
the
difficulties in
Sosha (consumption) and though

puts almost insurmountable
it
of
its
cure, brings
about a
loss or
waste of Dhatus (the seven fundamental principles of
There
the organism) and thus ultimately ends in death.
known
are cases of Vishama-jwara
type (reverse of the

of the deranged
located
bodily
Kapha and
Several
generis in
pathic
above type) which are the result

Doshas being simultaneously
origin.
not,
an
specific
hold
any foreign
always involved
of
Vishama
22
in
23.
to be sui-
But whether spontaneously
extraneous fact (cither a
idio-
passing
etc.
or the presence
in
the
poisonous matter
fever.
Vishama Jvara
psychic condition such as fear, grief,

of
of the deranged
seats
arc hard to cure.
authorities
its
or
Viparyyaya
bodily
two or four
in
as the
system)
is
and intimately connected with a case

The pre-dominance of the deranged
and aggravated Vayu
is
marked in cases of Tritiyaka
and Chaturthaka (quartan coming on every
fourth day) fevers.
A case of fever due to the abuse
of any wine or ardent spirits as well as the one occuring
(tertian)
in
low land
supposed
to
at
the foot
involve
deranged and aggravated

fever
is
due
to'
of a mountain, should be
predominant action of the

Pitta.
the concerted
case of
Pralepaka
and aggravated Vayu and Kapha, of which the action

of the latter should be regarded as" more dominant.
Cases of Vishama fever ushered in by epileptic fits
should be regarded as the result of the
concerted action
of any two deranged Doshas of the body.
The deranged Kapha and Vayu
24
25.
of the body,
23
if lo-
I7
XXXIX.
[Chap.
cated under the surface of the skin, produce cold (shivering) during the
while the deranged
tstage of fever,
first
Pitta brings on the characterstic burning sensation at

latter stage after the subsidence
and Vayu.
its
Kapha
of the deranged
In certain cases the burning sensation
engendered by the deranged

(shivering) being brought
Pitta
on by the deranged Kapha
and Vayu
at the latter stage after the subsidence
deranged
Both these two types
Pitta.
is
the outset, cold
at
of
of the
fever
arc
brought on through the combined action of two deranged
Doshas of the body and of these two, the type which

ushered in by a burning
ly hard
to cure.
from an abnormal
case
of continued
psychic
condition (such
26
extreme-
as
is
anger,
likewise
28.
man
Fever of the Vishama type attacks a
ways and
is
is
fever resulting
or due to any blow or hurt
grief, desire, etc.)
hard to cure.
body
sensation in the
follows
a distinct periodicity,
it
in
various
being aggra-
vated during the six specific times of dominance of the
deranged
bodily
(Doshas)
principles
as
before * in the course of day and night.

fever never finds complete remission,
mentioned
This Vishama
(but lurks
in
the
deeper organic principles of the body) and produces a

sense of physical
as well
as
the
langour and heaviness of the limbs

characteristic
Vishama-jwara because
founded with
its
cure and
its
emaciation.
abatement
remission,
is
and
It is called
always con-
this
confound-
the disease (fever) lies

is due to the
dormant in a very small degree in the deeper principles
ing
fact
that
of the vital organism to be patent
exciting cause, just as a feeble
supply of
cause.
*
fuel,
only at the slightest

fed with an insufficient
becomes patent at the
29.
See chapter
fire
XXI, Sulra-sthana.
slightest exciting-
UTTARA-TANTRA.
XXXIX.]
Chap.
.179
Seat of Vishama Jwara :Even

residue
of the deranged
system after the apparent cure of
regimen of
is
known
diet,
and thus
fever, is
and
a course of injudicious conduct
(remittent or continuous) fever has
indifference to strict
Anyedyah
flesh of the
body.
principle of
Meda
(quartan-fever
is
is
while a
as the Tri-tiyaka
third
day) affects
the
while the one called Cha'turthaka

ev'ery fourth
very dangerous.
category of
The type known
day) affects and
The
brings on
It
other diseases and
last
named
a simultaneous
often
terminates
include cases of fever due
authorities
the malignant influence
to
seat in the vitiated
organism
bones and marrow.
Several
which
Santata
the contaminated
(fat),
attack of several
fatally.
case of
in
coming on
infiltrated into
type
location
finds
coming on every
(tertian-fever
its
Rasa (serum) and blood + of the

case of
in the
aggravated by
invites a fresh attack *
Vishama Jwara.
as the
a small
Dosha, lurking
bodily
of evil
Vishama Jwara.
spirits
within the
30.
Duration of Vishama Jwara : The type

of fever which continues for
seven,
without any break or remission,

case of Satataka fever
aggravations
of the
is
course
in the
Anvedyushka
is
ten
or
twelve days
Santata.
called
characterised by two distinct

of
day and
night.
Fever
type comes on only once aday
and one of the Tri-tiyaka type comes on every third

t. e. on every alternate day, while a case of Cha'turthaka
fever sets in every fourth day.
case of fever
commencement
may
lapse into a
31.
Vishama type even from the Very
of the attack.
t Vijaya Rakshita,
the
the authority of Charak,
commentator on Midhava Nidana, says, on
that
by the
term
Santata
are
meant here
both Santata and Satataka and that they have their origin in the vitiated
Rasa and blood
respectively.
ifco
Influence
Jwara. i Just
water
is
Vayu
of
ocean
the
as
[Chap.
Vishama
on
overflown
is
XXXtX.
when
its
by the gusts of wind (Vayu), so the

by the bodily Vayu,
swollen up
bodily Doshas are aggravated
and give
the water of the occean

tide
and
ebb-tide,
Doshas
in
rolls
back
fever
so
kinds
different
to
rise
of the body,
aggravation
flow-
at
during
place
being augmented by the deranged

rushes out of
the organism and manifests
surface of the
shore
former
its
as
Just
fever.
the
floods
to
of
during
skin)
and
comes
the
to
the hours of the specific
Doshas,
of the
into the deeper tissues
lurking place
its
(or
itself
only
during the period of their
to
be driven back
of the
principles
vital
specific
body
abatement, or to
be expelled from the organisiin at the completion of

their
assimilation
perfect
system.
elimination
or
in
from the
32.
Agatltuka Jwara ; A
any extraneous blow
or injury
case of fever due to
should be treated in the
and aggravation or in other

words the nature of the deranged bodily Doshas underlight
of
its
periodicity
lying, or involved in such a
from the periodicity of
due to the
effects of
its
case
should
aggravation.
poison
is
be ascertained
case of fever
marked by such symptoms,
as blackness of the face, burning sensation,
catching pain in the
region
of the
heart,
diarrhoea,
aversion
food, thirst, piercing pain in the limbs, epileptic
fits
to
and
A case of fever caused by smelling

any kind of ( strong smelling ) herbs ( as
marked by fainting fits, pain in the head
extreme weakness.
the pollens of
Hay fever
is
and sneezing. A case of fever incidental to an ungratified amorous longing of the heart, or due to any
such ardent passion is characterised by aberration or
a distracted state of the mind, drowsiness, languidness,
UTTARA-TANTRA.
Chap. XXXIX.]
aversion
food, pain
to
at
l8l
region and
cardiac
the
speedy emaciation of the body.
Delirium marks a case
of fever due to
and shivering charac-
grief or terror
one due to a
terises
fit
of anger.
Thirst and fainting
are the concomitants of a case of fever due to
fits
curse, or
Anxiety, laughter, shivering and weeping
incantations.
mark a
any
ushured in through the dynamics of deadly
case due to
the
malignant influence of
evil
3334.
genii.
The
Vayu deranged
bodily
fatigue, physical
and
aggravated
by
waste or by a blow spreads through the
organism and begets (traumatic) fever. There

another kind of fever which is due to any extraneous
entire
is
cause or which
results
from
the acute stage
other disease attendant on the body.
symptoms
characteristic of each of the
Doshas involved therein *
35
case of
Gambhira
fever
is
stool,
any
deranged bodily
its
prognosis :
characterised
of internal burning sensation in
complained of in the
of
exhibits all the
36.
Gambhira fever and

A
It
by a
feeling
the body (which
surface), thirst,
is
not
suppression of the
laboured or painful breathing and cough. Paleness
of the complexion, dulness of the sense-organs, emacia-
mind f and presence

symptoms (e. g. hard breathing, cough,
of both Gambhira (inward or latent) and
tion cf the body, depression of the
of supervening
etc.) in
cases
* "Abhichar,'
means incantations
or Atharvan rites
death and any other injuries are brought about.
by which disease,
"Abhis'apa" means the curse pronounced by Brahmins, preceptors,

seniors
and
alters possesed of puissance.
Dallana says
in his
commentary
that
some read a few additional
does not comment on those lines and

further add that Jejjata does not read them.
So we, too, refrain from
lines after
this.
He, however,
translating those lines.
THE StfSHRUTA SAMHITX
$2
XXXIX
[Chap.
Tikshna (high) fever are the indications which point to

the hopeless nature of the case. 37
tion of the
38.
middling or excessively aggravated condi-
slightly,
deranged Doshas of the body forebodes the
continuace of fever for three, seven and twelve days

respectively, each succeeding
enumeration. Thus
(the nature, causes
of fever.
We
one being more
one immediately preceding
cure than the
difficult to
order of
in
it
we have done with the description of

and symptoms of) the different types
shall
now
deal with the remedial measures
or therapeutic agents to be
employed
Treatment :Draughts
in these cases.
of
39.
(matured
filtered
but non-medicated) clarified butter should be given as
make
soon as the premonitory symptoms would
appearance and the patient would get

This
is
only in a
applicable
relief thereby.
case of the Vtftaja type of
fever while purgatives should be administered
of the Pitta] a
and mild emetics,
should be adopted
in
In cases
of
KapDwi-
measures
fevers, the foregoing
according to the Doshas involved
In the cases in which emulsive
each case.
in a case
in a case of the
haja type under similar conditions.

doshaja and Tri-doshaja
their
measures
(Sneha-Karma) and exhibition of purgatives and emetics

are forbidden, such measures should be employed as
would tend
to
(Langhana)
etc.
Fasting
The
stages of fever are
and
its
system
such
as
fasting,
40.
fire
the
lighten
fume.
and
premonitory
of
various forms
Fasting
is
the
like
actual
those of
pre-eminently the best
remedy as soon as the characteristic symptoms of the

disease
ing
is
make
most
their
appearance distinctly and vomit-
efficacious
in
a case marked
presence of the deranged bodily
Dosha
(stomach) and attended with nausea,
in
thirst,
by
the
the Amas'aya
water-brash.
UTTARA-TANTRA.
XXXIX.]
Chap.
183
Fasting should be continued as long as the least quantity

of the deranged
Dosha or Doshas would remain
with discretion after the Doshas have been

lated in (to) the sysmtem.
fully assimi-
41.
Prohibition of Fasting :Fasting

hibited
incidental
Vayu
bodily
is
pro-
a case of fever due to a wasting process
in
body or
the
intact
organism, and light food should then be given
in the
or
to
in
appearing
consequence
in
any
of
serious state of the
mind
as well as in rases in
which fasting has been forbidden
anger, grief,
lust,
(c. g.
as in the chapter on Divi-vrana (Chapter

sthana).
of a patient
in
deranged and
lead
Doshas
25
Chikitsa-
42.
Fasting
Effect Of
dull,
I,
etc,)
remission
an
to
and
Fasting
asstmilatio/i
kindles
the
of fever, lightness
for food.
in
whom the bodily Doshas

of whom the digestive fire
of
of the
has become
deranged
the
digestive
the case
have been
fire,
produces-
body and
relish
43.
Satisfactory and excessive fasting Easy and natural passing of Vayu and stool
'
and
intolerable keenness
urine,
body,
lightness of the
of thirst
sprightly, action
and
appetite,
of the mind
and the sense-organs and a weakness of the body are

the
which spring from Satifactory fasting
results
while such symptoms as loss of strength,

ness
(of
mouth),
the
fatigue and
insomnia,
of
and
dry-
doziness,
diffi-
mark an excessive
4445-
Tepid Water :Tepid

ing
vertigo,
such other supervening symptoms (as
cult breathing, cough, fever, hic-cup)
fasting.
thirst,
it
(boiled)
tends to disintegrate
Kapha and
restores
water
the
is
appetis-
accumulation
the deranged bodily Pitta and
I4
Vayu
to
normal
their
of fever due to the
Kapha and Vayu,
The
condition.
water which allays thirst
it
use of
of the deranged
water
effect of cold
Doshas
bodily
is
just
movement
The
potion
the organism.
in
the reverse and
cold tends to aggravate fever.
Pcy(
bodily
tends to cleanse the internal
passages of the body and helps in the easy

of the deranged
tepid
highly efficacious in cases
is
actions
as
XXXIX.
[Chap.
inherent
its
46
consisting
water
of
boiled
with the admixture of the following bitter drugs
viz.
Gdngeya (Musta\
Ndgara,
(Balaka) and
sandal-wood should be given, when
red
Us'ira,
Udichya
Pdrpata,
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 hungry
and
digestive drugs,
which
taste in the
much
febrifugal.
in
as
it
is
thirst,
remove
relish
bad
food
for
should be given after the
a case of fever which, in consequence of
a plethora of deranged Dosha
in
the system, would
abate even after the observance
of
fasting
subsequent use of YavrfgU and where the
power of the patient has been impaired.
digestive,
Tasteful decoctions of
alleviate
for fever,
Peytf
be given to the
mouth, bring about a fresh
and prove remedial

seventh day
as
in
appetising, light
*.
47
not
and the
digestive
49.
decoction of Panc/ia-mu/a assimilates the bodily
Dosha
in
case
of Vataja
fever, while a decoction of
Musta, Katuka and Indra-yava mixed with honey (when

cold) proves curative in a case
of Pittaja
fever,
and a
decoction of the component drugs of the Pippalyddi
group helps the assimilation of the deranged bodily
Dosha
*
may
in a case
of
Kaphaja
According to different anlhori

also
be given
in such cases.
ies
fever.
Decoctions remc-
purely boiled water,
when
cooled,
UTTARA-TANTRA.
XXXtX.]
Chap.
dial to
administered in combination
to
Doshas, should be
each of the deranged bodily

a
in
185
of fever due
case
the concerted action of any two deranged Doshas
of the body.
nor to a patient
ness,
should
decoction
afflicted
with
the
of
extreme weak'
thirst,
emaciation and indigestion.
Symptoms
ment
not be given to
immediately after eating, drinking or fasting,
a patient
So.
Pakva-Jwara : Abate-
of
bodily heat, lightness of the body and
an easy passing of stool and urine are the indications
from which the assimilation of the deranged bodily

Doshas should be presumed, and it is then that febriaccording to the nature
fuges should be administered
deranged bodily Doshas underlying the case

under treatment *. Some, however, believe that the
of the
assimilation of the deranged Doshas should be presumed
from the changes

Doshas.
symptoms
in the
characteristic of the
51.
Symptoms of Ama- J wara

sensation
in
: A
crushing
the region of the heart, drowsiness,
sali-
vation, aversion to food, non-assimilation of the derang-
ed
bodily
Doshas,
suppression
of
the abdomen, stoppage
in
stool,
dissatisfaction,
ness of the
virulence
of
of heaviness
of perspiration,
undigested
somnolence, heaviness and numb-
limbs, dulness of appetite,
mouth, a sense
(and wind),
stool
copious discharge of urine, laziness, sense
physical
bad
taste in the
and increased
languor
and continuity of the attack of fever (abnor-
mal rise in the bodily temperature) arei the symptoms

by which a learned physician should ascertain the
;
Some
read these two lines in a different way.
They would mean that

Doshas would be presumed
heaviness of the body and stoppage of the
the non-assimilation (A'ma) of the deranged
by the presence of high
fever,
excreta (Mala), and the reverse
is
the sign of their assimilation (Paka).
24
l86
[Chap.
XXXIX.
undigested state of the deranged bodily Doshas ushering,

in
an attack of
fever.
52.
Time for administering Febrifuge:

According to several authorities, medicines (febrifuges)
should be given
case
in
of fever after the seventh,
tenth day of the attack.
or according to others after the
may
Febrifuges
be administered earlier in the cases of
Pittaja fever, or in
Doshas being
event of the deranged bodily
the
digested
is
sure to produce
(in
of
case
53
fever
of the
lapse
type.
recrudescence of the disease.
purifying and soothing (Samaniya) remedies
Corrective,
the
administration
an undigested stage of the
of (febrifugal) medicine in
fever
An
earlier.
with
disease
Dosha) helps
undigested
(fever)
Vishama
into
54-
The spontaneous motions
of
the
bowels
(Mala)
from fever should not be stopped

unless they are excessive, vvhen the case should be
of a patient suffering
medically treated as one of Atisara (Diarrhea).
Preliminary
purgative
acute
etc.)
should be administered
fever
if
the
are accumulated
55.
Treatment: A
digested
in
even
Malas
suitable
case of
(fecal
matter
in
the internal passages of the
much
Koshtha (abdomen),
in
the organism in that
undigested state
as
as their presence in
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.
S>irc~virechana
Emetics, Asthapana-enemas, purgatives,
and errhines should be
ployed for the purpose.
successfully
em-
Etnatics should be at the outset
exhibited in a case of Kaphaja fever where the patient

would be found to be a person of considerable physical
strength, and pnrgatives should be given in a case of
tfTTARA-TANTUA.
Ctap. XXXIX.]
fever
marked by the predominant
ed Pitta in the event of there

bowels
l8^
action of the derang-
being laxity of the
Nirudha-vasti should be applied
(intestines).
Vataja fever attended with aching pain
in a case of
in
the limbs and with Udavarta (obstinate constipation of
Anuva'sana-vasti should be pres-
the bowels), whereas
cribed for a patient with a strong appetite,
if
there be
pain in the regions of the back and the waist,
Siro-
virechana (head-purgative) should be adiministered in

of the deranged
cases marked by the accumulation
Kapha
the
in
head, as the pain in and heaviness of
the head would be relieved, and the sense-organs roused
up thereby
to their
normal functions.
56- A.
plaster composed of Deva-ddru, Vacka, Kushtha,
S'atdhvd, Hingu and Sitindhava pasted
together with
Kdnjika should be applied lukewarm to the

in a case
of fever
abdomen
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
the bodily
and
Vayu
be applied into
marked by the upward coursing

attended
with
suppression
of
of stool
and Yava'gU prepared with Pippali, roots of

Yamdni and Chavya should be given to the
urine,
Pippali,
patient
as a potion,
bodily Vayu,
it
being remedial for the deranged
56.
Administration of Ghrita: The residue

of the deranged bodily
Dosha having lurked
in the
system
(of a patient) even after the exhibition of proper emetics
and purgatives, the
fever
should
the patient be sufficiently dry (Ruksha).
A weak
remedied
be
draughts of medicated clarified butter,
patient with only a small
if
by
the system of
57.
quantity of the
deranged bodily Dosha should be treated with the help

of soothing
(Samaniya) remedies.
Pasting should be
lS8
[Chap.
XXXIX
types of fever due to (Santar-
the principal cure for
all
pana) over-eating
provided the patient be found to
etc.,
possess sufficient strength.
Diet
Diluted
58.
barley gruel (Yavagu) should be
given to a patient constantly feeling thirsty and with
Powdered parched corn (paddy)

honey and water should be given
impaired digestion.
mixed
in
with
copious quantity
after-effect of liquor,
patient suffering from
to
and
burning or perspiration and
it
duly digested, by meals of
A diet
consisting of boiled
should be given to a
as well
when
rice
and
meat-soup.
mixed with meat-soup
patient suffering
as
in
from
an attack
mild type * of fever due to
physical labour.
a case of Kaphaja fever should
and of Mudga
rice
it
should be followed,
rice-soup
over-fatiguing
or
fasting
in
thirst,
marked by the preponderance of the bodily
of fever
Vayu,
the
with vomiting,
afflicted
should
consist
In
pulse.
consist
The
diet
of boiled
case of Pittaja fever
and a soup of Mudga
of boiled rice
when cold, with the admixture of

marked by the concerted action of the
pulse and be taken,
In a case
sugar.
deranged Vayu and
Pitta,
the diet
should consist of
Mudga. soup mixed with (the expressed juice

laka
or
the diet
Dddima.
In
should be prescribed
Soup of lender radish, while

type
it
of)
Ama-
of Vata-s'leshma fever
case
to
in
be taken with the
one of Kapha-pitta
should consist of the soup of the leaves of
Nimba
60.
Ltfja-tarpana powdered parched corn (paddy) mixed
and Patola.
59
with a copious quantity of water and with honey (and

sugar)
*
.
should be
This passage
is
instead of any other diet (e.g
given,
quoted by
S'reekantha Datta in his commentary
on Cbakra-datta wherein he does not read

Ing appears
lo
be the better one,
it
sj^ (mild
type),
and his read-
being supported by Charaka as well.
UTTARA-TANTRA.
Chap. XXXIX.]
boiled
to a patient
rice)
suffering
89
from fever marked
by burning sensation, vomiting, thirst and weakness.

Yavdgu is not beneficial in summer as a diet in
a case of Kapha-pittaja fever or in a case of Rakta-pitta
(Hemoptysis
or in the
?)
case of a
habitual drunkard.
Such a case should be treated with the soup of any

pulse or of the
any acid
meat of Jangala animal with or without

61
juice.
62.
Prepared barley mixed with any old wine would

prove beneficial in cases of (fever accompained by) a
dullness
of
Takra (butter-milk or
appetite.
whey)
mixed with the powdered Tri-katu should be given in

case of disrelish for food due to the action of the deranged Kapha.
63-A.
Milk as a diet: Milk may
be given with
advantage in a case of chronic or lingering fever
mark-
ed by the scanty presence of the deranged bodily Dosha

in the system,
depression
by emaciation of the frame and by mental

a case of Vata-pittaja fever
as well as in
by dryness of the organism and nonemission or otherwise of the deranged bodily Doshas as
well as in a case of fever marked by thirst or burning
accompained
sensation.
But milk taken
acute stage
is
spare and
observed in
as,
all
cases of fever,
and wholesome
even
if
diet
want of food
system craves for

of the body,
and
food which
is
it, is
may
of fever in
its
it is
aggravated.
proper
should be given in a case of fever
show a
the patient would
since the
case
63.
weak person should be

when its intensity abates,
light diet for
otherwise by a heavy diet,
in
highly injurious.
positive
aversion to
at the proper time or
sure
to be followed
when
it
the
by the waste
bring about death in the end.
heavy of digestion (Guru), or secreting

Kapha-producing) in its effect should by no means
THE SUSHRUTA SAMH1TA.
i&D
XXXlX.
tChap.
be taken nor should food be taken at an improper time,
which
since such a food
not beneficial,
is
conducive to longevity nor to happiness
64
fever).
neither
case of
(in
66.
in
copious quantity and with advantage to a
patient emaciated through a long and protracted
of Satataka or
as
Mudga,
Makushtaka,
to the
Vishama
may
The
meat
Sarabha,
Pnshata,
Mrig&mAtrikA
(hare)
be given with benefit as diet
hungry patient suffering from

>
67.
Ldva, Kapinjala,
of
of
Kuranga,
S'as'a
deer) or
be prescribed as diet for a fever-patient

to
authorities,
however,
the
Kukkuta (cock) and of
*.
not recommend
do
animal food
of
use
of the meat of Sdrasa, Krouncha,
its
fever.
Kdla-fuchchha,
kinds
(different
accustomed
to
attack
of such pulses
Chanaka (gram), Kulattha and
may
etc.
The soup
fever.
Masura,
Meat-diet
Ena,
may
(such as milk or essence of meat)
light diet
be given
is
Mayuta
Several
the use
(peacock),
Tittira in cases of fever,
owing
heaviness (as regards digestion), as well as to
its
heat -making potency. (We, too, subscribe to this opinion
The
with a certain limitation)
case of fever in
use
of the
of
in
moderate quantitiy. and at proper time
provided the fever
is
marked by a preponderance of
the deranged bodily Vayu.
67.
Prohibitions in fever : A
should
flesh
be recommended
these animals may, however,
forego baths, washing
(Avagaha. D. R. Pradeha
plaster),
sive potions, day-sleep, physical
course and any cold
articles or
fever-patient
Parisheka), plunge-bath
anointments, emul-
exercise,
9exual
inter-
any emetic or purgative
* According to Charaka, the meat-soup, in cases of fever,

at without the addition of an acid juice (e.g.
"% Charaka also holds the same opinion as
may be
Didima, A'mlaki,
Sus'ruta.
given
etc
XXXIX
Chap.
medicine
UTTARA-TANTRA.
a time even after his recovery)
,(for
restored to his
Any
191
till
wonted strength and vigour. *
of the preceding
weak
state of health,
fever
may
prejudicial
acts
he
is
68.
done
in
from
closely following a recovery
on a relapse which invariably con-
bring
sumes the body
just as fire
tree.
These
after
recovery from fever
rules,
does a dried and sapless
therefore, should be strictly followed

till
the fundamental Principles
body have returned to their normal condition

health and strength is fully regained. 69.
the
and
A very small amount of physical exertion, in cases
of the
of fever,
is
likely
usher in an attack of fainting
to
and hence the patient
when he
ed
stool.
An
sits
in
taking his food
should be resorted to even

case
the
fever in
passing urine or
or
(Sodhana) remedy
purgative
or
emetic
fit
such cases should be support-
the subsidence
after
where the continuance of a
due of the deranged Doshas
in
the organism
of
resi-
would
be apprehended from such symptoms as aversion to

food, weariness of the
its
evacuations,
etc.
limbs, discoloration of the body,
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 should
agents antidotal to
principal
pathogenic
removed and remedied

*
Additional text : A
anger, grief,
etc.
70
as
it
i.e.
until the
might lead
72.
be remedied with thera-
the exciting
The
factors.
cause or causes should be

in
first
a case of fever';due to bodily
patient suffering from acute
forego also the use of astringent, heavy
and secreting food.
in haste
much
fever should
and dry food as well as
fatty
In short he should also discourage mental emotions of

as well as
evidently Dallana's reading.
the use of newly collected corns,
Thfc
is
193
An
exhaustion, waste or hurt.

to
fever incidental
[Chap.
XXXtX.
attack of (peurperal)
miscarriage or to the spontaneous
accumulation off milk in the breast of the mother after

delivery, should be medically
by an experienced
treated
physician with Dosha-subduing (Sams'amana) remedies
according
the deranged
to
Now we
therein.
Dosha
bodily
with
deal
shall
the
advantageously
employed
in
all
of
which may
Dosha-subduing (Sams'amana) decoctions

be
involved
recipes
types of
fever.
7374-
Sams'amana decoctions
J'wara: A
duly
decoction
for Vfta-
prepared of Pippali,
Satapushpd and Harenu should be

given with the admixture of treacle in a case of Vdtaja
fever or a cold infusion % of Guduchi should be taken by
Sdrivd, Drdkshd,
the patient. Similarly a decoction of Vald,
S'wa-danshtrd boiled
down
tha,
or a decoction of
Devaddru,
quarter part
of the
and mixed with sugar and
original quantity of water

rified butter
to
Darbha and
5 atapushpd,
Harenukd, Kustumburu
cla-
Vachd, Kush-
Nalada and
Musta mixed with sugar and honey should be given to a
patient in a case of Vataja fever.

shd, Guduchi, Kds'marya,
decoction of Drdk-
Trdyamdnd and Sdrivd mixed
with treacle should be prescribed in a case of Vdtaja

*
fever.
with
an
potion of the expressed juice of Guduchi mixed

equal
quantity
of that
of S'atdvari
and
with treacle proves almost instantaneously efficacious

in a
case of fever of the
X According
same
type.
Rubbing of the
Dallana the cold infusion of Guduchi
to
should
be
given in a case of Vateja fever involving the action of vitiated Pitta also
whereas the decoction duly prepared of Guduchi should be prescribed

in a case of Vataja-fever, the vitiated Kapha is also involved.
if,
Cold
infusion is prepared
sed in hot water.
by keeping over-night a quantity of the drugs immer-
The
infusion thus prepared
is
used in the morning.
UTTARA-TANTRA.
Chip, XXXIX.]
body wjth
(Sveda) and
clarified
butter
plaster
should
as
193
be prescribed under
certain conditions in the present disease.
Samsamana decoctions
Jwara
fomentation'
as
well
also
75
Si.
for Pittaja
red sandal wood,

Parushaka and Madhuka (Moul) flowers duly
boiled and mixed with a proportionate quantity of
sugar (when cold), or a decoction of the drugs of the
Sdrivddi group duly mixed with sugar, or a decoction
of the drugs of the Utpalddi group and Yashti-madhu, *
or a cold infusion of the drugs of the same group
mixed with sugar would cure a case of Pittaja fever.
:
decoction of S'ripami,
Us'ira,
of
decoction
Kds'marya,
of
or
Padmaka, Rodhra,
of Guduchi,
similar preparation
Sdrivd and Utpala

would prove beneficial
when
taken,
with sugar
cold,
in cases of Pittaja fever.
Drdkshd
the
and
drugs
82-84.
Aragvadha, or -of
of
sweet,
bitter-
astringent groups mixed with sugar and used,

cold,
would alleviate
thirst
and
the
severe
-or
when
burning,
body (in a case of Pittaja fever). The

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

barks or twigs) of the Kshiri-Vriksha (milk-exuding
or with Chandana or with any other cooltrees),
alleviated.
ing drugs should

externally) as a
be used
relief
for
cold
an
(both internally and

internal
burning in a case of Pittaja fever.
Draughts of water
* Yaihti-madku
Hence
in
is
preparation
85
sensation
of
87.
with Padmaka,
Vas/tti-madAu,
comprised in the drugs of the Utpalddi group.

of this cleeoction,
two parts
of
Yaskti-matihu
should be taken-
25
194
Drdkskd, Paun&arika
barley, Us'ira,
in
and
(white
stirred
parched
Utpala,
lily),
Samangd and Kds'tnari
XXXIX.
[Chap.
fruit
steeped there-
and kept overnight and then mixed and
taken with honey
(in
the morning) would
give relief
from fever and burning sensation and a plaster of the
same drugs should be applied over the scalp in a case

of fever accompained by dryness of the tongue, the
Pastes of the
palate, the throat and of the Kloma.
polens or filaments (Kes'ara) of Mdtulunga mixed with
honey and Saindhava salt, or of Dddima mixed with
sugar, Drdkshd and Kharjura (date) as
well as
gargles prepared from these drugs should
mouth with
the
in
a view to
removing
its
be retained
bad
taste.
8889.
Sams'amana decoctions for KaphaJa Jwara A decoction of Saptachchhada, Gudti'
chi,
Nitnba and Sphurjaka mixed with honey, or of Tri-
katu,
Ndga-Kes'ara, Haridrd, Katurohini and
yava, or of Chitraka, Haridtd, Nimba,
Indra-
Us'ira, Ativishd,
Murvd and Patola mixed

Markka (black pepper) should
Vacha, Kushtha, Indra-yava,
with honey and pulverised
be given
in a
Kaphaja fever. A decoction of

Kushtha, Puru (Guggulu), Durdlabhd
case of
Sdrtvd, Attvishd,
and Musta, or of Musta, Vrikshaka-seeds (Indra-yava),

Tri-phald, Katurohini and Parushaka will be found to
be equally efficacious in the case of Kaphaja fever.
90-94-
Treatment of Kapha- Va^taja Jwara:

A
decoction of the component
vriksh&di group
course,
members of the Rdjamixed with honey and taken in due
would readily prove curative
in
a case of fever
due to the concerted action of Vtfta and Kapha. The

exhibition of the decoction oiNdgara, Dhanydka, Bhdrgi,
Abhayd, Devaddru Vaclid, Parpataka, Musta Bhufifca,
t
tfTfARA-TANTRA.
Ch*p. XJCXIX.]
tg$
and Katphala mixed with honey and Hingu
(asafcetida)
would be attended by almost instantaneous benefit in

the present type of fever accompanied with bronchitis,
cough, asthma,
constriction
swelling in the throat

at the sides. 95
of the throat, hic-cough,
and aching pain
at the chest
and
96,
PItta-S'leshmaja Jwara: A
decoction
duly prepared with Eld, Patola, Tri-phald, Yashtydhva,
and
mixed with honey, or one

(Haritaki), Drdkshd, Musta and Par-
Vrisha (Vasaka) and
of Katuka, Vijayd,
or
fiata&a,
of
Bhdrgi,
Vacha, Parpataka, Dhanydka,
Hingu, Abhayd, Ghana, Ndgata and Kds'marya mixed

with honey would prove efficacious
in a
case of fever
due to the combined action of the deranged Pitta and

Similarly two Tola-measure of powdered
Katuka and sugar dissolved in warm water proves
Sleshma'-
curative equally in a case of the present type.
A
laki
decoction
97
100.
of Bhu-nimba, Guduchi, Drdkskd,
and S'athi mixed with
treacle,
Ama-
or of Rdsnd, Vrisha
(Vasaka), Tii-phald and fruits of Rdja-vriksha proves

curative in a case of fever
of the deranged
and
Drugs
due
to
Vdyu and Pitta
the combined
101
therapeutic agents
of the specific deranged Doshas
action
102.
remedial
involved
in
to
each
case
of
the Tri-doshaja type should be employed in combination

for
according
cure
Dosha.
(white
to
the
predominance
of
each
potion of milk duly boiled with Vris'c/ifka
Punarnava),
Varshdbhu
(red Punarnava),
Vilva
and water, but frdrn which the water has entirely evaporated would prove curative in Tri-doshaja fever. The pith
and marrow of a S'irisha tree duly mixed with milk
(Weighing eight times that of the drug) and with water
weighing three times that of the milk, should be boiled
down
to
the quantity of the milk which,
if
administered
10
SUSHRUTA
TliE
SAMlilTX.
[Chap.
XXXIX.
as a drink would prove curative in Tri-doshaja fever.
potion of the decoction* duly prepared with the roots of
Na!a and of Vetasa (cane) and Murvd and Devaddm

would prove remedial
fied butter
to
this
form of
fever.
mixed
be given to a patient suffering from an

doshaja fever.
Clari-
with the decoction of Tri-phald should
103
attack of Tri-
106.
Two-Tola-measure of powdered Anantd (Duralabha),

Vdlaka, Musta, S'unthi and Katitka should be given
with (one Pala
of) tepid
water with benefit to a patient
before sun-rise in Tridoshaja fever. Moreover,
good
Any
appetiser.
it
acts as a
one or two of the (groups of the)
drugs of the purgative or appetising properties can

be employed with benefit in a case of (chronic) fever.
A lambative composed of Abhajd pasted together with

honey and mixed with oil and clarified butter should be
by the patient in a case of Tri-doshaja
Trivrit with honey would pacify a case of high
107109.
licked
treatment
Medical
JWara
in
with
used
*
Vishama Jwara and
described
(chapter
XIV
The
Vishama-
of
under the
the type
of treacle
under
treatment of
to the rules of
case so require. Dallana.
may
Plihodara
Tri-phald
be advantageously
discussion.
decoction should be prepared
and water according
t Additional
the medicated clarified
Chikitsa-sthana), or pulverised
.the -addition
in
fever.
Purgatives and emetics should be exhibited
a case of
butter
feVer.
decoction of
with water only or with milk
Kshira-paka,
if
the exigencies of the
..
text:A
potion
of
the
decoction
of
Hdridri,
Bhadra-mutta, Tri-phald, Katuka, Nimba, Pattla, Devada'ru and Kantakeiri would cure a case of Tri-doshaja fever with indigestion, water-brash,
dropsy, cough and disrelish for food.
t Dallana
includes this line also in the additional text.
According
to
Dallnaa the decoction of Tri'fhala' should be used.

XXXIX.
Chap.
UTTARA-T ANTRA.
be likewise prescribed
fever).
The
Las'una
(garlic)
tions duly
(in
a case of Chaturthaka
made
should be likewise
patient
with
The
clarified butter.
to take
three decoc-
prepared with three, four or
the
of
all
Madhuka, Patola, Katuka, Musshould be likeBatsaka) and Haritaki
following drugs, viz
taka (D. R.
-j-
wise administered.
IO?
Nimba* 'and Dhdtri duly mixed with honey,
Guduchi,
may
potion
10
1 1 1.
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-mnla.
Bardhamsina
(sec
Pippali-
chapter V, Chikitsita-sthana) should
who should then be made

meat-soup. The use of good wine
be likewise used by a patient

to take only
milk or
with the meat of fowl
is
also
H2
recommended.
Use of medicated Ghrita in cases of

Vishama J wara : Clarified butter duly cooked
with the decoction of Kola,
Agnimantha and
milk-curd (Dadhi), with Tilvaka
phald, with
would be found to be highly
Vishama
Jwara
potion
of
clarified
Kalka
Pippali,
Drdkshd, Sdrivd,
Ativishd,
Tri-
Kalka
efficacious in a case of
cooked with the
(red),
as
(and decoction
butter duly
Dallana)
Vilva.
of
Chandatia
Katuka, Indra-yava, Us'ira, Simhi, Tdmalaki, Musta,
Trdyamdnd, Sthird
fS&la-parni), A'mlaki, S'unthi
and
Chitraka would be found highly beneficial lo irregular
(Vishama) appetite and would cure cases of chronic

*
Chakradatta reads "Mus/a"
t Dallana
says
decoction of the
J6
that
in place of
"Nimha"',
some commentators
different
are
combinations of the
inclined
five
to
use the
drugs taken three,
four or five at a lime.

(25)
Kola
is
here used for Pancha-kola, viz
Chavya, Chitraka and Na'gara.
: Pippali,
nppaU-roots,

THE
ig&
fever,
StJSHltiJTA
Gulma,
headache,
consumption,
SAMHItX.
Udara
cough, burning
and pain at the
113
sides.
XXXIX.
[Chap.
Halimaka,
(atcites),
sensation
in
the body
14
CudUChycfcli Chrlta ;The
medi-
use of a
cated clarified butter duly cooked with the decoction of

Guduchi,
Vdsd (D. R. Rdsnd), Trdyamdnd
Tri-phald,
and Durdlabhd together with the Kalka of Drdkshd,

Mdgadhikd, (Pippali), Ambhoda (Musta), Ndgira, Utpala
and Chandana would be attended by good
cases of consumption, asthma,
(chronic fever).
Kalasy&II Chrita :Cases

sides,
of chronic fever,
cough, and of consumption
wasting disease of the body attended with
(lit.
fever)
in
1 1 5.
headache, pain at the
any
results
cough and Jirna-Jwara
would readily yield to the curative efficacy of a

clarified butter duly cooked and prepared
medicated
Avith
the decoction
of
Kalas'i (Piis'ni-parni), Vrihati,
Drdkshd, Ttydnti, Nimba, Gokshura, Vald, Parpataka,

Musta, S'dla-pami and Yavdsaka and with the
of S'athi,
Tdmalaki, Bhdrgi, Medd,
Kataka
Kalka
(D. R.
Amalaka) and Pushkara-roots and with milk twice as
much as the clarified butter. 1 16.

Patola'di Ghrfta : Clarified
cooked with the Kalka
(Nimba), Guduchi,
of
Tri-phald, Btislta, Katuka,
(Musta), Bhu-nwiba, Yavdsa,
duly
butter
Patqla, Parpata, Arishta
Ambuda
Yashti-madhu, Chandana,
Ddrvi, lndra-yava, Us'ira, Trdyamdnd,
Kand and
Utpala
and with the expressed juice of Dhdtri, Bhringa*rdja,

Abhiru (Satavari) and K&ka-tndehi
readily
proves
curative
in cases
of Apachi (scrofula),
Kushtha,
Sukra and Arjuna (two optical
diseases), ulcer
diseases of the mouth, ears, nose
and the
eyes.
fever,
and
in
117,
Kalya'naka Chrita :Clarified butter, duly

cocked with the Kalka of Vidanga, Tri-phald, Musta,
XXXtX
Chap.
UTTARA-TANtRA.
\<#)
Manjiskth^y Dddima, Utpala, Priyangu, Eld, Elavdluka,
Chandana,
Devaddru,
Varhistha
(Valaka),
Kusltifid,
Haridrd, the two kinds of Parnni and of Sarivd, Hare-
mka,
much as clarified butter, is

Kalysfaaka Ghrita. The range of its thera-
with milk twice as
called the
peutic application
such
inc'udes
diseases as
Jwara, asthma, Gutma, insanity

the effect
removes
any
of
spirits
epileptic
fits,
of the seminal
imparts
it.
poison.
due
affections
malignant
uses
Kes'ara and Mdlati
Trivrit, Dauti, Vacha, Tdlis'a,
flowers
cord.
evil
etc.,
decay,
it
of
dulness of appetite,
and
sterility
invigorates the
It
and
influences
auspicious
is
the
and demons,
senile
memory and
1 1
It
to
Vishama
and diseases due to
diseases
and
eye-sight
longevity to the person
who
8.
Maha'-Kalya'naka Ghrita : A
measure of
butter
clarified
cow of Kapila
the milk of a
and duly cooked with the Kalka
species
of the preceding drugs
gandhd (Eladi-gana)
made from
Prastha
and the drugs known as Sarvaand with (dead) gold and gems
again be duly cooked with the

Kalka of
Sumanah, Champaka, As'oka and S'irisha flowers and
with Nalada and Padma (red lotus) and the polens of
should
Dddima
flowers
species.
It
with the
milk of a cow of the same
should be prepared under the auspicious of
favourable astral combinations and lunar planes of both

the physician and of the patient and then be duly
called
secrated by Bramhanas.
It is
naka Ghrita aud may be prescribed
Maha'-Kalytt-
proves curative in
and
sight
all
confers
use enables a
man
forms of
bliss
and
fever.
corf-
for a king.
Its
destroys
It
very touch
disease.
Its
to live to three hundred years free
from disease and decay and to remain invincible against

the attacks of
all
created beings.
19.
200
[Chap-
Pancha-Gavya-Ghrita :Fqual
butter and urine of a
milk, curd, clarified
XXXIX.
parts
of
cow and the
expressed fluid of cow-dung duly cooked with the Kalka

of Tri-phald, Chitraka, Musta, the two kinds of Haridrd,
Vidanga, Tri-katu, Chavya and Sura-
Ativishd, Vachd,
Vishama Jwara. It is called PanThe same five substances obtained
ddru prove curative
in
cha-Gavya-Ghrita.
from a cow
(e.g.,
milk,
curd, clarified
urine and
butter,
may
the expressed liquid of cow-dung)
be duly cooked
without the addition of any Kalka as also with the
above Kalkas and the expressed

Vald, or of Guduchi. *
are efficacious
curd,
clarified
fluid of dung)
buffalo
Jima Jwara (chronic fever),

The same five substances (e. g.
cases
and edema.
chlorosis
milk,
in
of a
Vdsaka or of
juice of
All of these medicated Ghritas

of
butter,
and the expressed
urine
a she-goat or a she-
she-sheep,
and the four substances ( c.

and urine) of a shc-camel
fied butter
(and used) in the same manner.
120
g.
milk curd,
may
122.
Tri-phaiadi Ghrita :-Clarified

cooked with the Kalkas
of Tri-phald,
clari-
be prepared
butter duly
Us'ira,
Sam-
pdka, Katuka, Ativishd, S'atdvari, Sapta-parna, Guduchi,

the two kinds of Rajani,
Vd/aka,
Patola, Arishta,
Chitraka,
Triurita', Murvti,
Kirdta-tikta,
Vachd,
Vis'dld,
Padmaka,
the two Kinds of Sdrivd, Yashtimadhu, Chavikd, Rakta-chandana, Durdlabhd, Parpataka,
Utpala,
Trdyamind, Atarushaka (Vasaka), Rdsnd, Kumkumi

Manjishthd, Mdgadhi and Ndgara with the
(saffron),
* Dallana
says
that
the
expressed
juice
of
Vdtaka,
Guduchi, should be separately used along with the

(Tri-phaU, etc.) of the Pancha-gavya Ghrita.
the lines to
mean
that
VAtaki,
VaW
But
we
ordinary
Some
or
Kalkas
are inclined to take
and Guduchi should be separately
used as Kalkas in place of the ordinary Kalkas.
Bald
here add Ghana (Musta) with the other Kalkas.
Chap.
UTTARA-TANTRA.
XXXIX.]
201
expressed, juice of Dhdtri weighing twice as

clarified butter proves curative in Parisarpa
fever,
much
as
(erysipelas),
Asthma, Gulma, Kushtha, Chlorosis, enlargement
of the spleen and dulness of appetite.
One
Nhnba,
123.
Pala weight each of Patola, Katuka, Ddrvi,

Vdsd,
Durdlabhd, Parpataka
Tri-phald,
Trdyamdnd and
and
Amalaka should
water down to its
Prastha measure of
be boiled in one Drona
measure of
A Prastha measure of Ghrita should

cooked with the above decoctions. *
The
quarter measure.
then be
Ghrita thus prepared proves curative in cases of Raktapitta, diseases
due
to
Kapha,
perspiration, muco-purulent
discharges, atrophy of the limbs, fever,
pelas
and Ganda-mala
(scrofula).
PanCha-S'ara : Boiled
chlorosis,
erysi-
124.
milk, sugar, Pippali,
clarified butter should be taken by stirring

them together with hands. The compound is called
Pancha-sara and may be employed with advantage in
honey and
cases of
Vishama-Jwara, Kshata-Kshina,
asthma and affections of the
heart.
Medicated TailaS: A
prepared by cooking
it
consumption,
125.
medicated
with Ldkshd,
oil
Vis'va,
duly
Nis'd,
Murvd, Manjisktkd, Sarjikd and Amaya (Kushtha) as

Kalka and with Takra weighing six times as much as oil
A medicated oil duly cooked and
acts as a febrifuge.
prepared with Kshiri- Vriksha, Asana, Arishta, Jambu,
Sapta-chchhada, Arjuna,
Atarus/iaka,
Amrita-valli,
Khadira,
S'iriska,
Katuka,
Vacha, Tejovati and Ghana as Kalka
in
the
may
Us'ira,
be employed
Some recommend the use of Kutaja, Bkutext

Ghana (Musta), Yathti-madhu, Chaniana and Pippali as Kalka
* Additional
nimba,
Asphotd,
Parpata,
'
preparation
of this
diseases of the eye, nose, ear,

of the eye-lid
and
Ghrita and
that
it
proves
efficacious in
the
mouth and of the white part of the eye and
in ulcer.
26

202
in anointing the
body of the patient
Jwara with benefit
(Chap.
XXXIX.]
in a case of Jirna/
261 27.
The patient should be frightened with a non*veno

mous snake, trained elephants 'and bogus thieves (or
rebuked with a thievish act falsely supposed to have been
committed by him before) at the appointed date and
hour of the paroxysm and be kept in empty stomach for
he should be fed with
In the alternative,
the day.
heavy and
extremely secreting
articles
(milk,
milk-
and be made to continually vomit out the contents of his stomach afterwards, or he should be made
curd, etc.)
to drink
any strong
liquor,
or simply
clarified butter
or febrifugal
matured
medicated
clarified butter
in
copious quantity or be treated with drastic purgatives,

or withlfomentations followed by Nirudha-Vasti application
on the date of the expected
attack.
128.
Fumigation and Anjana :The

of the patient
body
should be fumigated with the fumes of
the skin and hairs of a goat and a sheep mixed with

Vacltd, Kushtha, Palankashd (Guggulu), Nimba leaves,
and honey and burnt together. The excreta cf a cat
should be similarly used in fumigating the body of
the patient in a case of fever marked by shivering.
Pippalt, Saindhava and Naipdli (Manah-s'ila) should be
pasted together and mixed with
along the eye-lids as an Anjana.
The medicated
the treatment of
oil
1
29
and be applied
1
30.
Ghritas mentioned in conection with
Udara
(ascites),
as well as the
Ajita
Ghrita mentioned in the Kalpa-sthana (Chapter
may
be likewise employed with benefit in fever.
II.)
131.
A case of fever due to the malignant influence of the

spirits, etc.
should be remedied with the help of magical
incantations (Aves'ana), binding
adoration) mentioned
in the
and beating (D. R.
treatment of Bhuta-vidya
UTTARA-TANTRA.
Chap. XXXIX.]
203
(demonolbgy Chapters LX LXII). A case of fever

due to any mental condition should be cured with
psychic (hypnotic) measures
Rasaudana
while the one due to over-
should be treated with diets of
fatigue or exhaustion
anointing the body of the patient
after
with clarified butter.
forming
Homa
may
sound
may
any
or to
curse
be cured by per-
and such
(offering oblations to the gods)
other ceremonies
influence of
any
Fever due to
deadly incantations (exorcism)
while the cases due to the malignant
planet,
hostile
any unearthly
or of
be cured by practising charity, hospitality and
peace-giving rites (Svastyayana).
(Ushna) measures are prohibited
All heat-engendering
a case of traumatic
in
fever and sweet and astringent drugs charged with

clarified butter
should be prescribed.
oil
or
Other therapeutic
agents should also be employed according to the nature

of the specific
derangement of Dosha involved
case. In a case of fever
or cereals
in
the
caused by the smell of any herb
or in one due to the
effect
any
of
sort
of
poison, the treatment should consist in such measures as
would
alleviate the poison
the system.
Etadi-gana)
the
decoction of
may
is
beneficial
also
in
Nimba and Deva-ddru
be prescribed as well.
preparations of barley
of
and the aggravated
Pitta in
Decoction of Sarva-gandhd (the drugs of
these cases.
or
of Jdti flowers
wine and
Clarified butter,
grains are wholesome in a case
Vishama-Jwara which
may
be got
rid
of as well
/
* Rasaudana
(instead
is
a kind of food prepared by boiling
of in water).
rice
The term may, however, mean
rice
in
meat soup
simply mixed
with meat-soup.
\ In
that
place of
"ftfPWRBFJ^;" some
read
"fwfiWWR^;'' and
would mean that the measures and remedies prescribed in cases of
poisoning (sec Kalpa-stUana) should be applied.

the better one.
This variant seems
to
bo
TrtE
iC>4
SUSHRUTA SAMHITX
[Chap. JtXXiX.
by worshipping Brahmans, cows, the god Is'ana, and

Ambika. 132 133.
The body of the patient overwhelmed with coldness
Kapha
aggravated
a paste of the
due to the action of the

Vayu, should be plastered with
of fever
(shivering) in cases
or
drugs
of
the
heat-making group *
and heating measures should then be resorted

the
urine
cow's
In
to.
compound of Arandla, S'ukta,

Mastu
and
(curd-cream) made lukewarm
alternative,
should be sprinkled
over the body.
leaves of Surasa, Arjaka
of the
Plasters
and S'igru pasted together
The body may be

cooked with alkali) mixed
with water would prove beneficial.
rubbed with Kshara-taila
with S'ukta.
(oil
decoction of the drugs of the Aragva-
dhddi group proves highly efficacious particularly

the
present
case,
drugs should
and
decoction
of
be used tepid as a bath.
in
Vayu-subduing
The
shivering
having been thus relieved with the foregoing measures
and by the sprinkling of tepid water over the body, the

languid body of the patient should be smeared with
pasted K&ldguru and wrapped up in a silk, woolen
or linnen cover and then the patient
lie
in a bed.
made
to
34- A.
Damsels young,
of love,
should be
beautiful
with faces
autumn and darting
and
skilled
glowing like the

forth
in the sport
full
moon
beams of love from
of
their
languid blue-lotus-like eyes, with eye-brows moving in the
ardour of desire and with dreary foreheads throbbing with

the gentle pulsations of love, with girdles sliding
fr:>m
their
naturally
lips
*
slender waists, with their
making them lazy
in their
vying with the ripe Vitnba

Dallana explains the
down
splendid buttocks
steps,
with their
fruit in their luscious
Ushna-varga (heat-making group)
the Bhadra-darradi, Surasidi and the Eladi groups.
to
mean
Chap.
XXXIX.]
tfTTARA-TANTRA.
20$
redness, with their elevated thickest breasts,
with saffron and Aguru pastes and clad
and smeared
thin trans-
in
parent garment, fumigated and scented with the vapours
Aguru, should be asked to take the patient
of burnt
a firm embrace like a forest-creeper entwining
into
around a sylvan
keep off as soon as
The
patient thus
cured
of the
disease (cold-fever)
by
embrace of these beautiful damsels should

to such a wholesome repast as would be
the fond
be treated
welcome
itself
and the girls should be told to

the patient would feel himself heated.
tree,
to him.
134.
Measures which alleviate
burning
the
sensation
should be employed in a case of fever marked by sever
induced
in
Vomiting should be
body.
of the
burning sensation
such cases with honey and treacle mixed
with the (cold) infusion of

of the patient
Nimba
The body
leaves.
be anointed with Sata-dhauta *
should
Ghrita and then plastered with a paste formed by

mixing powders of barley, Kola and Amalaka with the
fermented boilings of
S'ttka
paste of tender leaves
of.
with
Kola
(KAnjika),
or
Phenild (soap-berry) mixed
A'malaka
and
and
with the cold
Palds'a pasted with
Amla
paddy, or with the cold

pasted
paste
with
of the
Amla
leaves
of
or with the froth
(Kanjika',
(produced by stirring in Kdnjikd the paste) of the leaves
Vadara or Arishta, \ whereby thirst, swoon and

burning sensation would be relieved and removed. 135.
A Prastha measure of oil duly prepared by cookof
* Clarified butter
w ashed
hundred times
in
water
is
known
as {fata*
dhauta Ghrita.
t Arishta according
Vrinda) may mean cither
to
Dallana and S'rikantha (the commentator of
Nimba
or Phenila' (soap-b rry).
the commentator of Chakradatta, explains
Nimba. The
practice, howeverj
is,
Arishta
to use the leaves
But S'ivaddsa,
mean
of Nimba.
to
(leaves of)
THE StfSHRdTA SAMHItX.
io6
ing
a
it
[Chap.
XXXIX.
with half a Kudava measure of Yava ^barley), half
Pala weight of Manjishthd and a hundred
measure of Amla (Kanjika).
Udana
The
oil
is
Prastha
Prah-
called
and it relieves the burning

sensation of the body due to an attack of fever.
1 36.
(refreshing)
Taila
In the alternative, the
body of the patient should
be plastered with the pasted drugs of the Nydgrodhddi,

Kdkolyddi or Utpalddi groups, or anointed with a Sneha
duly cooked with the decoction of the drugs of the

preceding groups and with Amla, or the patient should
in the Sita-kasiya * of these
be given a bath (Avagaha)

drugs.
On
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, beautiful and
etc.
lotus-faced
damsels with their youthful cooling breasts profusely
smeared with sandal

lotus
ful
and clad
flowers
pastes,
wearing garlands of beautinecklace of pearls,
as
well
as
etc.,
should be asked to hold
in fine silken clothes
the depressed patient in their firm embrace and to kiss

-be
removed as soon as
symptoms of exhilaration.
He should be given wholesome (Pitta-subduing) food
which would give him much relief. Purgative and
him.
the
These damsels should
patient would
exhibit
pacifying (soothing) medicines described
with the Pittaja fever are

present case.
likewise
connection
in
beneficial
in
the
37.
General treatment of the Complications The deranged Pitta should be crushed

:
and remedied
therewith
the
first
of
all in
Doshas of the body,

* ''ditft-tosttya"
in as
much
may here mean
dregs or only the cold decoction.
of fever,
case
co-operation of
any
as
cither
it is
the
involving
of the deranged
extremely hard
cold
infusion
of the
XXXIX.]
Chap.
UTTARA-TANTRA.
to subdue the deranged
Such
fever.
distressing
tic fits, thirst, etc.
207
especially in a
Pitta
symptoms
case
as vomiting,
should be remedied with such thera-
peutic agents as are not hostile or aggravating
of
epilep-
to the
principal disease (fever) but are antidotal to the exciting

factors.
138.
Specific treatment of the complications Now hear me tell you other specific remedies
:
for
the complications.
plaster
composed
of
Yashti-
madhu, Rajani, Musta, Dddima, Amla-vetasa, Rasdnjana,
Nalada (Mansi), Patra, Utpala,

Tvak (cinnamon), Vydghra-nakha, the expressed juice
Tintidika (tamarind),
of Mdtulunga,
honey and Madhu-s'ukta, *
the head, would
alleviate
heat
vomiting, hic-cough, and shivering
Vomiting would yield
of fever.
pound consisting of Madlaika
applied to
if
the head, delirium,
in
concomitants
in cases
com-
to the
use
flower,
Hrivcra, Utpala
and Madhulikd mixed with honey and
of a
clarified butter
and used to be licked up with the tongue as a lambative.

It is
equally efficacious in water-brash, hic-cough, Rakta(hemoptisis)
pitta
asthma
electuary prepared
shika
-f
and asthma.
Fits
in cases of fever rtadily yield
with
and mixed
of cough
and
to the use of the
Tri-phald, Pippali
with honey and
and Mdk-
clarified
butter.
139 14.T.
A
*
plaster of Viddri,
Madhu-s'ukta
is
prepared
Dddima, Lodhra, Dadhittha and

by
preserving
the expressed juice of
/amtira-Umaxi, Pippali and honey in an earthen r&t formerly used in

keeping honey.
before use.
Chapter
It
should be laid for a month under the heap of paddy
(Dallana) For an alternative
X 1W
mode
of preparation see
Wf^T,
IJ^T.
t Dallana takes "Mikthika." in the sense of honey and comments

largely
on the seperate use of honey
inclined to take
"Mikshika"
(^)
in the
as the mineral of the
compound.
same name.
But we are
208
Vijapuraka
advantage to the
may
together
pasted
XXXIX.
[Chap.
be
with
applied
a fever-patient afflicted with
scalf of
thirst
and burning sensation.
sugar,
and of Drdkshd and Amalaka,
Dddima and
Pastes of
kept in the
if
mouth, or a gargle ^Gandusha) of milk, expressed juice

of
sugar-cane,
warm
Mddhvika, *
water, according to
would remove the bad taste
oil
and
exigency of the
case,
clarified butter,
the
mouth
in the
An
in fever.
empty feeling in the head in fever would be relieved

by using as an errhine (Nasya) the medicated claributter prepared
fied
group.
142
sugar,
benefit
compound
pulverised
S'ya'mcf,
Trivrit
can be
and
purgative
for
of the
digestion
of chronic
case
consisting
of
Tri-fhala',
and Pippali mixed with honey
given
after the
Raktapitta
with the drugs of the Jivaniya
144.
Pittaja
in
fever,
shivering.
purposes
and
with
derangsd Dosha
in
The
an
in
up-coursing
system of the
patient should be cleansed with similar purgatives and

in cases of Kaphaja and Vataja
Lambativc of honey, sugar and Abhaya' should
lardaceous lubrications
fever.
be given in a case marked by vertigo (Bhrama) even
after the subsidence of the
aggravated Dosha. 145.
Application Of VastiS : Nirudha-vastis

charged with the decoctions of sweet (Kakolyadi) or
Vayu-subduing (Bhadra-darvadi) drugs, should be applied

fever
in
due to the derangement of the bodily Vayu,
according to the nature and
deranged Dosha
patient
also
.
in
in the case
the alternative,
be similarly
applied.
Dallana seems to read
of the
to the strength
specific
of the
Anuvasana Vasti should
The
decoction of the drugs
"Ma'isiiia," and explains
''Stadkviia" which generally means
however, also mean honey.
intensity
and
the
wine made
it
as honey.
of honey,
may
UTTARA-TANTRA.
XXXIX,]
eijp.
2CX>
of the IJjjpal&di group mixed with Chandana and Us'ira
and sweetened with the addition of sugar should be

similarly applied cold (as a Nirudha Vasti) in cases of
Pittaja
Vasti (in the manner of Nirudha)

with a compound consisting of .^*ra-barks,
fever.
.charged
S'amkha (conch), Oiandana,

Utpala,
Gabika,
Rasdnjana, Manjiskthd, Mrina'l.i and Piidma-kdshtha
etc.,
and
together
pasted
dissolved in milk saturated with
jugar and honey should
be passed
through
a. piece
and then applied cold in a case of (Pittaja)

fever
marked by intolerable pain. The characteristic,
burning sensation due to fever may be relieved
by applying Vasti charged with a decoction of the
of linen
manner of an Anuvasana-vasti,.
Nirudha Vasti charged with the decoction of the
preceding drugs in the
drugs of the Aragvadhddi group
'
mixed with
(the
pow-
ders of) the drugs of the Pippalddi group and with honey
in cases of Kaphaja fever and the
Kapha-subduing (Aragvadhadi) drugs
should also be injected into the rectum in the manner
In cases of fever due to the
of an Anuvasana Vasti.
should be applied
decoction of the
aggravation of two or three Doshas, the Vastis (Nirudha
and Anuvasana) to be applied should be charged with

the decoction of the drugs respectively antidotal to the
deranged Doshas involved
in
each case.
146
150.
All the medicated lardacious substances with the
exception of
oil,
efficacious (in
which have been prescribed as being
the
use of Vastis) in
diseases of the de-
ranged Vayu, are equally applicable

Vastis) in a
all
of
case of fever due to the
them (including
also oil) are
(<in
same
Anuvasana
But
cause.
equally applicable
body with oil

on the thirteenth;
or fourteenth day of the attack would be attended with
to anointing, etc.
at the
close of the
Lubrication of the
acute stage
i.e.,
27

3IO
beneficial results in
XXXIX.
[Ctup.
a case of Vata-sleshma
fever,
where
fomentations have utterly failed to relieve the distressing
symptoms
of the deranged
Vayu.
Clarified butter
duly cooked with sweet and bitter drugs should be

used (for the purpose of annointing) in Pittaja fever
while in Kaphaja fever, the Ghrita should be cooked
with bitter and pungent drugs.

to the
In the cases of fever due
concerted action of two or three Doshas, the
Ghrita should be cooked with the drugs of two or
more of the above groups according to the nature of

151
the Doshas involved in each case.
152.
The
presence of even a small residue of the deranged

the organism
Pitta in
up to the
maintains the heat of the skin
fever-point, so the
remedy
consists
taking
in
the expressed juice of sugar-cane, or sweet cordials or
Satvats (sugar dissolved in water), and the diet in such

a case should consist of cooked
Sali and Shashti rice

and milk. Fomentations and anointments should be
employed in cases of Kaphaja and Vataja fevers.
Draughts of
clarified butter
should be given in
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
of fever) becomes aggravated
by
involved
affecting,
(in
a case
at the time
of the remission of the fever, the other fundamental vital

principles (Dhatus) of the
patient
weak and
dejected at this time.
Symptoms
or indications
fever, are
body and thereby makes the

153
of remission :The
55.
features
which mark a complete remission of
lightness
of the
head, flow of perspiration,
pale and yellowish colour of the face, sneezing and

desire for food.
.
156.
Fever originating from the wrath-fire of the god
3ambhu,
is
a dangerous disease.
It
affects appetite
and
Chap.
XXXIX.]
UTTARA-TANTKA.
21
the strength as well as the complexion of the body and

the sum-total of
all the-
other diseases.
is
virtually
is,
therefore, called .the lord of all bodily diseases.
common
to all created beings
the whole of the organism

is
(men and animals),

(including
extremely hard to cure and
the time of the death of
all
is
called the destroyer of created beings.
Thus ends
affects
also the mind),
present
creatures.
It
It is
in all cases at
Hence
1
it is
rightly
57.
the thirty-ninth chapter of the Uttai* Tantra in the Sus'rutra
Samhita which deals with the (symptoms and) medical treatment of
fever.
CHAPTER XL.
Now we
discourse
shall
on the
etc.
pratlsheda). i.
Causes Of AtlsaVa :The
extremely heavy (hard to
digest),
symptoms
(Atlsa'ra-
(causes,
and) medical treatment of diarrhoea,
excessive
use of
oleaginous, dry, hot,
and incompatible articles of food,

eating irregularly and at improper time (or unaccus-
cold,
fluid,
tomed
thick,
articles
of fare), indigestion,
eating
digestion of the previous meal, excessive
before the
use or misuse
any lardacious substances, etc., (Sneha, Sveda, etc.),

use of any poison, fright, grief, drinking impure water,
of
the excessive drinking cf

physical
contrarieties,
voluntary repression
liquor,
indulgence
change of season or
aquatic
in
of any natural
sports,
urging (of the
body) or germination of
parasites
are the causes which bring
on an attack of diarrhoea
(Atisara) the
presently.
symptoms whereof
body,
will
the intestines
be
dealt with
2.
Pathology : The
if
in
liquid part (Ap-dhatu) of the
aggravated and carried downward by the bodily
Vayu, impairs the fire in the stomach (fire of digestion)

and mixing with the fecal matter, is painfully and constantly emitted through the anus.
is
named Atisara from
This dangerous disease
the constant
and Sarana) of the liquid
fecal
oozing out (Ati
matter from the anus.
It is usually classified into six different types, viz.,
those
due to the predominance of the deranged bodily Doshas

severally involved therein, that due to the concerted
action
of
the
three
Doshas, one due to grief and
that due to the indigested
mucous accumulations (Ama)
(jh*p.
UTTARA-TANTRA.
XL.]
in
the
is
of mtlny kinds
Some
intestines.
authorities hold that Atisara
but the holy Dhanvantari, on the
contrary, holds that
conditions of a
2i$
not so but that the physical
it is
diarrhoeic patient undergo changes
become manifold.
and
3.
Premonitory Symptoms '.Piercing
pain
in the regions of the heart, umbilicus, rectum,
abdomen
and
sense
in
the Kukshi (sides of the abdomen), a
numbness
and of
in the limbs,
stoppage or suppression of
flatus
of the abdomen, and indiges-
distension
stool,
of
symptoms
tion are the premonitory
of the disease.
4.
Symptoms of Vsftaja, Pittaja, Kaphaja and Tri-doshaja Types : The

Vtfyu-origined type of the disease
(colic),
suppression
of
the waist,
dry
(Kuksha)
The
specific
that the
with
and
is
is
or
red-coloured,
of the
hot,
fetid,
resembles
thirst, epileptic
tion, perspiration,
of
flatus
the
in
of
legs,
scanty,
fits
suppuration
the affected organs,
the
the
and
stool.
or slightly
washings
(fainting),
and
frothy,
type are
Pitta-origined
yellow, blue
emitted with sharp or acute force and
panied by
in
the intes-
in
brown-coloured (yellowish black)
features
stool
thighs and
the
in
frequent emissions
rumbling sound
movement
(Apana) wind, a gone feeling
of the abdominal
tines)
in
urine,
(constant
intestines, looseness
marked by Sula
is
meat,
of
is
accom-
burning sensa-
and inflamation (Paka)

fever.
In
the
Kapha-
origined type of the disease the stool becomes loose and

constant, gets
white.
The
mixed with the lump

comes out without
stool
of constant urging
'
is
of
mucus and looks
any^ sound.
sense
complained of and each, motion
only creates the apprehension of a fresh one in the

mind.
The
patient becomes drowsy or sleepy, and feels
a sense of heaviness in
the limbs, nausea, disrelish for
il4
and
food, horripalation
[Chap.
xL.
The symptoms which
lassitude.
mark a case of Tri-doflhaja type (due to the concerted

action of the three simultaneously deranged bodily
Doshas) are drowsiness, swoon, lassitude, dryness
of
the mouth, thirst and a varied colour of the stools.
of Tri-doshaja
case
symptoms,
is
an old person,
infant, or
treatment.
AtlSfCra
down
diet,
into the
by the
when
in by
ly
with
latter
passing out
blood which becomes

It
then passes through
case
Such
of
any
without
unmixed.
very hard to cure.
Doshas
the
in
The
in
fetid
Koshtha
(bowels),
emitted
in
is
according-
local
down
Ama
into
the
where they are more agitated and
combination
with the
by a variety of
type of Atisara.
undigested fecal
10
colour.
This
is
and
the sixth
Symptoms of Ama and Pakva

S^ra
bodily
various ways, and are attended with pain
characterised
smell,
contact with the
(unassimilated chyle), and are brought
in
combi-
Koshtha (abdomen) are aggravated and
deranged when they come
matter
its
an attack ushered
the grief of bereavement of a person
considered
impart-
peculiar fetour
matter in
or
fire,
(intestines)'and there freely
the local
fecal
nation with the
bereaved
of
on quenching the digestive
Koshtha
rectum, charged
it
the
and Amaja
tears
dark-red like Kdkananti (Gunja).
ed to
all
occurring in an
scarcely amenable to medical
is
suppressed
with, and vitiate
the
if
of dokaja
The
person of sparing
mix
attended with
if
5-8.
Symptoms
reach
type,
very hard to cure and*
Atl-
A case of Atisara (diarrhoea) would be said to
be in the
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
suffering
UTTARA-TANTRA.
Chap. XL.]
and to pass
in
broken
(D.
jets
body and
it is
sense of
the affected cavity would
in
Pakva
then called
(chronic) Atisara.
Prognosis : If the
n.
colour of the stool (in a
case of Atisara) resembles that of clarified butter,
washings of Ves'a vara,
oil,
to the touch,
or
if
it
colours, or
if
the stool
is
or
lines
opposite or reverse
symptoms
be weak.
is
likely to
end
fatally
patient suffering from an
attack of Atisara would be given up (as incurable)
be weak,
if
(D. R.
if
the patient be not
if
symptoms
and
destitute of thermal heat.
An
if
he
become suppurated and

there be distension of the abdomen
the orifice of his anus
cannot be closed,
distressing
the
if just
or other distressing symp-
toms would be exhibited, the case

in case the patient
fetid
specks of variegated
looks like pus or clay, or
if it
the
cold or hot
charged with a fleshy or
is
marked with
or
fat,
goat's milk, honey, ManjishthA,
brain-matter, or Rasdnjana, or
smell,
be slimy).
the disease has passed the acute stage
indicate that
and
R.to
symptoms and a
contrariety of the preceding

lightness of the
2X5
self-restrained), if there
if
be
the patient be found
12-13.
ushered in by whatsoever
marked by the specific symptoms
of the deranged bodily Dosha or Doshas complicated
cause,
of
attack
is
Atisara
sure to be
AH cases of Atisara whether due to the indigesany oleaginous food or drink (Ghrita, oil, etc.),
whether with (or without) the symptoms of Pravahika
with
it.
tion of
and the accompanying colic, as well as those due to

Visuchika or any 'other kind of indigestion as also
those due to the effect of
digestive system),
the intestines,
toms of the
all
specific
any poison
haemorrhoids
(Ars'as),
(affecting the
or
worms
in
them are marked by the sympDosha involved therein. The treat-
of
ment of Atisara varies according to
its
acute or matured
2I
symptoms of those
stage, the- characteristic
are to be carefully observed
under treatment.
The
[Chap. XT*
and
noted
in
therefore
each case
14-15.
patient should be kept without food as soon
the premonitory
and then the
symptoms
dietic
gruels (Yavagu)
prepared
with
the admixture of digestive drugs should be given
proper order.
their
distension
flatulent
be
first
case
then vomiting should be induced
with draughts of water mixed with powdered
and Saindhava
a
salt.
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
in
marked by colic and

of the abdomen, fasting should
In a
And
advised.
as
would appear,
of Atisara
after the cessation
of vomiting.
tion of the drugs of the Haridrddi,
VachMi
or
then
A decocgroup,
should be be taken in the morning where the preceding
remedies would
fail
to
relieve
in the intestines (Ama'tisrira).
mucous accumulations
No
astringent or costive
immature (Ama) stage of

the disease should be administered in as much as by
obstructing the passage
of the Doshas
it
might
bring on an attack of enlarged spleen, chlorosis, distenmedicine
sion
in
of the
urine,
Meha
the acute
abdomen with suppression

(urinary
affections), ascites,
limbs,
colic,
or
complaints),
fever,
Gulma (abdominal
of
stool
and
Kushtha (cutaneous
cedematous swellings of the

gland,
Alasaka and cat:hing pain
etc.,)
diarrhoea,
at the heart.
piles,
16-17.
Purging should be induced with Haritaki in a case

marked by constant and scanty motions (of mucus and)
attended with griping and pain (5>ula) or by an incarceration of the deranged bodily
Emetics should
fesfings
be
first
Doshas
exhibited
(in
the intestines).
and followed by
and digestive or assimilative (Fachana) remedies
Chap.
XL
UTTARA-TANTRA.
in a case
2i;
marked by watery and copious motions.
Pow-
dered Haritaki and Pippali with tepid water should be

administered for purgative purposes in a case marked
by scanty emissions
pain and colic
(S>ula).
prescribed
cases
in
alternative,
The
of stool
Fasting
times attended with
at
is
the
Ama (acute)
of
remedy
first
Atisara,
remedies should
digestive
medicinal
recipes of digestive
be
be
prescribed.
compounds which
are curative in the disease under discussion

are described below.
to
or in the
(Amatisara)
19.
Twenty different Recipes for Amatisara
Deva-ddru, Vacha, Musta, Ndgara, Ativislid
(1)
and Abliayd
or of (2) Kalinga {Indra-yava), Ativishd,
Vachd and Abhayd, or of (3)

and
Hingii,
SanvarchalasaXt,
Abhayd
(D. R^Nagara^, Dhanydka, Musta, Vdlaka
Vilva
or
of
(4)
Musta,
Parpataka, S'unthi,
Vacha,
Ativislid and Abhayd or of (5) Abhayd, Ativishd, Hingu,

Vachd, and Sauvarchala-sah or of (6) Chitraka, Pippali;
tnula,
Vacha, Katuka-rohini,
or of (7) Pdthd,
seeds (Indra-yava), Haritaki and
Vatsaka-
Mahaushadha
(Sunthi),
Murvd, Nirdahani, (Chitraka), Pdthd, Tryushana

or of (9) Siddhdrthaka,
(Tri-katti) and Gaja-pippali
or of (8)
Bhadra-ddru, S'atdhvd and Katu-rohini
Sdvaraka (Lodhra), Kushtha, the two

Kutajasceds (Indra-yava)
(12)
Brikshddani,
Vrihati and the two kinds
or of (10) Eld,
of Haridrd,
or of (11) Mesha-s'ringi, Tvak,
Eld, Krimighna (Vidanga) and

or of
sorts
Vrikshaka (Indra-yava)
Virataru, the
of
two kinds
Sahd (Mudga-parni
of
and.
or of (13) barks of tiranda, Tinduka,

Dddirna, Kutaja and of S'ami; or of (14) Pdtltd, Tejcvati,
Masha-parni)
and
Musta, Pippali
Indra-yava
or
of
(15) Patola,
Dipyaka (Yamani), Vilva, the two kinds of Haridrd

and Deva-ddru or of (16) Vidanga, Abhayd, Pdthd,
;
S'ringaveta,
Ghana (Musta) and Vacha
or of (17) Vacha,
?8
2l8
[Chap. XL.
Vatsakaseeis (Indra-yava), Saindhava and Katu-roktnt
or of (18) Hingu, Vatsa&asteds (Indra-yava), Vacha and

dried green Vilva
or of (19) Ndgara, Ativishd, Mustd,
the two kinds of Pippali and Vatsakaseeds (Indra-yava)

or of (20) Mahaushadka, Prati-visJtd and Mustd,
Twenty
are the
different recipes of the remedies
tliese
which
are digestive (of the mucous accumulations) in cases of
Ama-Atisara and should be administered
(in
the shape of
powder) with Dhdnydmla (Kanjika), tepid water or wine,

or their decoctions in luke-warm state should be
This
used.
is
a detailed
cases of Ama-Atisrfra.
compound
best
remedies in
Ativishd,
Hingu, Sau-
of the
list
20.
of Haritaki,
vatchala and Vachd should be taken with tepid water in

cases of Ama-Atisaras.
Similarly a
compound
of Patola,
Yatndni, Vis'va, Vachdfippali, Ndgara, Musta, Vidanga,
and Kushtha, or that of S'unthi and Guduchi should

be taken with tepid water.
The
(1)
of
all
Haritaki
21-23.
compounds separately composed

kinds of officinal salt, Pippali, Vidanga and
following
five
or of (2)
gashtd, and
all
Chitraka, S'ims'apd, Pdthd, S'drn-
kinds of officinal salt
VrikshaAa-seeds {Indra-yava) and

salt
taken
Pippali,
in
equal
parts
tepid water.
or of (3) Hingu,
kinds of officinal
or (4) of Ndga-danti
weighing two Tolas
Guduchi-stzms, would
all
Vachd and
or (5) of
be found beneficial,
and
if
taken with
Twenty Musta, should be boiled in a

and thrice as much water. The milk
quantity of milk
which
by
is
left
back after
all
the water
is
evaporated
should be used for the relief of the griping

(aula) due to the accumulation of mucus (Ama) in the
boiling,
intestines.
Clarified
24-25.
butter
Yaviakskdra should
mixed
with
SaindAavasa.lt
and
be given to a patient of weak

UTTARA-TANTRA.
Chap. Xi-J
pcwer
digestive
in
been restored to
a case
its
which the Vaya Has not
in
normal condition
(but
of the
in "spite
Sula (griping) and which
subsidence of the intestinal
marked by scanty
2f$
is
repeated) motions passed with
The Ghrita duly cooked with Ndgara, Chdngeri
pain.
and Kola (Vadara) and with milk*, curd (Dadhi) and
Amla
fied
(Kanjika), or simply the transparent part of clari-
should
butter
be taken as a
In the
attended with Sula (pain).

butter
relief for
Atisara
alternative,
clarified
mixed with (an equal quantity
of)
and duly
oil
cooked with curd, together with a paste of Tri-katu,

Jdti (flower) and Chitraka, or with thai of Pippali-wula,
Vilva,
Dddima-bark and Kushtha should be given.

the remedies to
these are
be employed
All
a type of
in
Atisara due to the action 'of Vata or of Sleshma
and
the foregoing remedies with the exception of those
all
of keen
and heat-making potency, may be used

26
Pittaja type of the disease.
in
the
27.
Fasting as already advised should be
first
observed
and it should be broken with gruels (Yavagu) duly

cooked with the two kinds Va/d, or with Ams's-mati, or
S'vadtxmshtrd and
Vrihati, or S'atdvari
mixed with honey.
The soup (Yusha)
cooked with the drugs of appetising

arid bitter
Dosha
the
Decoctions
of
acute
stage
Haridrd,
kinds of Haridrd and
there
We
we
reading.
Guducki,
with mild
Ksbara
Ativis/td, Pdthd,
;
this
stool.
Vatsa-sezfe
or of Rasdnjatia, the
Kutaj'^sceds (Indra-yava
in place of
Sec Chapter
(Ama-dosha) of the
Bhu-nhnba
have tba recipe of

find
virtue, or
drugs of appetising property would cure (the
in)
(Indra-yava) and Rasdnjana,
Patha,
made cold and

Mudga duly
of
two
or of
and Katu-rohini would
Ghrita in Charaka Sainhita also. But

Kthira and that appears to be the better
XIX,under Changed
Ghrita,
Charaka SamhiuL
220
prove "extremly
useful
tChap.
XL.
the
correcting (Pachana)
in
2829.
deranged Pitta.
Six Yogas for PlttaJa-AtlsaVa : Any

one of the six decoctions respectively prepared with
Bhu-nimba and
Mustd, Kutaja-sneds (Indra-yava.j,
Rasdnjana
Chandana
or with Ddivi, Durdlabhd,
nimba, Dur&lavd
Vilva and red
Vdlaka, Mustd, Bhu-
Chandana,
or with
or with Mrindla, Chandana,
Ndgara- and Nilotpala
or with Pdthd, Musta, the
kinds of Haridrd, Pippali and Kutajaseeds
case of Pittaja- Atisara in
Vachd
its
30.
acute (Ama) stage
would yield to the use of a decoction of (unripe)

lndra-yava,
Ambhoda
two
or with the
should be regarded as good
clarified butter
remedies for the Pittaja type of Atisara,
Vatsaka, S'ringavera and
seeds and barks of
mixed with
Rodhra,
Vilya,
(Musta), Vdlaka and Ativishd.
decoction of Yashti-madhu, Utpala, Vilva, Antra, Hrivera,

Us'ira and
Ndgara mixed with honey proves
the case under discussion.
31
curative in
32.
Astringent or constipating (Samstambhana) remedies should be
employed
in
a case of the chronic (Pakva)
marked by dullness of the Grahani, vis, the

fire and by constant motions.
Any of the
four following
medicinal compounds, vis., Samangd,
Atisara
digestive
Lodhra and Mustd or 'of

Rodhra and the bark of Vrikshaka
Dhdtaki-fiov/er, Manjisthd,
S'dlmali-veshtaka,
(Kutaja) and of
Dddima
or of the
stone of
Amra,
Lodhra, the inner pulp of (unripe) Vilva and Priyangu

or
Yashti-madhu,
of
S'ringavera
Dirgha-vrinta (Syonaka)
and the washings of

Atisara.
The
honey
33
the
bark
of
should be taken with honey
rice in
cases
of chronic (Pakva)
34.
decoction of
in
and the
Musta alone should be taken with
case under discussion, or
decoction of
UTTARA-TANTRA.
Chap. XL.]
any
of the nine Ganas,
employed.
be
XXXVIII,
Chapter
etc. (see
should
Sutra-Sthana)
the Lodhrddi, Amboskffiddi,
viz.,
or Priytihgvddi groups,
22 1
Padmd, Samangd, Yashti-madhu and
decoction of
the
Similarly,
dried
Vilva and Jatnbu fruits should be taken with the washings
mixed with honey.
of rice
of the
paste
root
of
Kachchhurd weighing an Udumvara (two Tolas) should
be similarly taken ^with the same vehicles).
case of
Pakvatisara marked by bloody stool or by emission of
blood (from the intestines) would yield to the use of

the decoction
Sitd (sugar),
of Payasyd,
Mustd and
Chandana,
Padmd
the polens of lotus.
(Bhargi),
35
Application Of Ghrita :Clarified
Yava-kshdra should be given to a patient with
with
due regard to
the- state of
with
being
treated
to be
affected
Pakvatisara.
by taking
The
from mucus
free
colic (in
little
honey and
{Pippali),
action of the Vata,
in
butter
the stool
a
case
is
relieved
of
duly cooked
Yashti-madhu
(as
(as
an
cooked with Ddrvi,
case
of Atisara due
and Kapha
(jointly
draught of milk, honey and
Yashti-madhu
if
in
found
Drdkshd, Katuka and Indra-yava
Pitta
equal parts) mixed
and
i.e.,
after
if,
still
Ams'u-mati and Kachchhurd-roots
Vrihati,
ately).
be
a case of Atisara)
after-throw). Clarified butler duly
Kand
he
etc.,
potion of clarified
mixed with a
Vilva,
power
digestive
with Sula and dryness and
(a
Vald,
with)
his
fasting,
would be found to be
(in
38.
butter
to
the
or separ-*
clarified butter
with sugar, Ajamodd, Katvanga
an
after-throw)
the griping (Sula) in the intestines
(in
would
relieve
a case of Atisara).
3942.
Putapa'ka
Preparations : A
long-standing (chronic)
Atisara
marked by
various colours and a keen digestion
case
of
stools
of
but unattended
[Chap. XL.
f HE StfSHRtfTA SAMHITX.
222
with any sort of pain or complication should be remedied with medicines prepared
preparation
ptfka
Dirglia-vrinta
be
(described
wrapped
and
Kds'mari or of Padma
with string or thread (D.
below).
and polens of
(S'yondkd),
together
pasted
maner of PutaThe barks of
in the
up
with
(lotus)
of
leaves
ends tied
their
R. Kus'a). The
should
lotus
in
cover should
be then coated with a plaster of clay and duly scorched
When
in the fire of (smokeless) charcoal (of Khadird).
should be taken out and the juice, squeez-
well cooked,
it
ed out of
contents.
its
This juice should be cooled and
administered in combination with honey in a case of
the
The
same way.
may
etc.,
of
skin
also
Nyagrodhidi group
should be stuffed
be
it
of
paste
has been previously drawn.
up
duly stitched
fire in
as
in
the above
drugs
into
After this
The
administered,
The drugs known
Yashti-madhu, Ddrvi, Pdthd, Sitd (sugar),
pressed
when
to
out of
cold,
the
manner
(of
a Puta-paka).
contents
its
and
Utpala and
of
the
deranged
with the
the
The
fire
juice
taken with honey,
proves curative in cases of
action
case
Chandana,
of rice should be duly scorched in
the above
cool,
in
the barks of Dirgha-vrinta pasted together
in
the
in
then be
when
as Lodhra,
the
belly
should
it
juice should
honey and sugar
with the admixture of
washings
of
its
and cooked (scorched)
manner.
squeezed out therefrom and
of Atisdra.
the
should
bird
Titlira
be peeled off and
after
known
be used
Similar preparations of the drugs
Atisara.
Jivanti and Mes/ia-s'ringi,
Pitta
Atisara
due
and Kapha.
may be made of the aerial roots

may be advantageously prescribed
Similar preparations
of Vata, etc ., and
with the soup of the flesh of any Jangala bird (such

as Tittira, Kapinjala, etc
,).
43-47.
UTTARA-TANTRA.
Chap. XL.]
The
223
ftutaja-b&rk taken with treacle would cure per-
force the long-standing cases of Atisara
attended with
blood and marked
by the diminished action of the

bodily Vayu but a predominant action of the deranged
Kapha. The drugs of the Ambashtddi group as well
of the Pippalyddi group
as those
would be similarly
A
parni,
beneficial.
taken with honey
48-49
Peytf duly prepared with the admixture of Pris'ni-
Bald,
Vilva
R. Vis'va\
(D.
Bdlaka,
Utpala,
Dhanydka and Ndgara, should be taken by a

suffering from
Atisara.
case
patient
would
of Pakvatisara
yield to the curative efficacy of a light medicinal

(
gruel
Yavdgu) duly prepared with the admixture of the paste
of S'yondka-b&rk, Priyangu,
sprouts of
Dddima
of Atisara
Yashti-madhu, and tender
pasted together with curd.
case
attended with blood and colic (Sula) would
be readily cured
by the use of Rasdnjana, Ativishd,

bark and seeds of Kutaja
Dhdtaki, Ndgara and the
taken with honey and the washings of
rice.
50
52.
Yashti-madhu, (dried) green Vilva-txnit mixed with
honey and sugar, or
particles of S'dli
and Shashtika
with the same drugs) would prove

Badari-rooxs pasted with
curative in a case of Atisara.
rice (administered
honey should be given to be licked with the same
result.
Barks of Badari, Arjuna, Jambu, Antra, S'allaki and

Vetasa taken with honey and sugar would cure a case of
Atisara.
Mandas (thick gruel squeezed

and Yusha (soup) may also be
Gruels (Yavagu),
through a piece of linen)
duly prepared with the admixture of fhese drugs, and
a case marked by excessive thirst, the water for

drinking should be prepared by duly boiling these drugs.
in
The
*
cold infusion of * S'dlmalistems kept in
Ponders of
S'rflpali
stem
should
be kept
the open
Immersed
for
whole
THE SUSHRUTA
224
may
space for a whole night,
drink
results as
and honey.
53
in
SAMIIITA.
[Chap.
XL.
be given good with good
combination with Yast/u-mad/iu
54.
Use of Milk
in Atisara
:Milk
should be
given in a case of Atisara marked by the suppression of
and Vayu
stool
and
attended with
symptoms
constant scanty motions,

thirst.
Milk
ambrosia
is
(Dysentery), and in
griping (Sula),
of Rakta-pitta
and
such a case of Atisara
itself in
long-standing cases the milk to be
taken should be duly boiled with thrice as much water.
This would remove the

involved and
remnant,
if
any, of the Dosha
therefore, considered as the best
is,
Oily purgatives and application
in such cases.
(slimy intestinal injections)
chila-Vasti
medicated Ghrita
duly
as well
c. g.,
S'dhnali,
S'j'ond,
are beneficial under the circumstances (in
or longstanding cases).
Draughts of
as the
prepared with the expressed
juice of the barks of slimy trees,

etc.,
remedy
of Pich-
chronic
56.
clarified butter
duly prepared with the
tender sprouts of the Kshiri trees and mixed with honey
and sugar
(as
an after-throw) should be taken
marked with a
of Atisara
or after the passing
pain
(in
the
region
of
the
in
case
discharge of blood before

stool
of the anus).
and with a cutting

Draughts of medi-
cated clarified butter duly prepared with the barks of
Deva-ddru, and
with Pippali, S'unthi, Ldkshd, India-
yava, and Bhadra-rohini (Katukaj administered through

the
medium
efficacious
type.
night
of
in
any kind of Peyd, would prove highly

a
case of Tri-doshaja Atisara of severe
57-58.
in
an equal quantity of water.
be passed through a piece of linen.
In the morning the water should

Four-Pala-weight of this water
mixed with a Katsha weight of lYashti-madhu and honey should be

taken.
UTTARA-TANTRA.
Chap. XL.]
225
Exhibition of emetics or vomiting
remedy
(in
of
case
in
an excellent
is
Atisara marked by heaviness,
the abdomen) and the predominance of the deranged,
bodily Kapha.
case
attended with fever, burning
and marked by an
sensation and suppression of stool
aggravation of
Vayu
should be treated as a case of
Intestinal injections
Rakta-pitta.
with
urine-purifying
(Mutra-Sodhana) drugs should be speedily administered

in the
manner
of an Asthapaiia or
AnuV&ana Vasti,
as
marked by an exces-:
sive accumulation of the deranged bodily Doshas in
the affqeted locality as well as by the suppression (of
the occasion might arise, in a case
during the mature stage of the disease.
stool)
Intestinal
injections
consisting
of
oil
or
59-60.
clarified
and prepared with the drugs of

sweet and acid tastes should be applied in the manner of
an AnUY&'sana Vasti in a case marked by the protrusion
of the bowel through violent and excessive straining
and by painful obstruction of urine (Mutraghata) and
butter duly cooked
pain
in
the waist.
Pitta-subduing washes, and injec-
tions prepared with the Pitta-subduing drugs and appli-
ed in the manner of Anuvasana Vasti, are the remedies

in
a case
marked by the suppuration
of the anus due
to the aggravation of Pitta in an injudicious or
intem-
Anuvstaana Vasti charged with oil

duly cooked with wine, Viha and Dadhi-tnanda should
perate
patient.
be applied in a case of Atisara marked by the aggravation of the deranged bodily Vayu, and milk duly
boiled
and cooked with the admixture of Kachchurd:
roots should be given to drink.
61-63.
Pichchha'-Vasti should be applied (into the rectum)

in a case of Atisara marked by painful and frequent
emission
time,
of
blood, though in
and by an
scanty quantities at a
entire suppression of
Vayu
(flatus).
29
An
THE SUSHRUTA
226
atonic condition
SAMHITA".
the anus
of
[Chap.
from
results
XL.
long-
of Atisara which should, therefore, be
standing attack
remedied by rubbing the part with
Diet :The
diet
be prepared with
Atisara should
64-65.
oil.
of the patient suffering
Kapittha, S'dltnali, Phanji (a
from
admixture of
the
kind of Patha),
Vatta-
Kdrpdsi (D. R. Vata and Karpasi), Dddima, Yuthikd,

Kachchhurd,
S'elu, S'ana,
Chuchchu,
Dadhi
(curd), S'dla-
Pris'niparni, Vrihati, Kanta-kdrikd, Vald, S'vad-
parni,
Dhanydka and may

sesamum and Mudga pulse
amstrd, Vilva, Pdthd, Ndgara and

also consists of the pastes of
or of
Mudga
soup.
66.
Causes and Symptoms of

Sfifra
>
Rakta'ti-
The bodily Pitta of a person already suffering
from an attack of
and aggravated,
if
Pittaja- Atisara
Pitta-generating
is
further deranged
eatables are
taken,
and ushers in the discharge of blood with stool accompanied by fever, burning sensation, thirst, gripings (Sula)
and excessive suppuration (inflamation) of the anus

(Guda). The above are the characteristics
of the
Raktrfti-B&a.
67.
Treatment
'.Draughts of
and cooked with the leaves of Vata,
milk
etc.
duly boiled
(those
includ-
ed within the Nyagrodhadi group) should be given with

clarified
butter,
or with
marked by a discharge
sugar and honey in
a case
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
blood
(in
case
of
Atisara)
The
may be
stopped by a potion consisting of the barks of Piydla,

S'dltnali,
Plaksha, S'allaki, and of Tinis'a pasted
gether with milk and

result is obtained
mixed with honey.
to-
The same
by administering the milk of a
she-
Chap.
UtfARA-tANtRA.
XL]
with a paste
goat
Payasyd
of
24?
Yashti-madhu, sugar, Lodhra,
(Arkapushpi) and Ddrvi
Manjishthd,
of
Kumuda, Utpala and Padmd
S'arivd, Lodhra, Padmaka,
(Bhargi
mixed with
and
honey, or with a paste (or powder)
68-71.
Sugar, Utpala, Lodhra, Samangd, Yashti-madhu and

Tila
and Lodhra or Yashti-madhu

Kachchurd and Tila are the ingre-
or Tila, Mocha-rasa
and Utpala
or
dients of four recipes which,
if
taken with the she-goat's
milk and honey, would remove the blood

Pastes of unripe
Vilva
before the meal would be a remedy

by watery motions mixed with blood.
dysentry due to
the deranged
in the
stool.
and honey taken
fruits, treacle
a case marked
in
blood,
case of blood-
and Pitta and
attended with Sula yields to the use of a compound consisting of
Kos'akdra (a kind of sugar-cane) pulverised
parched paddy
fried
in
with sugar and honey.

to the action of the
clarified
butter and
mixed
case of blood-dysentery due
may
deranged blood, and Pitta
be
compound of the kernel of a ûnripe)

Vilva-iruit mixed with Yashti-madhu and taken with
The remedies
the washings of rice, honey and sugar.
cured with a
mentioned
in
connection with a
case
of
Guda-paka
(suppuration of anus) should also be employed in these
Application of Pichohha'-Vasti
cases.
in the
tive
recommended
is
type where the pain begins to subside.

of the decoction of Vidanga,
consisting
purga-
Triphald
and Pippali should be given to a patient with good

assume* the
appetite as soon as the stool would
.
colour of blood.
sisting only
plant) should
* D.
In the alternative, a
of milk
When
purgative con-
cooked with Eranda-roots (castor
be employed and the patient should be

the stool would harden ''mtfft!'
fHE SUSHRUTA SAMHItX.
220
Yavdgu prepared
given
subduing drugs.
with appetising
case
and Vayu-
with powdered S'unthi,
milk and clarified butter should be given in a

marked by good appetite but by frothy motions
oil,
devoid of
oil
XL.
72-78.
Treacle (Phanita) mixed

curd,
[Chap.
and
all
fcecal
Badara-fruits boiled
matter.
treacle, or cakes
with
prepared from them and dried
unripe Fi/pa-fruits should be prescribed. Cakes prepared
with boiled Mdsha-pu\se should be prescribed to be

taken with curd followed by a draught of S'vetd (cake-
marked by the absence of fecal

The blood-stained flesh of a hare
cooked with Samangd, curd and clarified butter should
made) wine
in
the case
matter in the stool.
be taken with well boiled
A decoction
cooked
in
rice.
79.
of Mds/ia-puhe, Kola and
equal
parts of the
oil
and
and mixed with curd and the expressed

should be prescribed as diet
in
barley duly
clarified butter
Dddima
The absence
juice of
the case.
of any fecal
matter in the stool (Furisha-Kshaya)

would yield to the use of Bit (black salt), dried unripe
Vilva fruit and S'untki pasted with any acid juice and
mixed with curd-cream and cooked in equal parts
of
oil
with
and
Clarified butter duly cooked
clarified butter.
tringent
as-
and
appetising
'drugs
should be
given in a case of Atisara attended with Sula where

the patient feels a good appetite after the loss of fecal
matter.
8081.
Symptoms
in
of Pravcthikct :The Vdyu
the organism of a
unwholesome food,
carries
person addicted to the use of
deranged and aggravated. It

down the accumulations of Valasa (mucus) into
is
the lower part of the body, whence, mixed with stools,
they are constantly passed

disease
is
called PravaTrika"
off
with tenesmus.
(mucous
diarrhoea).
The
The
UTTARA-TANTRA.
Chap. XL.]
229
motions are attended with Sula (pain)

the
type of
burning sensation
with
disease,
mucus)
origined
of food
of
factor
these
may be
cases.
Pravahika as well as
Baktaja (blood-
in the
of dry (Ruksha) or of
Excessive use
type).
fatty articles
regarded as the exciting
The
specific
Ama
or acute and
its
the
in
Kaphaja one and with
Fittaja one, with mucus in the
blood (blood-streaked
the Vataja
in
indications
of
Pakva
or
mature stage are respectively identical with those of

82-83.
the several types of Atisara.
Treatment I In
the
event
producing no beneficial effect
fasting
of
compounds
other digestive (Pachana)
(cf
serious
in
and
Pravahika)
cases
they
are
found to readily yield to the use of boiled milk,
oil,
Tila (sesamum) or Pichchhila
Vasti.
The green
stems of S'dlmali well covered with green A/a-bIades,

should be scorched in the
The
juice should be
with boiled
milk,
fire in
the
manner of Puta-paka.
squeezed out thereof and mixed

oil,
clarified
butter
and powdered
Yashti-madhu, and should be carefully injected into the
rectum in the manner of Vasti application

of Pravahika
urine.
marked with the
Similar
in
cases
retention of stool and
of a decoction of Das'a^mula
injections
duly cooked in milk and mixed with honey and applied

in
the
manner
of
the application of
an Asthapana-Vasti
oil in
the
Vasti would prove highly
with painful tenesmus.
Diet
Oil
84
manner
efficacious in
as
of an
well
as
Anuva'sana
cases
marked
86.
duly cooked with the drugs of the
Vayu-subduing (Vidari-gandhadi) group and with (the

five
officinal
kinds
of)
salt
should
preparation of) food and drinking of Lodhra,
pasted with
oil
be
used in (the
compound
consist-
and dried unripe Vilva-frult

and mixed with Tri-katu should be
Z?*/-salt
ajO
THEi
given to be
SUSHRUlA SAMHITX.
The food
licked*.
[Chap. XL.
rice) of
(boiled
a diar-
be taken with honey and curd

from which the cream has not been removed or with
rhcetic
patient should
milk warmed by a piece of red-hot metal

gold and
silver)
(other than
and mixed when cold with a profuse

The use of milk duly boiled and
quantity of honey.
cooked with the admixture of Tri-katu and Viddrtgandkd, with the food would prove curative in a case
attended with Sula.
He
should also be given soups
(Rasa) prepared with the drugs of appetising, astringent

(Grahi)
and Vayu-subduing
and
soup should be prepared with
his
butter with
The
the
Fish he
virtues.
oil
may
and
take
clarified
admixture of Vayu-subduing drugs.
diet in this disease should consist of venison,
mutton
or goat's flesh cooked with the tender sprouts of a Vata

tree or of blood of a fatty goat duly
(Dadhi),
and
oil
clarified
butter.
of a Lava bird, or with well
with the
benefit)
take
his
He may
prepared curd.
cooked Mdsha-fulse mixed
well
transparent
He may
soup (Yusha) of a peacock or
food with an unsalted
take (with
cooked with curd
upper part of
clarified
butter
(Ghrita-manda) and with curd, while chewing at inter-
pepper).
87
unpowdered Maricha (black
teeth) the
vals (with his
89.
compound
of milk,
honey and
mixed with the decoction of
clarified
Yas/iti-mad/iu
butter
and Utpala
should be applied in the manner of Vasti-appli cation

in (a case of
Pravahika, marked by) excessive pain and
painful micturation (Mutra-Krichchhra).

tion of this Vasti
*
would
The
applica-
alleviate the burning sensation,
According to some variants
this
compound should be taken
thrice
daily.
Kupya
Kurpa which
+ In place of "^nt"
some read "fw"
(any metal other than gold and silver)

is
explained to
mean a kind
of stone.
UTTARA-TANTRA.
Chap. XL.]
allay the the
3I
accompanying fever and remove the blood

Injections of the decoction (of the drugs)
(in
the
of
Madhura group
stool).
(such as Kakoli,
etc.) in
the
manner
Anuvasana Vasti, should also be applied every
of an
day at daytime or
feeling
any
pain.
Vasti
the night,
in
if
the
patient
be
90.
applied with the admixture of
oil
would
aggravated bodily Vayu and Pravahika,

would be removed with the pacification of the deranged
pacify the
bodily Vayu.
The main
of Pravahika
is
its
treatment, therefore, in a case
the deranged local
to restore
normal condition, (which
is
Medical Treatment : The

as Pdthd, Ajamodd,
Vayu
to
identical with a cure). 91.
known
and Mdga-
drugs
Kutaja- seeds, S'unthi
dhikd taken in equal parts, pasted together and dissolved

in tepid
water or milk duly boiled with the
of a goat
and mixed with
efficacious
in
case of
clarified butter
Pravahika.
testicles
would prove
Clarified
butter
mixed with oil and duly cooked with S'unthi and

Kshavaka would give instantaneous relief, if licked.
Yavigu duly prepared with the admixture of Vilva
and the expressed juice of Gajds'ana (Sallaki), Kumbhikd and Dddtma and with curd, oil and clarified
butter would prove highly beneficial. The use of milk
just drawn, would similarly prove beneficial in the
case.
92.
wise and
experienced physician should
employ
compounds and decotions in
the bowels and of the Stomach (Udara-
the foregoing medicinal

the complaints of
maya)
as well as light, appetising and emulsive (Snigdha)
and other
articles of fare
before as diet in the cases.
YavagU
in
Yavagu
cases of fever
articles
of food
prescribed
93.
(gruel) is
and Atisara
always efficacious
in as
much
as
it
allays
THE SOSHRUTA SAM HITA.
232
and appetising, and
digestion
in
light
thirst, is
[Chap.
as a cleanser of the bladder (diuretic).
XL.
acts
94.
General Principle of Treatment :

Drying (Ruksha) measures should be employed in a
case due to the excessive use of any oily or emulsive
food and emulsive (Snigdha) measures should be
adopted
a case brought on through an excessive use
in
any dry (Ruksha)
of
should be
first
The cause
article.
removed
in
a case due to
of
terror
fright,
while
mind should be calmed or consoled in the case due

to any grief or bereavement. The treatment in cases
(of Atisara) due to piles or worms (in the intestines)
the
as well as in those due
to the
duced into the system) consits
effect of poison
in
(intro-
employing therapeutic
agents which are simultaneously remedial both to the
and to
disease
exciting factors.
its
Complications or
distressing concomitants such as vomiting,
ing
thirst,
faint-
should be removed with drugs which are
fits, etc.,
not incompatible with the main treatment of the disease,
and which do not aggravate the exciting factors. In a

case of fever or Atisara marked by the simultaneous
aggravation of the deranged bodily Doshas, the deranged
Pitta should be
affections,
be
first
it
is
curbed
first
remedied, while
in
all
other
the deranged bodily Vrfyu which should
down
or corrected.
95
96.
Indications Of Cure : Non-emission

stool
at
flatus (Vayu), as
and
well
the lightness
as the rousing
of the
(Diarrhoea,
the
The
etc.).*
printed edition
of the appetite,
abdominal cavity (Koshtha)
are the indications of cure
of
the time of urination and the free emission of
in
a case of
Udaramaya
97.
of Dallana's
symptoms of cases of aggravated
commentary says
Atisara.
that
these
are
Chap. XL.
UTTARA-TANTRA.
Static or
Dynamic causes
eases and Treatment

to the
233
of Dis-
Some diseases are due
dynamics of Karaas (deeds done by a man in

some are due to
the present or any prior existence), and
the effects of deranged bodily Doshas, while there
be others which have their origin both
in
may
the dynamics
Karma and the necessary physiological (Doshaja)

causes.
Of these a Karma-origined disease may come
of
on without any apparent exciting factor and

appears with the extinction of its (Karma's)
effected
by means
penance,
etc.)
any
of
remedial
measure
result
(e. g.
other than medical treatment, whereas as
a Dosha-origined disease
conquered as soon as the
is
involved deranged Doshas of the

their
dis-
it
body are
restored
to
Cases due to a slight derange-
normal condition.
ment of the bodily Doshas but attended with

deal of troubles as well
good
those due to the excessive
as
aggravation of the Doshas but attended with only slight

troubles should be attributed
both to the physiological
causes and to the dynamics
cured only
when both
of
of these
Karma, and these are

viz., Karma and
causes
aggravated Doshas arc removed.
Grahani :The
Grahani
98.
(lit.
the uppermost
extremity or the receiving ducts of the intestines)
by
affected
appetite.
the
The
ranged, even
Atisara,
if,
causes which produce
digestive
after *
dulncss
of a patient
fire
again de-
is
the subsidence of an
is
of
attack of
with the dulness of appetite, he be
still
in-
temperate and injudicious in matters of food and drink.
Hence the regimen of
diet
Atisara should be as laid
down
The
Grahani
is
use of "^ffi(" in
the
text
and conduct
in
in a case of
connection with the
shows, say the commentators, that
possible even without a previous attack of Atisira.
TH E SUSHRUTA SAMH1TA.
234
[Chap.
XL
of any purgative course (Virechana), until the
sequel
deranged Doshas of the body would be completely
res-
tored to their normal condition, bringing in the natural
health and strength in their
The
train.
sixth Kala
which has been described as the Pitta-dhara Kala

containing
sheath)
is
between
situated
and Amaa'aya (duodenum
strength of the organ of Grahani

digestive
former.
(Agni) and
fire
Grahani. The
dependent on the
called
is
?)
is
the latter
situate
is
Hence anything that impairs the
(Agni) necessarily affects the Grahani.
The aggravation
of one
leads to the derangement
the -food taken
is
fecal matter, or
or
all
is
digested,
in the
digestive
fire
99-102.
the bodily Doshas
of the Grahani
into which
shape of undigested
passed off in the
if it
(Pitta-
Pakvas'aya
it
sometimes produces
constipation of the bowels and sometimes liquid motions
accompained
The
disease
(in
both cases) by pain and
called
is
Grahani
experienced Physicians.
or
lassitude
smell.
?)
by
103.
Premonitory Symptoms
digestion,
fetid
(chronic diarrhoea
sense
'.incomplete
of physical
langour,
laziness, thirst, a sense of exhaustion, weakness, aversion
to
food, cough, ringing in
the ears (Karna-Kheda) and
rumbling sound in the intestines are the symptoms which
mark the premonitory
stage of the disease.
Symptoms Swelling
:
and of the
thirst,
feet,
104.
or cedema 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-Svasa (variety of asthma)
in
the
indications
(Grahani),
of
105,
the developed
stage
of
well
an
are the
the disease
UTTARA-T ANTRA.
Chap. XL.J
Symptoms
Specific
case of the Vrftaja type
aching pain at the
is
2$$
of GrahanI :
accompained by a severe
thorax
anus,
abdomen and the head. A case of

marked by a burning sensation in
(Hridaya),
by a sense of
is
characterised
heaviness in the limbs.
case of Tri-Doshaja
symptoms belonging
cases (Vataja,
the three
to
Pittaja
characteristic
colour to the
(stool
furnishes
satisfactory
clue to
disease, which, if neglected or
may
usher in
heart),
piles
Pandu
in
a case imparts-
finger-nails,
face
eyes,
Thus
and urine) of the patient.
and excreta
a
Graham
symptoms of
and Kaphaja types).
the
all
The deranged bodily Dosha involved

its
is
the body, while the
one of Kaphaja origin

exhibits
sides,
the Pittaja type
the diagnosis of
unchecked
it
the
the outset,
at
an attack of Hrid-roga (disease of the

(chlorosis),
Udara
(ascites,
and enlargement of spleen.
Gulma,
etc.),
106.
Treatment and Diet ".Appropriate
emetics
and purgatives should be exhibted (for cleansing the

upper and lower parts of the body) in accordance
with the aggravation of the Dosha or Doshas involved,
and Peyas
(gruels)
and other
in
due
their
order.
digestive, astringent
of diet duly pre-
articles
drugs should
pared with appetising
then he prescribed
Therapeutic agents possessed of
and appetising virtue should then
be employed through the vehicles of

(wine),
Sneha
(oil
water, or Takra.
is
in itself
The
worms
also
churtta,
Gulma,
with benefit
medicated
(Grahani).
with the treatment

ascites or
in
The compound known
or the
Arishta
the morning
in
for the disease
in connection
in the intestines,
be adopted
dfecussion.
of Takra
use
an excellent cure
Remedies mentioned
of
Surd,
or clarified butter), cow's urine, tepid
piles
the disease
as
the
clarified butter
may
uuder
Hingvddu
described as
THE SUSHRUTA SAMHIT X.
236
[Chap. XL.
in a case of enlarged spleen, or the one

cooked with the expressed juice of C/idngeri and
with the drugs of the Mdgadhddi (Pippalyddi) group
remedial
duly
as
Kalka may be likewise prescribed with
results.
as
Clarified
butter duly cooked
much curd (Dad hi) may
Whatever
is
beneficial
with four times
also be used
with benefit.
appetising (medicines, drugs and diet,
would be beneficial
(Upadrava) such as
Graham".
in cases of
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
the fortieth chapter of
SamhiU which
Atisira.
deals
the
disease.
107
with the (symptoms) and
medical
treatment of
CHAPTER
Now we
on the (symptoms and)
discourse
shall
XLI.
medical treatment of Phthisis (ôsha-Pratishedha).
Nomenclature
Wasting or a general
I.
ema-
frame marks the sequel of and comes

as a premonitory symptom of an organic disease.
of the
ciation
in
Any
a
low
diagnosis and
many
the body such as Rasa
serum,
attack. Since the
was the
also
to
first
called
authorities.
Some
is
It is
called
Kshaya
found to accompany
of the
activities
victim to
fall
Raja-yakshm&
(king's
attack,
its
disease)
-f
it
is
by some
2.
say that the
It
consuming
the vital principles of
disease
is
by the
Doshas of the
produced
separate action of the three fundamental
body.
its
dis-
The
body during its

Moon-god, the king of the Brahmanas,
functional
the
of
fact
etc.
(wasting) since a wasting process

all
physician.
skilful
withering)
correct
under
of the disease
a
nameds Sosha from the
is
or drying up (Sosha
Kshaya.
called
is
a radical cure
has baffled
cussion
disease
fever
lingering
by
of the body accompanied
condition
cachectic
being usually found to be attended with
all
The mythological origin of dosha (Phthisis) is

The Moon-god married 27 daughters of Daksha
attached to Rohini in the extreme.

father-in-law,
of whom he was
Thereupon the personated wrath of his
Daksha entered the Moon-god
in
the
shape of Phthisis,
whereby the body of the Moon-god began to emaciate. The Moon-god

became penitent and the wrath of his father-in-law having been subdued
at
the intervention
personated
Phthisis
of the other
to
earth
to
gods,
take
he managed to send
possession
of
men
down
the
indulging
any kind of excess and more particularly sexual 6XCSBS. The

moon-god was then medically treated and radically cured by the celestial
in
physicians, the twin As'wins.

'
Cf. Scrofula
which
is
now known
as>
the "King's disease."
THE SUSHRUTA SAMHITX
238
the eleven
distressing
symptoms which
[Chap. XLI.
are manifested
simultaneously with the ushering in of the disease, and
being the only instance in the science of therapeutics

in
the
which the treatment does not vary according to

variation of symptoms.
This disease, Soeha, is
more properly
said
aggravation of
symptoms
simultaneous
the three Doshas, and it is the

most predominant Dosha only that
and general symptoms :
any wasting disease
process of
any
the
in
3.
yCtlology
pression of
originate
all
of the
are manifested.
The
to
the system, re-
in
physical urging or propulsion, over-fatigu-
ing physical exercise and irregular diet
are the causes
which, by aggravating the bodily Doshas and propelling
them
over the organism, give
all
The aggravated Doshas with Kapha
to the disease.
rise
as the
most predo-
minant factor having obstructed the lymphatic channels,

or the semen of a person having been exhausted by
sexual
consequently produce a loss
excesses
of
the
other Doshas or the principal elements of the organism,
thereby producing a cachectic condition
and the following symptoms,
vis,
of the
body,
aversion to food, fever,*
asthma, cough, emission of blood, loss of voice, numbering six in
all
are found in cases of Raja-yakshma.
Specific
mark
6.
Symptoms: The symptoms which
disease
bodily Vaytl in the
are loss of voice (hoarseness), aching pain (in
the chest),
contraction
shoulders (Ams'a),
of the
while
sides
and stoop at the
those which
are
exhibited
through the action of the deranged Pitta are
fever,
burning sensation, Atisara and expectoration of blood,
and the
deranged
features
Kapha
which
indicate
the action of the
in the disease are a sense
of fullness in
the head, aversion to food, cough and a sense of the
Chap.
XLL]
UTTARA-TANTRA.
presence of a
is
lump or plug
rising up).
in the throat (as if
something
7.
Prognosis
physician having an
professional reputation or
his
239
eye
to
good name should not
take in hand the treatment of a case of Sosha (Phthisis)
whether marked by
symptoms
all
attended
or
preceding eleven kinds of
the
with six of them

loss
of voice,
food and fever, or accompanied
by only
Atisara, pain
toms,
the
at
viz. fever,
sides,
vis.
cough,
aversion to
three
cough and blood-spitting,
symp-
8.
Other causes of &>sha and their
Symptoms Sexual
excess,
>
fatiguing
ulcers
by
certain
this
exercise,
toils
authorities within
disease,
excess
of
physical
and ulceration of the Urah
is
Sosha.
attended with
semen and
is
the
of journey,
the
fasting,
(lungs) are included
exciting
case of Sosha
all
old age, over-
grief,
factors
of
due to sexual
symptoms due
to
loss
marked by palour or yellowness of
the complexion, the vital
organic principles beginning
with semen being wasted up in succession in their inverse

order of enumeration.
Constant
brooding
over
limbs and
the
departed person, looseness
of the
symptoms
other than the actual dis-
of sexual excess
charge of semen mark a case due to

cachectic condition of the
lity
grief.
all
the
A general
body accompanied by imbeci-
of the mind, diminution of bodily strength, impaired
functions of the sense-organs, laboured or difficult breath-
ing (D. R. shivering of the limbs), aversion to food, a
gong-like voice, expectorations

of
mucus (A. R. heaviness of the
to the
apathy
and (constant mucus) secretions
nose, eyes and mouth are the symptoms
concerns of
from the
ears,
marked by the absence

limbs), a general
life
which indicate the origin of the disease
in the
and spontaneous waste of an extreme old age.
natural
9-12.
240
XLL
case due to the toils of journey or travel develops
symptoms as
such
[Chap.
of the limbs, flabbiness of
looseness
the muscles, scorched
or burntness
haggard and cadaverous

limbs, the absence
look, a
of natural
of complexion, a
gone-feeling
gloss of the
dryness of the mouth, throat and of the Kloma.
symptoms
in
in
the
body and
These
addition to those of the ulcerated lungs
(Urah-Kshata) without actual ulceration, characterise the

type due to over-fatiguing physical exercise.
If
and
a case of ulcer
is
attended by
difficulty in eating,
and
it
turned to a case of Sosha
is
Rupture or ulceration
kshata)
is
the active
straining
of
congress and
purple coloured blood
the tone of the voice
becomes
senseless
In certain
excessive
ultimately
Yellowish, black
expectorated or hawked
is
fetid smell
is
is
is
changed
inside
felt
felt
The complexion
the breath.
entail
They
burning sensation
region of the chest.

in
up heavy
such other acts as
and
co-operation
the chest fUrah).
charge blood and pusy secretions.
by coughing.
lifting
and loud reading, a hurt or a blow,
or excessive sexual
require
lungs (Urah-
the
in
caused by physical exercises,
loads, excessive
from.
13-14
of blood, pain
pre-eminently the most uncurable type of the
is
desease.
and
loss
the
mouth
body and
the patient
from the excessive pain he

cases the
or
out
in the
of the
and
dis-
suffers
symptoms vary according

exciting factors, and
to the varied natures of their
all
symptoms are not fully exhibited. Nevertheless these diseases also go under the denomination
of Kshaya (consumption) owing to the fundamental
vital principles of the body being equally consumed
the specific
or withered
their
up
in
them, and
treatment has
(Chapter
XV,
already
Sutra-Sthana).
the
specific
mode
of
been explained before

15-17.

Chap.
XU]
UTTARA-TANTRA.
2+1
Premonitory Symptoms: Laboured

a gone-feeling
difficult breathing,
sense of physical
fits,
the limbs and
lassitude, secretion of
or
a.
mucus, dryness
dulness of appetite, vertigo or
of the palate, vomiting,

fainting
in
nasal catarrh, cough, somnolence, whiteness
of the eyes, desire for meat, and increased sexual propcn*

sities
are the
symptoms which mark the advent of the
Sosha. The patient dreams that he

has been borne on the wings of a crow or a parrot or a
vulture or a pea-cock or has been riding a porcupine or
dreadful
disease
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.
8,
gradual wasting of the body
inspite of sufficient food, presence
of Atisara (diarrhcea)
and swelling of the abdomen and scrotum are the symptoms of a comsumptive patient who should be given
The
up.
treatment, however, of a
in his habits
and
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
The
patient
15-20.
should
be made
to use the medicated clarified butter prepared
the milk of a
from
ewe or a she-goat and duly cooked
with the drugs of the Sthirddi (Vidari-gandhadi) group,
and then mild

injections
after
should follow
emetics
the
the
preceding
hcad-purgativc (Siro-vircka)
diet
and
manner
purgatives.
of
Intestinal
an Asthapana Vasti
medicinal
should
measures and
be applied.
The
should then be given consisting of (cooked) wheat,
barley S'd/t-rice together with meat-essence.
Construc-
(Vrimhana) should be given

to a patient with a gqod digestion and relieved of
tive tonics or tissue-builders
.3*
242
symptoms
all -distressing
tions
Vayu
mark
wherein
efficacious.
21
sexual
to
excess,
and remedial agents of

would be found to be extremely
tonics
virtue
the deranged bodily
due
case
constructive
Vayu-subduing
of
XU.
Complica-
or concomitants.
peculiar to the action
generally
[Chap,
22.
Diet meat, etc.
The
flesh of a
crow or an
owl or a mungoose or a cat or a Gandupada (earth-
worm) or a cormorant or a beast of prey (Vyala) or of

any animal of the Viles'aya or Jangala class mixed
with Saindhava
and
salt
ways
prescribed in various
The
Phthisis.
diet
fried in
may
mustard
oil,
should be
a patient laid up with
for
Mudga-soup or
also consist of
of Arf/iaki-soup 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 Mddhvika may also be given.
Various articles of food made of
well as
cooked.
wine
23.
barley-grains
previously soaked in the alkaline water duly prepared
with Arka and Amritd

Clarified
butter
or a she-goat,
skimmed
may
may
off
likewise
Tri-katu,
prescribed.
be given with gruel at the meal-time
to .an extremely emaciated patient.

sisting of
be
from the milk of a ewe
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
any carnivorous animal and

mixed with Pippali and honey as an after-throw proves
essence of
remedial
the
flesh
in a case
oil
of Phthisis.
of Drdks&d, sugar and
honey and
of
lambative consisting
Mdgadhikd pasted together with
proves efficacious as a cure for Phthisis.
A, case of Phthisis would yield
to
consisting of Tila, Mdsfia-pulse
the use of a lambative
and A/vgandAd ground
UTTARA-TANTRA.
Chap. XLl.]
to a fine paste with the addition of
skimmed out
butter
243
honey and
clarified
milk of a she-goat, or of
of the
sugar,
As'vagandhd and Pippali pounded together and
made
into a fine paste with
clarified butter.
may
As'vagandhd
the addition of honey and
Milk duly cooked with the admixture of

be prescribed as a constructive
tonic.
skimmed out of the preceding preparation of

milk and mixed with copious quantity of sugar should
Butter
be taken, as an alternative, every morning and

should be then followed by a draught of milk.
As'vagandhd, Punarnavd and
Yava should be used
rubbing (Utsadana) the body of the patient.
in
butter duly
fied
cooked with (the decoction
whole of a Vdsaka
tree
and barks) and with
(vis., its
Clari-
the
of)
branches
roots, leaves,
flower (as
its
this
24.
Kalka) and mixed
with an adequate quantity of honey* should be taken
by
consumptive patient
regimen of
diet.
Thus a
strictly
virulent
conforming to the
attack
of Phthisis
accompanied with cough, asthma and chlorosis would

be speedily conquered.
25-26.
wise physician should take equal parts of clarified
butter,
milk, decoctions
of
Murvd, Haridrd
and of
Kfiadira and the expressed liquid of the dungs of a cow,
a horse, an
elephant,
she-goat
and
a ewe.
equal parts of the above ten articles should

boiled and cooked together with the
Tri-katu, Tri-phald,
(Kakolyadi) group.
of
be duly
powdered
Devaddru and the drugs of the sweet
This medicated
would be found highly beneficial

(Yakshma).
Kalka
Ten
in
clarified
butter
the cure of Phthisis
27.
Six Patra measures of the duly prepared decoction of
Das'a-mula Vatuna, Karanja', Bhalldtaka, Vilva,

x
This preparation is also found in the Charaka Samhjta

under the treatment of Rakta-pltta.
different language
the'
two
though in
the siiskRUTA
244
kinds of Punarnavd,
tcUp.
xt.i.
Yava, Kulattha, Badara, Bkdrgi,
Mahi-Kadamba
Pdthd, Chitraka and

with a Patra measure
Kalka
SAtitiirA.
should be cooked
and with (the
of clarified butter
Vyosha (Tri-katu), the milk of Mahd-vriksha

(Snuhi), Abftayd, Chavya, Devaddru and Saindhava salt
of)
The medicated
(D. R. Pippali).
pared proves efficacious
Vataja-Prameha.
clarified butter thus pre-
in cases of Phthisis, Ascites
milk, blood, meat-essence
and
cooked with the
and the expressed liquid of
the dungs of a cow, a mare, a ewe, a she-goat, a cowelephant, a hind, a
and a she-camel and with
she-ass
the Kalka of Drdkshd, As'vagandkd,
Magadhd and
sugar
proves extremely beneficial in cases of Phthisis. 28-29.
EleTdi-mantha I A
fied butter
Prastha measure of
clari-
should be duly cooked with the decoction of
Eld, Ajamodd, Amalaka, Abhayd, Akslia, Gdyatri, Ariskta,
As ana,
S'dlasdra, Vidanga, Bhalldtaka, Chitraka, Ugrd*,
Ambfwda and Surd s/itraja-ea.rth. When duly

cooked it should be taken down from the oven and
Tri-katu,
thirty
of
Pala
weight of candied sugar, six-Pala-weight
Tugd-kshira
and
(Vams'a-lochana)
measure of honey should be added to
with a laddie.
followed by a
licked
Pala weight of
extent of
it
this
and
stirred
preparation
draught of milk should be given to be
every morning to
present elixir
two-Prastha-
is
possessed
Phthisical
diseases of the
ano, asthma,
body as
loss
of
Phthisis,
chlorosis,
voice, cough,
Gulma and
The
The
embraces such
therapeutic application
its
patient.
of ambrosial sanctity.
troubles
fistula-in-
of
the
heart, enlarged
spleen,
indigestion.
imparts longevity to a person using
It
chronic diarrhea or
leads to the expansion of his intellectual
Ckkrad*tt doe* not
read
Ugri
in the
list.
faculties
it,
and
UTTARA-f ANTRA.
Chap. XLi.]
tends to invigorate his eye-sight
24
the best of
It is
all
rejuvenating preparations cf our pharmacopea and no

strict regimen of diet and conduct is required to be
followed while
it is
The medicated
used.
30.
clarified butter
mentioned under the
treatment of Plihodara (dropsy of the abdomen owing

to the enlargement of spleen
Chapter XIII, Chikitsitaothers mentioned
sthana) as well as the three
connection
may
that
in
be also used with advantage
in
the
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
in
the Sastras.
use regularly the
The
patient should be
milk, butter,
urine,
blood,
meat and the (expressed liquid of the) dung of a goat as

his bath or in any other way possible (e.g., in drinking)
and to live in a goat-shed (in the company of goats)
whereby he would be cured of his Phthisis in a month.
A Phthisical patient should likewise be made to take
Rasona (garlic) or Ndga-vald or Mdgadhikd or Sfil&jatu
with milk, in the prescribed manner (laid down in
connection with the medical
Vyadhi).
treatment of Maha-vata-
31-34.
Rules Of COndUCt : He
grief,
his
should not allow any
anger or jealousy to disturb the
mind, should lead a
in the discussion of
life
of strict
equilibrium of
continence, deal
sublime subjects and conform to the
injunctions of his medical
He
advisers or physicians.
should pay respects to the gods, superiors&nd Brahmanas
and
listen to the discussions of the spiritual truths
the lips of Brahmans.

Thus ends the
forty-first
from
35.
chapter of the Uttara Tantra in the Sus'ruta
Samhita which deals with the (symptoms and) treatment of Phthisis.
CHAPTER
Now we
shall discourse
XLII.
symptoms and) medical treatment
with the
(Gulma-Pratisheda).
of
Gulma
i.
and number of Gulmas :
Definition
The fundamental principles of the body, deranged and

aggravated by their respective or specific exciting
causes and factors tend to accumulate in
cavity of
the
abdomen (Koshtha) and help the formations of balllike tumours or Gulmas (Internal tumours inculsive of
those known as the phantom tumours) somewhere inside
the body lying between the extreme confine of the
regions of the heart and of the bladder (Vasti). The
Gulma is of five kinds and found to be round or
the
may
spheroid in shape and

shifting)
their
be either fixed or mobile (lit.

their character and subject to variations in
in
mass and
size.
2.
and nomenclature :
Localisation
They have
vis.
five locations inside
the two
bladder
sides,
(Vasti)
The Gulmas
the
and
are so
the abdominal
region
the "region
named because
of
the
of the
their
cavity,
heart,
the
umbilicus).
root
or
base
cannot be exactly localised as well as their cause cannot

be exactly
ascertained
having their origin

local
in
owing
the
bodily Vayu, or
to
the
fact
of
because of their being but a
agglomeration of the deranged bodily Doshas

affected locality
of the
surface
their
aggravated condition of the
in the
and the shrub-like large converse outline

Since a Gulma, like a
(Gulma-shrub).
bubble of water,
is a self-ccntained agglomeration of the

deranged bodily Doshas and freely moves about in the
cavity of its growth, it is not marked by the advent of
UTTARA-TANTRA.
Chap. XLII.]
any suppurative process in

Gulmas are the products of
247
The
mass or body.
its
either the
or con-
several
certed actions of the three" Doshas, while
in
females a
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
Primonitory
lassitude,
dulness
intestines,
of appetite, pain
of stool,
suppression
food
capacity to take
fluid, etc
is
5.
to
the
: A
sense
of
and rumbling in the

and flatus, in-
urine
full,
aversion to food,
and an upward coursing of the internal Vayu are the

indications which may be set down as the premonitory
symptoms
of Gulma.
Specific
6.
Symptoms
region of the heart and
: Pain
the throat and of the mouth, suppression of

irregularity of digestion
specifically indicate the
Vayu
are the
(Sula)
in the
the belly (Kukshi), dryness of
and
Vayu
(flatus),
other symptoms which

deranged condition of the bodily
all
characteristics
of the Vrftaja-Gulma.
Fever, perspiration, defective digestion, burning sensa-
body (Anga-raga), bitter taste

mouth and all other specific symptoms of the
deranged Pitta mark the Fittaja type of the disease.
tion, thirst, redness of the

in the
sensation of wetness
all
over the body, an aversion to
food, lassitude, vomiting, water-brash, sweet
mouth and
all
taste in the
other specific indications of the deranged
Kapha are exhibited in the Kaphaja type of the disease.

The Tri-doshaja type exhibits the symptoms specifically
belonging to each of the preceding ones and should be
regarded as incurable. 7 9.
Symptoms
of Raktaja-Culma :The
symptoms of Raktaja-Gulma are mentioned below.

bodily
Vayu
of a
woman newly
The
delivered of a child as
248
well as that of a
of a
woman
woman who
in her
unwholesome or
courses
{Chap. XLII.
has recently miscarried, or
deranged by the use of
is
injudicious food (and
regimen of con-
and by supressing the discharge of the blood

(lochia) it gives rise to Gulma attended with pain and
duct),
burning sensation.
Gulma
of
type
this
easily
is
mistaken for a case of conception, which exhibits
all
the symptoms of pregnancy as well as those which are

peculiar to the
of the
state
Pittaja
type, with the
abdomen does not enlarge and

there is no movement (in the womb).' The medical
treatment of a Gulma of the present type should be
exception that
the
taken in hand after the lapse of the natural term of
and
gestation
this
by the experienced
is
known
as the Raktaja-Gulma *
physician.
10.
General Treatment :A
person suffering
from an attack of Vrftaja Gulma should be duly treated

with a Sneha, purged with any fatty purgative and
then treated in the proper time
Anuvasana
Vastis.
disease, the
with
Nirudha and
a case of Pittaja type of the
In
be treated (rubbed) with
patient should
and cooked with the

Kdkoly&di
group
and then being properly
drugs of the
butter duly prepared
clarified
purged with the compounds
of sweet drugs (of the
Aragvadhadi group) he should be treated with Nirudha

Vastis.
In a
should be
first
case of the
Kaphaja
type, the patient
anointed with a medicated 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
the
peculiar (o the females only.
But some
authorities ate of opinion that a kind of Roktaja (blood-origined)
doe to the
vitiated blood of the
males and females.
same
Gulma
organism may be possible both in the
Chap. XLII.]
UTTARA-TANTRA.
249
measures held to be
character. In a Tri-doshaji type,
adopted or
remedial for each of the Dosha s should be
employed.
Measures
down
laid
connection with the
in
in cases of
patients.
Raktaja (blood-origined) Gulma
Now
hear
me
employed
as well
Pittaja type of the disease should be
female
in
describe the recipes of the medi-
which would particularly lead to the disintegration
cines
of the
butter
blood
cases of Raktaja
(in
duly cooked and
with
prepared
Clarified
alkaline
the
wood (water charged with
preparation of Palas'a
burnt ashas of Palas'a) should

tered,
Gulma).
and the medicated
be
the
internally adminis-
clarified butter
known
the
as
Pippalyadi Ghrita should be employed after the manner

of an Uttara-vasti.
(of blood) should
be induced with the help of the drugs
of heat-making (Ushna) potency
and measures
laid
down
set in.
(e.g
Pippalyadi group)
connection with menorr-
in
hagia (Asrigdara) should
has fairly
discharge
be adopted
after
the
flow
11.
Anuvasatia : The
use of curd, clarified butter,
marrow of Anupa (such as boar

buffalo, etc.) and
Audaka (aquatic) animals, boiled
together and applied after the manner of an Anuvsteanalard
oil,
vasti,
The
(Vasa) and
proves beneficial
in
of Va'taja-Gulma.
case
application of similar Vastis charged
with a solu-
and the lard of animals of the
tion of clarified butter
Jangala and Eka-s'apha
groups proves
efficacious
in
the Pittaja type of the disease, while the application

of these
containing solutions of
any Jangala animal

the
*
Kpahaja
type*.
Dallana recommendj
will
1
and the marrow of
prove beneficial
in
a case of
2-1 5.
the use
and Kapha-subduing drugs as Kalka

Vastis respectively.
oil
of
in
Vayu subduing, Pitta-subduing

the
preparation of these three
THE &USHRUTA
25
SAMHITXi,
[Chap. XLil.
In a case of the Vrftaja type of Gulma, the
made
should be
patient
medicated Ghrita duly
use the
to
cooked with the expressed juice of Amalaka and with
Kalka of the six drugs * and with the admixture

of sugar and Saindhava (as an after-throw).
1 5.
the
Chltraka Ghrita : Clarified

cooked with
fermented rice-boilings
curd,
as well as with the decoction

pressed juice of
Tri-katu,
Dipyaka, Granthika,
taken
in equal parts,
Gulma, Sula
dulness of appetite.
Prithvikd,
of
distention
the
Pushkara,
butter duly cookVit-salt,
Vyoska, Dhanydka,
Yava-kshdra, Chitraka, S'athi,

as
Dddima,
Amla-vetasa,
Vachd, Ajagandhd, Eld

,
Kalka and with the admixture of curd

a case of Vataja
(Dadhi) as liquid, proves efficacious
in
Gulma,
stool
and suppression of
colic-pain
Dgfdhlka Ghrita
cooked with
abdomen and
16.
ed with Hingu, Sauvarchala-salt, Ajdji,
and Surasa
Dddima,
Habushd and Dhanydka
Aj'dji,
Hingva'di Ghrita : Clarified

Dipyaka,
of Chitraka,
Chavya,
proves curative in cases of Vitaja
(colic),
'
(Kanjika)
Vadara and the ex-
of
Mulaka and with the Kalka
Saindhava,
duly
butter
Vit-salt,
Vyosha, Jiraka, Hingu,
and
Dddima,
urine.' 17.
butter
'.Clarified
duly
Saindhava, Chitraka,
Sauvarchala-salt,
Yava-Kshdra,
and AmlaKalka and with the expressed juice of

Vija-pura and with curd weighing four times as much
as of Ghrita, proves curative in cases of Gulma, enlargeRushtha, S'unthi,
vetasa
Vrikshdmla (turmerie)
as
ment of
prepared
spleen
is
and
Sula.
The
called Defdhika-Ghrita.
clarified
butter thus
18.
RaSOna Ghrita :Clarified butter duly
cooked
with the admixture of the expressed juice of Rasona

* The six drags to be used as Kalka are Pippali, Pippali-rnula,
Chavya, Chitraka, Nagara and Yavn-kshara taken one Fala ol each.
UTTAKA-TANTIU.
Chap. XLII.]
25!
and with the decoction of (major) Pancha-tnula as well

as with wine (Sura), Aranala (fermented rice-boilings),
curd,
and the expressed
juice of
Mulaka, with the Kalka
of Vyosha, Dddima, Vrikshdmla, Yamdni, Chavya, Sain-
dhava, Hingu, Amla-vetasa,
moda) taken
of
in
curative
its
equal parts, includes within the range

efficacy
such diseases of the body as
Gulma, Grahani (chronic

sanity,
Ajdji and Dipyaka (Aja-
diarrhoea), piles,
consumption, fever, cough, epilepsy
dulness of appetite, enlargement
of spleen, colic,
the derangements of the bodily Vayu.
An Adhaka
asthma,
in-
(Apasmara\
and
19.
measure each of curd, Sauviraka
(a
and the decoctions of

Mudga and Kulattha pulse should be cooked with the
kind of Kanjika),
clarified butter
admixture of two Pala weight of each of the following

drugs,
viz.,
Sauvarchala, Sarjikd, Devaddru and Sain-
The medicated Ghrita thus prepared proves

curative in cases of Vataja Guhna and acts as a good
dhava.
appetiser.
20.
Chritas in Pittaja and Raktaja

ClllmaS : Clarified butter duly cooked with the
Kalka of the drugs or the Jivaniyi (Kakolyadi) group
and with the decoction of the component members of
the Trina-panclia-mula, or of the Nyagrodhddi or of the
Utpalddi group, would
cases'of Pittaja and
undoubtedly prove curative
Raktaja Gulma.
Chritas in Kaphaja
of the
Gulma : A
Kaphaja type would surely
in
21.
yielof to- the
Gulma
use of
medicated Ghritas duly cocked with the drugs of the

Dipaniya (Pippalyadi) group as Kalka with the admixture (as liquid) of the decoction of the
bers
of either the
component mem-
Aragvadhidi group,
the
alkaline
(Mushkakadi) group or the Kragvadhddi Gana, or with

the officinal group of (animal) urines. 22.
2$2
Gulma
of
the
concerted action
of
[Chap. 3tLll.
Srfnnipsftika type (due
three fundamental Doshas
the
all
the
to
of the body) should
dominance
be treated according to the preany specific deranged bodily Dosha
of
The
involved therein.
patient should be
made
take
to
(?>,as soon as the disease sets
at the proper time
in)
compound known as the Hingvddi-churna

the medicated Ghrita known as Tilvaka-Sarpih or the
the pulverised
or
one
(w's.
Shatpalaka Ghrita) which has been described
as curative of the
enlargement of the spleen, as these
in
a case of Gulma.
23
24.
Internal USe Of KshcCra : Alkaline

paration should be duly
the allies
vis.,
made with
(dried
<>i
stems
of)
Ti/a,
Sarshapa and Vavn and of (the barks of

of
Mulaka with the
of a cow, she-goat,
IksJmraka,
Palds'a and
urines (weighing four time^ as
much)
ewe, she-ass and she-buffalo.
This
then be cooked
alkaline preparation should

vessel
pre-
the following drugs,
and on a slow
in
an iron
with one Pala weight of each
fire
of the following pulverised
drugs, vis, Kushtha, Sain-
Vidanga and Ajamodd

and with ten Pala weight of Sdmudra-salt thereto added
d/iava,
Yashti-madhu, Ndgara,
and, should be taken in
form of a lambative with
the
one or the other of clarified butter, curd, wine, fermented rice-boilings (Dhanyamla), warm water or the soup
of Kulattlia.
The
compound, thus prepared,

cases of Gulma and in
the bodily Vayu.
Compounds
alkaline
undoubtedly proves curative

the derangements of
in
consisting of Sarjikd-Kshdra,
Ketaki taken with
with
According
nil
oil*,
to Dallana,
would foim the
1st
or
Kushtha and the ashes of

Kushtha
of Sarjikd-Kshdra,
Sarjikfi-KshiSra,
compound and
would form a separate compound,
Kushtha and YavaKshira

the
KetakaVKshara with
oil
'
Chap.
XLIt
UTTARA-t ANTRA.
253
and Saidhava taken with tepid water, would subdue an

attack of the deranged bodily Vayu.
VriSChlrarishta : The
Uruvuka,
Vris'chira,
Vrihati and
25-26.
Varshdbhu, the
Chitraka should
known
as
two kinds
of
drugs
be duly boiled together
with a Drona-measure of water and taken down

the
oven
by
boiling.
water are evaporated
after three-fourths of the

It
from
should then be poured
an earthen
into
pitcher of which the interior has been previously coated
One
with pastes of Mdgadhi, Chitraka and honey.

of
Seer
powdered Pathyd and four Seers of honey shonld be
subsequently added
to
should be then kept buried

days, after which
contents
its
in
a heap of husks for ten
should be taken out and
it
should be given to the patient

daily
and the pitcher
aftei
contents
its
the digestion
of his
The Arishta (fermented wine) thus
food.
pared proves curative
and aversion
to food.
cases
in
of
27.
Powders of Pdthd, Nikumbka, Rafani,

phald, Agnika
Tri-katu, Tri-
and Vriksha-
{Chitraka), Saindhava-saXt
vija (Indra-yava) in
equal parts should
matured treacle of their
be taken with
combin d weight
or the
powders of the above drugs with pulverised

(weighing a fourth part only of
taken
together) should
be
the
other
cooked with
Pathyd
powders
cow's
(weighing four times) to a thick consistency and

into pills
(by
the
cure the
which should be taken

patient).
cases of
heart-disease,
chlorosis.
in
an empty
urine
made
stomach
These medicines? would radically
Gulma, enlarged
chronic diarrhoea
spleen,
indigestion,
and violent forms of
28.
BlOOd-Ietting : Blood-letting
by the applicaby venesection should be effected in a

elevated
and immobile (unshifting) Gulma
tion of leeches or
case of
pre-
Gulma, indigestion
2$4
THE SUSHRUTA
characterised
by
SANtitlTA.
Sula, burning
and piercing pain.
[Chap. XLlt.
sensation,
inflamation
29.
Diet and Sveda :Drinks composed

meat-essence of an animal of the
fusely salted with
and
butter
the
Jangala group, pro-
Saindhava and mixed with
clarified
lukewarm are good

Peytfs prepared with the Vayuand
Tri-katu
Gulma-patients.
for
of
taken
subduing drugs and the soup of Kulatt/ia-pulsc cooked

with a Sneha as well as the Khada-yueha prepared with
Pancha-mula also
are
likewise
as
efficacious
Diet.
Draughts of milk with Ardraka should be prescribed

a case of
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.
32.
Purgatives preceded by the application of fomentation should be exhibited to
extremely
of the
to
difficult
a Gulma-patient, since
purge him.
it is
Vilepana (massage
Gulma), application of unguents and poultices,
Samdahana (cauterisation) as well as tepid fomentation

the manner of S>alvana-Sveda and the like are
after
likewise
Medicated Ghritas, powders and
applicable.
Vartis mentioned
in
connection with the treatment of
Udara as well as medicated salts? mentioned under the

head Udaramaya* are likewise applicable in the present
disease.
33-34.
Medicated Flags or Vartis made
* Udaramaya
(Vata-vyadbi)
ferable since
is
cither
indigestion or
a variant addopted by Dallana and
there
Kanda-Lavana,
rita
may mean
in
are
several
medicated salts
the treatment of Vata-Vyidhi.
Sdmudra
of
ascites.
is
t.
f,
Anilamaya
undoubtedly preg.,
Palra-Lavann,
Sec Chap. IV, Chikit-
Sthana.
t According to some 'Sumudra' means Samudra-salt and others,
mean* Samudra-Phena.
it
Chap. XLII.]
UTTARA-TANTRA.
2$5
Ardraka, Sarshapa (mustard) and a profuse quantity of
Markka
rectum
be inserted into the
pasted together should
in
suppression of stool and flatus in a
case of
Gulma, Arishtas made with Danti -roots, Chitraka-roots,

Vayu-subduing drugs according to the
or with the
manner
laid
down
Sutra-sthana should be pres-
in the
cribed, or the patient should be

fried tender sprouts
of Putika
made
use the duly-
to
and Nripa-Vrikska.
patient with the upward coursing
Gulma
Vayu should not be treated with Nirudha-Vasti. 35 37.
Compounds of Trivit and S'unthi or of treacle and
of his bodily
powdered Haritaki* as well ab of Guggulu, Trivit, Danti,

Dravanti, Saindhava and Vacha should be administered through milk, wine or the expressed juice of
grapes, according to the strength (of the
made
the patient).
Pilu
the addition
of Saindhava
taken.
Wine
into ,a
surcharged
paste
disease and of
j>nd
should also
with Pippali,
salted with
be similarly
Pippali-roots,
Chavya, Chiftaka and Saindhava and taken at an opportune
moment
(/. e.,
when attended with
would prove readily curative

Gulma-patient
afflicted
of flatus should
in a
etc.)
with a suppression of stool and
take barley with milk or Kulmdsha
(Masha-cakes) profusely saturated with

butter.
tympanities,
case of Gulma.
salt
and
clarified
38-39.
Supervening Symptoms
is
its
supervening
:if s'uia which

symptom anyhow appears whereupon
the patient suffers a kind of digging ajid piercing pain
resembling that arising from the piercing of a dart,

there will also appear the
following distressing
con-
comitants according to the Dosha or Doshas involved,

* According to
taken with water.
some commentators the

.
first
two compounds should be
THE SUSHRUTA
856
vis,,
and
supression of stool
and numbness or
aggravated Vdya),
SAMHITA".
[Chap. XIAI.
urine, difficult respiration,
of the limbs (in cases cf
stiffness
burning sensation, vertigo,
thirst,
digestion of food, and excess of the
pain
colic
in-
(in cases
of aggravated Pitta), and goose-flesh, aversion to food,

after the taking of food
vomiting, increase of pain
and
a sense of lassitude in the limbs (in cases of aggravated-
Kapha)-
The
medical
course of
treatment
of the deranged bodily Doshas specifically

root and should be as follows.
The
such
in
by the nature and number
cases should be determined
lying
at the
40.
following three compounds,
viz.,
(r)
PathyA,
the three kinds of salt (Saindhava, Sauvarchala and Vit)
Yava-Kshdra,
Hingu,
Tumburu, Pushkara,
Harid'd, Vidanga and Amla-vetasa

Satdvari,
S'ringdta,
Kds'mari-phala,
dal
wood) and
Yamdni,
(2) Viddri,
Guda-s arkard
Triphald,
(Gangeri-phala),
Yashtld-madliu, Patusliaka, Hinia (san-
(3)
Shad-granthd (Vacha), Ativislid, Dcva-
Markka, Vrikshaka, Pippali-mula, Ckavya,

Ndgara, Kshdra (Yava-ksh&ra) and Ckitraka should be
respectively given in the VAtaja, Fittaja and Kaphaja
types of the disease. The: medium through which
these compounds should be given would be tepid Amladdru, Pathyd,
Kdnjika, luke-warm milk and
The
preceding
three
tepid
water respectively.
compounds should
be jointly
administered in sets of two or three when two or three
Doshas are involved

Sprinkling
in
any
(of water),
case.
baths,
41.
plaster (Pradcha)
un-
guent? and dietetic treatment should be similarly applied

in
Vataja cases.
Contacts with vessels
water should be applied

of emetics,
in
filled
Kaphaja
use
rubbing, fomentation (Svcda), fasting and
other Kapha-subduing remedies should be

in
with cold
Pittaja cases, while the
types.
recommended
Applications of Sneha and su:h-like
UTTARA-TANTRA.
Chap. XLII ]
measures
remedial
are
257
recommended
specifically
the disease, according to the
Dosha
in
or Doshas involved
'
in
each case.
42.
Prohibited articles : A
person suffering
from Gulma, should refrain from taking Vallura (dried

meat),
Mulaka
of sweet
any preparaany kind) and any kind
(radish), fish, dried pot-herbs,
tion of pease, Aluka, (potato of

fruit.
43.
Causes and symptoms of ula :Now

I
shall deal
with the causes, the characteristic symptoms
and the treatment of Sala occurring

locality of a
Gulma even without
formation therein.
its
in
any
specific
actual presence or
voluntary retention
of
flatus
or urine, over-eating, indigestion, eating
(Vita), stool
before the digestion
of previous food, over-exertion, use
of articles of food which are incompatible in their combination, drinking water
when hungry,
use of germinated
cakes of dry meat, as well as the use
grains, dry food or
of other such-like articles of fare, derange and aggravate
the bodily Vayu, which produces a violent cutting and
spasmodic pain
(>ula) in
the main cavity of the trunk
The patient complains of as

Samku (spear) in the inside and
being pierced
(Koshtha).
if
with a
of a feeling of
suffocation under the influence of that excruciating pain,
which
(lit.
fact
has determined the nomenclature of Sala
spear).
45.
44
Vsftaja Sula: The
violent colic
whenever
in
a difficulty of respiration.
patient
experiences
an empty stomach and he
The limbs seem
to be
feels
numbed
or stuffed and the flatus, stool and urine arc evacuated
with the greatest difficulty
these
are
the
symptoms
which mark the Vrftaja type of the disease. 46.

PIttaJa llla :Thirst and a bifrning sensation
in the
body attended with an excruciating pain,

33
giddi-
THE SUSIIRUTA
258
of consciousness,
loss
n6ss,
amelioration on application
[Chap. XLIl.
SAMIIITX.
desire
and
cold things
for
are
measures,
of cooling
the specific features of the Pittaja type.
47.
Kaphaja and Sa'nnipa'tika ulas :

An
agonising pain attended with nausea, excessive
ness of the stomach and
full-
a sense of heaviness in the
limbs are the indications which distinguish the Kaphaja
The type due
to the
concerted
simultaneously deranged
Doshas of
type of the disease.

action of the three
body (Sa'nnipa'tika Sula) exhibits all the series of

symptoms which respectively mark the preceding types,
the
and hence
it is
said to be incurable.
48-49.
General treatment : The

been described.
Now
cal treatment (to
hear
me describe
be generally pursued
of Sula). Since the deranged

principal
bodily
and immediately exciting
in its operation,
hence
it
symptoms have
the mode of medicuring a case
in
Vayu
factor,
(which
is
the
very active
is
should be speedily subdued.
Fomentations with Pdyasa, Kris'ard or cooked meat

saturated with any Sneha (clarified butter,
be resorted
to.
patient suffering from Sula.
cooked
7m/nV-leavcs
cooked with a Sneha
(as
The
patient
pot-herbs)
(clarified butter)
should
etc.)
Fomentation naturally gives
relief to
should take
with
mea's
his
and served hot
or he should eat the tender sprouts of Chiravilva fried
with
oil,
or drink the meat-essence
of the
of
flesh
any
birds of the Jangala group charged with a Sneha, or take
the meat of any animal of the Viles'aya group.
50.
Treatment of Vtaja 3ula : Surd,

raka (fermented
and ^das'vit
salt *
*
rice boilings), S'ukta, the
(half-diluted
Takra) saturated with Kdla-
should be taken in a case of Vtftaja Sula.
Kala Lavana generally means

it means \Sauvarchala-saH'.
Pal'nnn,
Sauvi-
cream of curd
'Vit-salt',
but
here,
The
according to
XLIL]
Chap.
UTTARA-TANTRA.
2 $9
soup of Kuluttha with an adequate quantity of the acid

pomegranate, etc.) and cooked with the
articles (e. g.
soup of Ldta bird salted with Saindhava and seasoned

with pepper, exercise a curative efficacy in a case of
The compound
Vayu-origined type.
the
S'igru, Kampilla,
of Vidanga,
Pathyd, S'y&ma, Amla-vetasa, Surasd,
As'va-karna and SauvarcJiala should be taken with wine

in
an attack of the Vayu-origined type of Sula. 5152.
pulverised
Chavikd,
Ajdji,
compound
consisting
Vyoska,
Yavdni,
of
Prithvikd,
Chitraka,
Pippali,
Pippala-mula and Saindhava pounded together should be
taken with milk or Kdmbalika or Madhvdsava (wine of
honey) or Chukra or Surd (wine) or with Sauviraka

(fermented
rice-boilings)
as
pressed juice of Mdtulunga and
Badara
The above
alternatives.
compound should be soaked
pulverised
the
in
ex-
with the decoction of
times after the manner of Bhavana

and the compound should be taken with a
several
saturation,
profuse quantity
of Hingtt,
and with
sugar.
made
Dddima wood mixed together should be
Varti
of the same powders and pulverised (pith
treacle or
honey
or taken with
wine
Sula as giving an instantaneous
in cases
relief,
should be given with lukewarm
meat-soup
diet
should
charged
with
clarified
of Vataja
53.
In a case of Sula due to hunger, light

diet
of)
licked with
and sparing
Yavdgu or
milk,
Emulsive
butter.
be given in a case of Vataja Sula to a
patient of dry or parched organism, use of well seasoned
Ghrita-puras being specially recommended.
The
should also take Varum' wine wherefrom
he
relief.
patient
get
will
54 55.
Treatment of Pittaja ula : The
*
treat-
ment of Vataja Sula has been described above. Now

I shall narrate the therapeutic agents
and remedies in

THE
i6o
fatJSHRtJTA
respect of Pittftja-ala.
attack of the
made
person afflicted with an
any violent
He
(a stomachful of) cold water.
to
cooling
XLIL
[Chap.
of the disease, should be
present type
to vomit without
SAMHITX.
effort
by drinking
should have recourse

all
heat-making ones.
or precious
stones and cooling
measures and avoid
Vessels of copper,
silver,
gems and
up to the brim with water, should be
filled
placed upon the seat of affection (Sula) in his body.

Treacle, barley, S'a'li rice, milk, (draughts
butter,
purgatives, the
flesh of
clarified
of,
any Jdngala animals
these should be prescribed in cases of Tittaja Sula.
All
Pitta-generating articles should be avoided and those

which soothe the Pitta should be used. The soup of the
meat of Jangala animals may be taken with sugar as an

Parushaka, grapes, dates and aquatic fruits
alternative.
such as S'ringa'taka,
should alto be taken with
etc.,
sugar as they tend to relieve Pittaja Sula.
56.
Treatment of Kapha ja ula : a

Sula due to the action of the deranged
vated just after
in
is
fit
of
aggra-
Vomiting should be induced
eating.
such a case with
Pippali*.
Kapha
draughts of
Dry fomentations and
the decoction of
other heating measures
should be likewise resorted to and the patient should be
made
to take Pippali
cases
of Kaphaja
Sula.
Katuka-rohini should
Chitraka, or the
soup
any shape) in
Pdthd, Vachd, Tri-katu, and
and S'unthi
"(in
be used with the decoction of

(of
any S'ula-subduing
should be taken with an equal part of Arjaka.
article)
57-58.
Seeds and roots of Eranda, Goks/iura-roots, S'dlaparni, Pris'ni-parni, Brihati, Kantakdri, S'rigdlfrvinnd (a
ki#d of
Pris'ni-parni), Sa//adevd,
* Sonic commentators, according

seeds of Madana-phala.
to
Ma/idsa/id (Misha.ipa.mi),
Dallarm,
take [rippali
to
mean
Chap. XLil.]
UTTARA-TANTRA.
26l
Kshudra-saha (Mudga-parni) and Ikshuraka-roots should

be duly boiled with a Drona measure (sixty-four seers)
of water and should be boiled
till
reduced to a quarter
This decoction should be used with the admix-
part.
*.
By this compound attacks of
Kaphaja and Tri-doehaja types of Sula
ture of Yava-ksh&ra
Vataja, Pittaja,
would be thrown off just as the floating clouds are

Yava,
shattered and driven by the wind. Pippali,
Chitraka, U/tra and Sarjikd-kshdta should be burnt
together and reduced to ashes. Taken with tepid
water, this
Kaphaja
compound proves
Kapha
an attack of
Of Prs'va-3llla :The
the
in
arrests the course
regions of the
of local
Pars'va
Vayu which
causes an immediate distention of the
rumbling
in
59-60.
Sula.
Symptoms
ranged
curative
in the intestines.
thus
if
irritated
abdomen and a
pricking pain
the affected part, which seems as
de-
(sides)
is
felt
in
being pierced with
needles, and the patient complains of insomnia
nc
relish for
and
difficult.
food and his respiration
The
disease
is
and has
becomes painful
named P&s'va-Sala
(side-
and is brought on by the action of the deranged

Vayu and Kapha. 6r.
colic)
Treatment of Pa>s'va-S*ula : A
compound
verised
pul-
of Pushkara'roois, Hittgu, Sauvar-
chain, Vit-salt, Saindhava,
Tumburu and Pathyd should
be taken with a decoction of barley in a case of (colic)

pain at the sides, at the region of the heart and at the
region of the bladder.
connection with abdominal dropsy due to the en-
in
*
The
Dallana.
total
weight of the
drugs should be 8 seers, according to
According to others, however,
preparation should be used

e,
The medicated 'Ghrita mentioned
g. a bath,
washings, etc.
in
it
should be 12 seers.
The
any shape both internally and externally
i62
larged spleen, or clarified
butter
fChap- XLtt.
mixed with Hingu
should be as well administered in such cases.
puraka-Sdra* duly cooked

of castor
in
mixed with wine, Mastu, milk
oil
(whichever of these
may
Vija-
milk as well as draughts

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
de-
ranged and aggravated bodily Vayu, affecting the

of digestion
Kukshi
(loins) interferes
previously
in
and incarcerated
in
with the digestion of the food
taken which remains
The
consequence.
fire
of the
the region
and undigested
stiff"
patient breathes heavily owing to
the accumulation of undigested (fecal) matter and tosses
about
in
agony of
pain, finding
no
whatever, whether sitting or lying.
Kukshi-Sula, and
relief in
The
any posture
disease
is
called
due to indigestion incidental to the

action of the deranged bodily Vayu. 63.
is
Treatment
of
Kukshi-ûla: Vomiting
should be induced and fasting should be prescribed in
Acid
the case according to the strength of the patient.
and appetising drugs should

alleviation
tion
Vit,
of the Doshas
be employed
(Vayu and Ama).
for
the
decoc-
of Ndgara, Dipyaka, Chavya, Hingu, Sauvarchala,
j and
the seeds of
Mdtulunga, S'ydmd,
Uruvuka,
Brihati and of Kantakdri, should be taken for the relief

Vachd, Sauvarchala, Hingu, Kushtha
Abhayd and JCutajasceds taken together would
of the pain (Sula).
Ativiskd,
instantaneously
administered,
relieve
Purgatives should
Sula.
and Sneha-Vastis
and
should be applied for the amelioration

* Vijapuraka-sdra,
I>urka,
according to
of the deranged
Dallana, meani the
VijaUa-iiira (the pith of Vijaka)
is,
be
Nirudha-Vastis
fruit
of Vija-
however, a variant.
Hingu, Souvarchala and Vit-salt should bo
us,ed at
an aftei-throw.
UTTARA-TANTRA.
Chap. XLII.]
263
Doshas according to their nature and intensity. SnehaSveda and poultices should be applied and D/uinydmla
(fermented paddy-boilings) should be employed as
64-66.
washes.
Symptoms and treatment of HrlchChhllla
The
Vayu aggravated
deranged bodily
Rasa
and incarcerated in the

region of the heart through the action of the deranged
by the
vitiated
(chyle)
and Kapha, produces Sula (pain)
Pitta
and gives
which
difficulty
rise to
in
the heart
This disease
of respiration.
Hrich-chhula (cardiac colic) is ushered in

through the action of the deranged Vayu and Rasa of
the body. Remedial measures mentioned in connection
called
is
with the treatment of the diseases of the heart should be

as well
employed
in
the present malady.
67-68.
Symptoms of Vastf-S'ulaand MutraSlila
The
local
Vayu aggravated by
the suppres-
and urine is incarcerated in the region of

the Vasti (bladder) and gives rise to a pain in the
bladder, in the groins and about the umbilicus causing
sion of stool
further suppression
The
due
disease
to
of the
urine
stool,
and
called Vasti-Sula (bladder colic)
the action
cutting pain
and the
is
of the deranged
flatus.
and
bodily Viyu.
is
experienced in 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
is
deranged bodily Vayu
Symptoms
to
the
69-70.
fire
the evacuation
of
and gives
an excruciating pain
rise to
bodily
the use of dry food,
or impairs the digestive

feces
disease
action of the
Of V!t-S*Ula : The
Vayu deranged and aggravated by

etc., affects
The
called Mutra-Sala.
be likewise attributed
accumulated
and obstructs
in
the bowels
in the locality
by
THE SUSHRUTA SAMIUTA.
264
choking the channels of the
stuffing or
pain
is first
Kukshi
left
but
and the patient
finds
called Vit-Sala
Treatment
>
and
no
is
Thirst becomes
therein.
evacuation of the bladder and

is
The
intestines.
soon extends over the whole
it
unquenchable and vertigo and epileptic
disease
XLIL
experienced in the region of the right or

(loin),
abdomen with rumbling sounds

train,
[Chap.
fits
follow in
its
even after the
relief
of the
bowels.
This
a very violent one. 71.
An experienced physician should
instantly employ în such cases) the medicinal remedies

which have the virtue of eliminating the deranged
Doshas from the system. Fomentations, emetics as well
as Sneha-Vastis and Nirudha-Vastis should be applied,

and the bowel-cleansing compounds dealt with before
should be administered.
in connection with
Medicinal measures mentioned
the treatment of Udavarta should
be likewise employed with advantage.
Symptoms
cious eating in
aggravate
the
taken remain
of
Annaja
an impaired
local
stiffed
state
72.
S*ula :A
of
vora-
digestive
Vayu which makes

in the Koshtha.
The
the
fire,
food
food thus
undigested in the Koshtha causes an intolerable
colic,
which brings on a distension of the abdomen, epileptic

and an attack of Vilambika.
fits, eructation, nausea
The
patient shivers, vomits, or passes stool, and even
loses consciousness. Anti-colic (pain-killing) pills,
and
powders
medicinal Ksharas are recommended in the case.
All the medical remedies applicable in
Thus .ends
of
cases
should likewise be applied in cases of Sula.
73
Gulma
74.
the forty-second chapter of lhe Uttara-Tantra in the Sus'ruta
Samhit which deals with the medical treatment of Gulma.
CHAPTER
Now we
shall discourse
with the (symptoms and)

disease
heart
the
of
dha). i.
Etiology
XLIII.
medical treatment of
the
(H rid roga- Prat Ishe-
and Nomenclature :The
de-
ranged Doshas of the body, aggravated by such causes

as voluntary repression of any natural urging (of stool,
urine, etc.), external blow or hurt, use of extremely dry
(Ruksha) and heat-making articles of fare in inordinate
quantities or of such articles as are indigestable or are
incompatible in combination or are uncongenial to the

system as well as taking food before digestion, con-
taminate the bodily Rasa
lodgement
in
in
the organ, which
of the
Vataja, Pittaja,
due
is
The
heart).
distinct types, of
is
known
disease
to the presence of
treatment thereof.
Specific
is felt
chyle)
and
find
as
Hridr.Oga (the disease
may be
divided
into
five
which four are Dosha-origined, (w/>.

Kaphaja, Sannipatika) and the fifth
symptoms should be
a pain
(lymph
the heart, producing the characteristic pain
first
worms
(Krimi).
The
difFerent
described and then the medical
2-3.
symptoms
: in
the Vitaja type,
in the region of the heart
which seems as
being drawn and crushed, pierced and cracked, pricked

and split. Thirst with a burning sensation, a gone-feel-
if
ing and a sucking pain
in the
heart;; epileptic
fit,
pers-
fumy eructation and dryness of the mouth,

are the symptoms which characterise the Pittaja type.
A sense of heaviness in the chest, secretion of mucus
piration,
and the mouth), an aversion to food,

of numness (in the body), dulness of appetite and
(from the nose

feeling
34
266
a sweet taste in the

the
mouth
Kaphaja type of the
Krlmlja
[Chap. XLIII.
mark
are the features which
heart-disease.
4-6.
Hrldroga : Nausea,
salivation
piercing and cutting pain (in the heart), dark
(spitting),
an aversion to food, a dull yellow hue of the eyes,
vision,
of the body
as well as emaciation
the indications which point
(Krimija Hridroga)
disease
as
to
the
the
swelling) are
R.
"(D.
presence of
exciting
worms
of the
factor
7.
Supervening symptoms :Vertigo
and
a sense of
exhaustion
attended with
body exhibit
physical lassitude and emaciation of the
themselves as the distressing
concomitants
symptoms
in
cases,
while the supervening
worms
exhibit themselves in case of Krimija
also.
of
feeling
the
all
Kaphaja
of
Hridroga
8.
Medical treatment of the Vataja

type In a case of the Vrftaja type, the patient
'
should be
first
Sneha and then made
treated with a
to
vomit (out the contents of his stomach) with a draught

of the decoction of Dasd-mula mixed
Sneha.
a
with
After being purged he shouid be
pulverised
compound
consisting
and a
salt
made
to
take
of Pippali,
Eld,
Vachd, Hingu, Yava-kshdra, Saindhavb-saXt, Sauvarchala,

S'uthin and
of (acid)
Ajamodd through the medium
fruits,
fermented
Kulattha, curd, wine, Asava or with
The
patient should be
made
to
have
with the soup of any
S'dU
rice,
with
clarified butter.
of the juice
rice-boilings, decoction
of
any kind of Sneha.

his
meal of matured
Jangala
meat cooked
Vayu-
Oil duly cooked with the
subduing drugs should bs applied

adequate.quantity in the case.
as
Vasti
in
an
9.
Treatment of Plttaja type : in a case of

Pittaja-Hridroga, vomiting should be induced with the
Chap. XLill.
decoction
(D. R.
UTTARA-TANTKA.
duly
butter
Yashti-madhu and
of S'ri-pari-hmt,
treacle)
should
sugar.
Utpala
Clarified
cooked with the drugs of the Madhura
group, as well as the decoction

fever,
267
efficacious
in
Pittaja-
The food
be internally administered.
of
the patient should be prescribed with the soup of the

flesh
of the principal
cooked with
treated
clarified
animals of the Jdngala group
and he should then be
butter,
with
a Vasti, charged with honey and

duly cooked with Yashti-madhu.
10.
Treatment of Kaphaja type : in

Kaphaja type
of
the
disease,
Vataja type,
medicinal
should
compound
be
A decoction
food.
of
clarified
XXXVIII)
cribed for internal use, or the
with clarified butter
The
patient
butter with his
Tri-phald or of the drugs of the
Phalddi (Madana-phaladi Sutra, Ch.

Mustdd'i (Su\.m, Ch.
Nimba and
prescribed for the
adminstcred.
should also be advised to take
the
vomiting should be
induced with the decoction of Vachd or of

the pulverised
oil
XXXIX)
or the
group, should be pres-
patient
should be purged
with
powdered S'ydmd
mixed
(Vriddha-daraka) and Trivrit. A physician skilled in

the art of applying Vasti should prescribe a Vasti
charged with Vala-oil under the circumstances. 1 1.
Treatment of Krimija type: in

type
(Krimija)
characterised
by
the
persence
the
of
worms, the patient should be first treated with a Sneha.

A meat-diet with curd or (fried and) powdered sesamun
should then be given to the patient fpr three days in
succession after
compound
which he should be purged with the

and sugar mixed with the salt-
of Ajdji
predominating*
purgative
preparation
(see
Sutra,
Some read "Su-pala-lair-jogaih" in place of 'Salava-nair-jogaih'. It

would mean that the compound ahould be mixed with fried and powdered
*
sesamum.
THE StfSHRUTA SAMHlTX.
268
[dhap.
XLllt
XLIV.) and mixed with the scented drugs (mentioned

in the Sutra-sthina, Ch. XLIV). - An adequate quantity
of fermented-ricc boilings (Dhanyamla) with a profuse
quantity of Vidanga should then be internally administered,
whereby the
worms would be
dislodged from
the hearts (and expelled through the lower orfices of
the body).
diet consisting
of cooked
saturated with powdered Vidanga

to-the patient.
Thus ends
barley grains
should then be given
12.
the forty-third chapter of the Uttara Tnntra in
Samhili which
treats of the
symptoms and) treatment
the Sus'ruta
of Hridroga.
CHAPTEE
Now we
XL1V.
shall discourse
with the (symptoms and) medical treatment of Jaundice,

etc.
(Pa'ndu-roga Pratlshedha).
Etiology and Nomenclature : The
i.
deranged bodily Doshas of a person addicted to sexual

excesses* or to eating clay or salts or articles of keen
or saline taste or to strong liquors
potency and of acid

in
excessive quantities or to sleeping
This
is
known
is
divided into four distinct types
are severally
originated
deranged Vata,
Pitta,
the day, con-
produce a yellowish (Pandu)
taminate the blood and

colour of the skin.
in
or
Pandu-roga and
as
according as they
through the
action
of the
Kapha, the fourth being the
one incidental to their concerted action. The disease

has got the name of Ptfada-roga from the fact that a
deep yellow (Pandu) colour
is
the patient suffering therefrom.
imparted to the skin of

2
Premonitory symptoms : Cracking

the skin, salivation
(spitting) a sense
of lassitude
the limbs, (desire for) eating clay, swelling of the
in
eye-
and indigestion
arc the premonitory symptoms which usher in an attack
yellow colour of stool
lids,
and
of
urine,
The diseases known

Pandu (popularly called Kamala),
of Pandu-roga.
MiMhava
in his
Nidina reads "Vyayama"
as
Kamala-Palaki-
Kumbha-Kamala,
(physical exercise) in
the
"Vyaviya" "sexual enjoyment." Charaka, however, includes both

"Vyavayi" and Vyayama" in the long list of the causes of Pandu-roga.
place of
variant reads that Pndu-roga
is
of
eight kinds.
In that case (he
Pandu, separately mentioned below should be

the four kinds mentioned here.
Charaka says that Pandu-roga
four different varieties of
added
is
to
of five different tvpes
: by
separating and adding the one
eating of clay to the four kinds enumerated here.
due
to the
THIS
2?0
SUSHRUTA SAMHITA.
[Chap.
XLlV.
Ligharaka and Alasa (otherwise known as Halimaka)

are
all
included within
symptoms
characteristic
in succession below.
eyes and
(Pamdu-roga),
the
of which are fully enumerated
3-4.
Symptoms
Specific
the
Jaundice
: A
black-
colour of
marked by the prominent
of the skin
appearance of black-coloured vein (on the surface), black

colour of the stool and of the urine, blackness of the face
and of the
as
finger-nails
well
characteristic of the deranged
fested in the VtCtaja type
as
bodily
of Pandu.
other
symptoms
Vayu
are mani-
Yellowness of the
eyes and of the skin marked by the appearance of veins

(Sira) of the
same colour (on
its
surface), yellowness of the
and of the urine, yellowness of the face and fingernails and other specific symptoms of the deranged Pitta,
mark the Pittaja type of the disease. Whiteness of the
eyes and of the skin, marked by the appearance of veins
of the same colour (on its surface), whiteness of the stool
stool
and urine, whiteness of the face and of the finger-nails

and other specific symptoms of the deranged Kapha
mark a
Kaphaja type of the disease. All

symptoms are exhibited in a case of the
Ssfaniptfta type. Now I shall describe the symptoms
which mark the disease known as Kamala. 5 -8.
The Pitta of a patient suffering from any disease
case of the
the preceding
by the use of any,

and imparts a
his
to
complexion
yellow
tint
and produces
(deep)
physical weakness as well as all the specific symptoms
not radically cured gets deranged
or unwholesome
acid,
(of
Pandu-roga)
known
food
described
or
drink,
above.
When
This
disease
is
accompanied by a
general swelling (edema) of the body and a crushing
as
Kimali.
it
is
Kumbha-Ka'mali, which,
symptoms as fever,
pain
in
the joints,
is
called
when
it
developes in
its
course such
Chap, xliy.]
UTTARWANTRA.
aching, pain
the limbs,
in
vertigo,
271
and emaciation comes to
drowsiness
langour,
physical
be
known
as
Lflgharaka. This, in its turn, when marked by an

excessive preponderance of the deranged Vayu and
Pitta
is
known
Alasa, otherwise
called
by those who are conversant with
Supervening'
as
nature.
its
Symptoms
Halimaka,
9-1 2.
: Aversion
to
food, thirst, vomiting, fever, headache, dulncss of appetite,
swelling about the neck, weakness, epileptic

tion
and a pain
in the region of
their distressing concomitants.
nature
curable
Having
clarified butter*.
should then be purged and vomited with
quantity of honey and clarified butter.
duly cooked
with turmeric
phala-Ghriita
may
in
as well as
also
He
compounds
combination with
Clarified butter
known as Traithe one known as Tailvakaor the one
be used for the purpose.
of purgative
possessed
the
powdered Haritaki mixed with a copious
containing
Ghrita
ascertained
of Pandu-roga, the
attack
be treated with
should
patient
of an
exhaus-
13.
General Treatment
the
fits,
the heart arc included
Drugs
properties should also be taken
clarified butter
(or
clarified
duly cooked with purgative drugs should be
butter
prescribed).
Half a Pala (four Tolas) of Nikwnbha duly cooked in

an adequate quantity (eight Palas) of the urine of a
should be
she-buffalo
Kudava measure
*
Some
say
(Ch. LXII. ).
that
daily
of treacle
the
used.
mixed
Similarly
half a
(D. R. duly cooked)
Sneha used should be the Kalyanaka-Ghrita
Others says that simply matured
clarified butter should
be
used.
t Traiphala-Ghrita
may mean
either
the Ghrita duly cooked wilh
Tri-phaU or the one known as Traiphala-Ghrita mentioned
in.
X Similarly Tailvaka-Ghrita may mean the Ghrita of that name mentioned in Chap. V. Chiki{sit'a-slh.ana or Ihp one duly cooked with Tilvaka.
THE SUSHRUTA SAMUItA.
272
with pulverised Hantaki
A decoction
patient.
may
group,
be
be
should
tChap. XLIV.
taken
by
the
of the drugs of the Aragvadhddi
likewise
prescribed
for
internal
use.
Powdered (dead) iron mixed with pulverised Vyosha and

Vidanga, or powdered Haridrd* and Tri-p)iald should be
licked up with honey and clarified butter, f
Any other
medicinal compound mentioned anywhere as remedial
4.
Gulma should also be administered.
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
Mantha
juice
the patient.
Either
of Dhdtri or of sugar-cane, or a
should be taken with honey by a patient and
he should take wholesome
diet.
516.
butter duly cooked with the
Clarified
Kalka and
decoction of the two kinds of Vrikati, Rajani, S'ukdkhyd

{S'ukti-s'imbi), Kdkddani, Kdkamdchi, Addri-vimbi and
Kadamba-pushpi (Bhwmi-Kadambd) should be taken as
a remedy for Ptfndu-roga. Pippalt'-pov/der dissolved in
milk should also be taken according to the condition
of the
appetite.
mad/iu,
or
use
powdered
of
honey would
The
likewise
Yashti-wadhu
prove
* Here we have followed Dallana

mean Daru-Haridra.
+ According to Charaka's
of a decoction of
in the
recipe,
compounds here have been combined

definite
mention
of
Dirvi
efficacious.
text.
however,
into
Some
we
Yashti-
mixed with
Powdered
take
find
Haridra to
that
one and there we
(Diru-baridri).
the two
find
In our practice also
the
we
follow Chsraka in this case.
Mantha
fied butter
is
prepared by mixing powdered grains of barley with
clari-
and a copious quantity of water. Some commentators, however,
on the authority of other medical works, are of opinion that in cases of

Pandu (jaundice) the word "Mantha" is technically used for the preparation of the
powdered grains of barley mixed with the expressed juice of
A'malaki and of sugar-cane and with honey.
Cha P .XLIV.j
UTTARA-TANTRA.
273
lcnvs of Tri-phald and powdered (dead) Iron should be

in combination with
"
frequently taken as an electuary
cow's urine.
pearl,
compound composed
antimony and
powdered
be
should
mrittikd (ferrugnious earth)
of powdered coral,
or
conch-shell,
Girt-
similarly used
by the patient. 17-18.

A compound consisting of half a seer of powdered
goat's dung together with a Pala weight of each of the
drugs known as FVV-salt, Haridrd and Saindhava-saXt,
should be licked with honey by a patient living on
wholesome diet. A compound of Mandure (iron-rust),
Agni (Chitraka), Vidanga, Pathyd, Tri-katu all taken in
equal parts with Tdpya (Svarna-makshika) equal to their
combined weight should be duly soaked in cow's urine
and formed into a lambative with the addition of honey,
the same being prescribed for an immediate cure of a
serious type of Pandu-roga.
Mandura
VibJiitaka,
19-20.
(iron-rust),
made
should be pounded together and

the addition
prepaicd
profuse
of a
from
this
Ndgara and
Tila
into a paste with
quantity of treacle.
Pills
compound should be administered
through the medium of Takra whereby a violent attack

of jaundice
would be defeated.
of the
Pills
Kalaya
weight of each of Sanvarchala, Hingu and Kirdta-tikta

pasted together, should
an alternative,
be taken with tepid water.
lambative
compound
of
As
Murvd,
Haridrd and Amalaka pounded together and alternately

and soaked in cow's urine for a week, should be
dried
given to be licked by the patient.
21^-22.
patient suffering from Pandu-roga
should observe
a proper regimen of diet and take two-Tola-weight of

the compound of the powders of Vald and Chitraka
(with cow's
urine
or tepid
water).
The compound
of
Saind/iava salt and powdered S'igru-seeds taken in equal

35
SUSHKUTA SAM1IITX.
T,1E
2/4
tChnp.
XLIV.
taken with tepid water, followed by a
parts should be
meal of cooked
The
with milk.
rice
decoction of the
drugs of the Nyctgrodhddi group should be taken,

cold,
when
with honey and sugar followed by a proper regimen
Powders of the drugs included within the S'dlasdrddi group or of Amalaka should be formed into a
of diet.
lambative with the addition of honey and given to be

licked
by the
The
33-26.
patient.
compound
pulverised
Vidanga, Musta, Tri-
of
phald, Ajnmodd, Parushaka,
Vfos/ia
well as clarified butter, honey, sugar
be
cooked
dftly
lambative.
inside
reduced to
till
the consistency of a
down and preserved

prepared of Mokshaka (Mush-
should then be taken
covered
kaka).
It
of the drugs of the
the decoction
in
S'dla-sdrddi group
vessel
This lambative
PAndu attended (with
proves
Treatment of
curative
edema
general
cases of the violent types of
KamalA.
taken with treacle,
from an attack
is
Gavdkshi or S'unthi
beneficial to a patient suffering
KAmala.
of
as an after-throw
is
Clarified
likewise
kept immerged
taken with
in
Saind/iava-sa.\t
be repeated eight times
powders.
cow's
in
cooled with cow's urine.
thus tempered
should
in
be
Licked with honey
cure in cases of
and
Manduia
urine should
fire
The
would
of Vibhitaka-
process should
The
subsequently
Kumbha-Kimala.
be
continually for a
the
succession.
it
duly
S'ildjatu with
case of Kumbb.a-Ka'mala'.
month. Mandura should be burnt
wood and
butter
with turmeric
In the alternative
also efficacious.
the patient should take Srotdnjana

cow's urine in
of
in
in
27.
JCdkya-wood and mixed
cooked with
cases
as well as
Ka'mala', etc iTtibhandi
(Trivrit) taken with sugar as well as
(rust of iron)
and Chitraka as
and treacle should
act
28-30.
iron-rust
reduced to
as a speedy
Chap. XLIV.]
UTTARA-TAKf RA.
made
SiUttd/tavasaXi once
fire
of
by heating
(in
the
Vibkitaka-viooA) should be cooled in cow's urine.
Iron-rust
(Mandura) should be successively heated
and cooled with
cow's
process being repeated
(Saindhava and
parts)
red-hot
275
urine
many
as directed
above, the
The two
times.
in fire
substances
iron-rust) thus prepared, (taken in equal
and made into a paste with
(five
times of) cow's
be cooked on an oven, care being taken to
urine, should
guard against their
ignition.
When
dried, the
com-
pound should be reduced to powder and taken with

Udas'vit (a
kind
The medicine
of Takra).
acts as a
good appetiser and proves curative in cases of Pandu.

The patient using it should ^take his diet with Takra
after the assimilation of the medicine.
cooked
duly
with
Guduchi and
Lagharaka.
the
Atnalaki
Clarified butter
expressed juice
of Drdkshd,
proves
in
curative
cases
of
31.
Diet
Articles Of
\Arishtas
and
Asanas
prepared with treacle or with honey or with sugar or

with cow's urine or with Kshdra (alkali) as well as the
meat of any Jangala animal saturated with

and mixed with the expressed juice of
Amalaka or of Kola should be prescribed and meals of
essence of
clarified butter
cooked barley grains or of S'Ali
taken by a patient suffering
Pandu-roga.
and the prepara-
cases of swelling (Sopha) should
tions prescribed in
daily
rice
be
from an attack of
32.
Treatment of supervening Symptoms The supervening symptoms such as difficulty

>
of breathing, diarrhoea, aversion to food, cough, epileptic

fits,
thirst,
vomiting, colic pain, fever, swelling (ôpha),
burning sensation
in
lassitude, etc. should
down
in
the body, indigestion, hoarseness,
be remedied on
the principles laid
the Sastras w.ith due regard to
the nature
and
THE SUSilRUTA SAMHITX.
276
[Chap.
XL1V.
intensity of the deranged bodily Dosbas, severally lying

at their roots.
33.
Prognosis : If
a patient afflicted with
have an cdematious swelling
an emaciation of the abdominal region and

or
if
Pandu
of the extremities with

vice versa
he have a swelling of the scrotum or of the
genitals or about the
anus or
if
he be suffering from
fever or diarrhea or be lying in a sub-comatose state, he
should be given up and should not be attended

physician caring anything for his fame.
Thus ends
the forty-fourth chapler of the Ultara-Tanlra in the Sus'ruta
Samhit which deals

Pandu-roga,
by a
34.
with
(symploms and) medical treatment of
iho
r
CHAPTER XLV.
Now we
age
shall discourse
on the Chapter which deals
symptoms and) medical treatment
with the
of
(Rakta- Pitta- Pratishedha).
Hemorrhr.
Cause and Pathology : Excessive

gence
in grief, fright
exposure to the sun and
keen or heat-making
in their
constant use of pungent,
fire,
and alkaline food,
acid, saline
arc
in
or,
of articles of fare which
potency, or incompatible
combination, or are followed by deficient gastric

arc
digestion
or intestinal
the
factors
aggravate the Rasa (chyle), which,
The aggravated
the Pitta.
(lit,
leads to
which tend to
in its turn,
aggravates
Pitta thus imperfectly assimi-
lated affects or invades in virtue
blood
indul-
or anger, excessive physical labour,
of
its
own
essence the
imperfect digestion) which
its
finds
an outlet through the upper or the lower channels of the
body or through the both. The deranged blood accumulated in the Amas'aya (stomach) finds out an upward
outlet, while
the event
it
of
flows out through

its
continuing
in
the lower orifices
a similar state in
in
the
Pakv&s'aya (in tcstincs). and it escapes through both the

upward and downward orifices in the event of its being
deranged and accumulated in both the Amas'aya and the
According
Pakvas'aya.
blood
in
liver.
2.
the
Prognosis
to several authorities, the ejected
comes from the spleen and the
disease
case
of
Rakta-pitta
in
which
the blood finds outlet through an upward channel of the
body
is
amenable, while palliation
in a case in
which
orifice of the
body.
it
flowes out
case
is all
that
is
possible
through a downward
marked by the emission of
THE
ty%
Stf
SHKUTA SAMHITA
[Chp.
XLV.
blood through both these outlets, upward and downward,

should be regarded as incurable.
3.
Premonitory Symptoms : A
lassitude in the limbs, desire
as
fumes are
if
of blood
in
sense
for cooling things,
a sense
vomiting and
rising in the throat,
symtoms which
The number of the
the breath are the
in
an attack of Rakta-pitta.
of
fetoi
usher
cases
of Rakta-pitta as well as the aggravation of the different
Doshas involved in each case should be ascertained

from the colour and nature of the ejected blood (as
described before in Chap. XlV-Sutra-sthana).
Symptoms
Supervening
cough,
laboured breathing,
aberration
(lit
a state
like
fever,
4-5.
:Weakness,
vomiting, mental
intoxication),
yellowness
of complexion, burning sensation in the body, epileptic

fits,
acidity of the stomach.restlessness, extreme
the
region
of the heart, thirst, loss
loose stool), heat in the head, fetid
pain in
of voice (D.
R.
expectoration, aver-
and absence of sexual desire

body after sexual act) are the
indigestion
sion to food,
(D. R. bending of the
usual complications in a case of Rakta-pitta.
Symptoms
6.
Incurable Types:
of
In a case of Rakta-pitta the emitted matter resembling
the washings of meat or drug-decoction, or turbid water

or fat or pus, or being
liver-coloured
or dark-black or
blood-red in colour or looking like a ripey<z///#-fruit or

blackish blue
having a
or variously
coloured like
a rain-bow or
very fetid smell as well as the presence of the
above mentioned supervening symptoms

indications which
as incurable
these are the
show that the case should be given up
7.
General Principles of Treatment

It
is
improper to arrest the emission of blood imme-
diately at
the outset of the disease
if
the
patient
be a
UTTAKA-TANTRA.
XLV.]
Chap.
sufficiently strong
may
man,
bring on an
in as
attack,
much
of *
279
such a procedure
as
P&ndu-roga,
Graham*,
Kushtha (cutaneous diseases), Gulma, or fever or enlargement of the spleen. An attack in which the blood
makes a downward course should be arrested with
emetic medicines, while purgatives should be exhibited
in a case in
which the blood
an upward course.
finds
But weak patient, under the circumstances, should be

both cases with soothing remedies. Fasting
should be first enjoined in the case of an excessive emistreated
"*
sion
in
of blood in respect of a strong
patient with an
unimpaired digestion and an unemaciated frame.
Pcya prepared with a small quantity of

given to the patient after fasting
rice
should be
Tarpana measures,
\.
decoctions of digestive drugs, as well as a variety of
medicinal lambatives and Ghritas should be the proper

applications in the disease under discussion.
compound
should be induced with the
Kds'marya and
Yashti-tnadhu,
Purgation
Drdks/id,
of
sugar, while
vomiting
compound
consisting
should be induced with an emetic
mixed with honey. 8 rr.

of Fare:The use of
of Yashti-tnadhu
Articles
drugs of cold-producing potency (e
g.
milk,
the
the drugs of the
Utpal&di group), essence of the meat of an animal of the
Jdngala group, soup of Satina
(cerials), S'dh'-ricc,
tf&i-grains, leaves of Patola, S'elu,
that
Sunishanna,
Both Chakrapani and Vrinda read "raqT<3ir?'tft etc"
may
it
bring on an attack of heart-disease also.
There
cases of excessive
upward emission
vitiated
is
also
another variant
or in
cases
Doshas takes an upward course.
% Additional Text
Meat-essence (Rasa)
with clarified butter prepared from cow's milk.
'',
they say
<*
Both Chakrapani' and Vrinda read "gjj nOT^TO)"
upward emission.
Shash-
Yuthikd
i.e.
in cases of
*
"<3ft[
HSf^faw"
' ,e-
where a good deal of the
and soup (Yusha) seasoned
THE SUSHkUTA SAMIUtX.
2oO
and Sindhuvdra (Nirgundi

of Vata and
XLV.
[Chnp.
as well as the tender sprouts
Atimuktd fTinduka) as pot-herbs and cooked
with clarified butter are recommended as diets.
Soup of
the meat of pigeons, S'amk/ia (conch) and tortoise as
mentioned before mixed with the
gruels
well as the
expressed juice of Dhdtri and

profuse quantity of clarified
the patient as diet.
pomegranate and with a

should be given to
butter
Milk should
be duly cooked
in
combination with the drugs of the Utpalddi group, and

the cream therefrom should
be likewise prescribed with
a copious quantity of honey and sugar.
honey,
and
sugar,
beneficial in cases of Rakta-pitta.
An
Cold Pradehas,
are
butter
clarified
said
to
be
3.
experienced physician should prescribe any one
lambativcs composed of the powders of
of the four
the flowers
of
Madhnka, S'obhdnjana, Koviddra
or
of
Priyangu, mixed with honey to be licked up by a patient

suffering
from
Similarly
Rakta-pitta.
lambatives of
Durbd, or the tender leaves of Vata, or of white Karnika

together with the honey should be given to be
pasted
licked
up by the
Dates and other
patient*.
the same therapeutic virtue, taken
prove efficacious
in
the disease.
14
Medicinal compounds mentioned
employed with advantage
piece
of sugar-cane devoid of
should be kept
new earthen
be kept
in
immersed
pitcher.
an open
duly strained
dered
in
in
The
in cold
connection with
for a
its
skin
as
and crushed
water contained
its lid
night.
in
off should
Its
contents
the morning should be given with pow-
Utpala and
honey to a patient
Dallana takes only Durba and Vata under one
pnentators
may be
the present instance.
picther with
place
of
15.
in
the treatment of Raktatisara (blood-dysentery)

well
friuts
with honey, would
would prescribe
all
suffering
rttffe.
these together under one recipe,
Some
from
coiu-
Chap.
UTTARA-TANTRA.
XLV.]
Rakta-pitta.
As an
Arjuna should be taken with honey.

tive,
the expressed juice
taken (with honey).
16
of
Amra and
Jdmbu>
of
cold infusion
28
Udumbara
alterna-
should be
fruit
A.
The best six Yogas : a
paste (Kaika)
Trapusi-roo\s in combination with honey and
of
washings
of rice or two Tolas of the pasted Yashti-madhu should
be taken (with the same vehicles).
compound
con-
Chandana, Yashti-madhu, and Rodhra taken

equal parts or Karanfa-seeds made into a paste with
sisting of
in
sugar and honey should be similarly used
In a similar
way, the pith of Ingudi together with Yashti-madhu
As an alternative, salt (Saindhava)

and KaranjastsAs* turned into a paste with curd-cream
should be taken lukeworm for three days in succession
should be taken.
by a person
The
suffering
from an attack
six preceding medicinal
compounds
cures for the disease under discussion.
of Rakta-pitta.
act as excellent
16.
Pathyd should be employed as an errhine after the

manner of Avapida-Nasya in the event of the blood
passing through the
In
nostrils.
case
of
excessive
haemorrhage (in the disease) the patient should drink

blood in combination with honey, or eat a goat's raw
liver
with the
Clarified
bile.
17.
butter duly cooked
with
of an adequate quantity of the expressed
the admixture
juice
of (the
bark of) Palds'a trees should be taken, when cool, in

combination with honey, or clarified butter prepared
by churning the milk duly cooked with>

juice
/the
expressed
of (the bark of) the Vanaspati-treea (Vata, etc.)
should be used with sugar.
Pala weight of each of
Paimaka and
sugar should be kept

water during the (whole) night This
cold infusion would cure a case of Rakta-pitta.
A
Drdkshd, Us'ira,
immersed
in cold
36
Z%2
[Chap.
XLV.
draught of milk with an equal quantity of water
is
recommended
proper
for
patient comforming to
regimen of diet and conduct.
The watery
secretion of the
dung
of a horse or a bull
the alter-
In
powders of the seeds of Vdstuka or
roots, of Tanduliyaka-'p\&n.ts should
(of
the
be licked with honey.
(parched paddy) and
of Laja
lambative formed
also
18.
should be taken with honey and sugar.

native,
Anjana * mixed with honey, or powdered Tugd-kshiri
mixed with honey and sugar should be
licked.
patient
from an attack of Rakta-pitta should take a
suffering
compound
of Drdkshd, Tikta-rohini, Yashti-madhu and
sugar with cold water, or lick a compound of pulverised
Pathyd, Ahinsrd and Rajani with clarified butter,
The compound
(red
earth),
ir.
of (blue), Utpala Sourdshtra mrithikd
Lodhara,
Priyattgu,
sugar mixed together and
polcns
of lotus
and
taken with honey and a
decoction of Vdsaka would speedily stop the emission in

Similarly a
a virulant type of Rakta-pitta.

consisting of flowers of Khadira,
Koviddra, S'irisha, Lodhra, Asana,
compound
Jambu, Arjuna, (red)

S'dlmali and S'igru,
pounded together and mixed with honey should be

20 2r.
licked by the patient in a case of Rakta-pitta.
The
prepared
alkaline water
with the ashes of
lndivara and taken with honey, powdered Karanja-seeds
taken with honey and
clarified butter
of Jambu, Arjuna and
Am/a these
prove curative in cases of Rakta-pitta.
and the decoction

three
the roots and flowers of Mdtulunga should
with the washings of

* Kal anjana
is
is
22
of
also be taken
For Kalanjana
This should be the proper reading because
a word in the receipe which shows that
thing and not two.
made
23.
a variant, in place of Laja and Anjana.
Dallana reads Souviranjana.

there
rice.
compounds
paste
there will be only one
UTTARA-TANTRA.
Chap, XLV.]
or water saturated with sugar
solution of milk
should be applied into the
nostrils
The
bleeding from the nose.

clarified butter
283
the event of
in
expressed juice of grapes,
prepared by churning milk or the express-
ed juice of sugar-cane should be taken cold (through

the nostrils) in combination with
sugar
cooling
All
*.
measures and sweet-drugs should be employed

24
present disease
in the
25.
Asthapana and Anuva'sna : The

plication
Asthapana-Vasti
of an
duly cooked with
the
and Dr&kshd, proves extremely

under discussion.
The
butter, sugar
clarified
efficacious in the disease
application
an Anuvasna-
of
Vasti charged with clarified butter * would
ded with equal
benefit.
milk
Viddri-gandhddi
drugs of the
group and mixed with honey,
with
charged
ap-
The
drugs
be attend-
known
as
Pri-
yangu, Lodhra, Souvirdnjana, Gairika, Utpala, Suvarnagairika, Kdliyaka,
gand/id,
Ambuda,
conch-shell,
Chandana, sugar, As'va-
Yashti-madhu, Mrindla and Sougan-
dhika, taken in equal parts, should be
pounded together
and mixed with copious quantities of milk, honey and

clarified butter.
This solution should be injected into the
rectum after the manner of Nirudha-Vasti,

should be sprinkled
with
cold water
The
patient
and given his diet
with milk after which clarified butter duly cooked with
Yashti-madhu should be injected into the rectum of

the patient after the
measure
proves
manner of Anuvasana-Vasti.
extremely
beneficial
in
down-coursing Rakta-pitta and violent types of

dysentery.
In
the case of an
S'rikantha Dalla, the commentator of Vrinda, would
nostrils.
of
blood*-
excessive discharge of
the juice of sugar-cane only and not with the other two.
be applied into the
This
cases
mix
sugar wllh
All these should
THE SUSHRtfTA SAMHITX
284
[Chap.
XLV.
blood, if the patient be strong enough, vomiting should be
induced after the cessation of the blood-discharge. 26-27.

Urethral-injections
composed of the aforesaid drugs
should be applied (after the
manner of Uttara-vasti)
the event of bleeding from the bladder.
down
Measures
in
laid
connection with the treatment of Rakta-pitta
in
should be resorted to in cases of bleeding-piles.
In cases
of menorrhagia as well as in cases of excessive
bleeding
incidental to
(of the
any
surgical operation,
the above measures
medical treatment) should be adopted by an ex-
cases
The subsequent treatment of the

should be determined by the nature and intensity
of the
deranged bodily Doshas as well as of the blood
perienced
physician.
involved therein,
Thus ends
28-29.
the forty-fifth chapter
of the
Samhili which deals wiih (the symptoms and) the medical treatment of
Rakta-pilta.
CHAPTER
Now we
XLVI.
shall discourse
with (the symptoms and) the medical treatment of fainting
(Murchchha-Pratishedha).
fits
Oefi nation
The
deranged and
r.
aggravated
Doshas of the body of a person who is emaciated or

accustomed to the use of incompatible articles of food
or -who has become very weak on account of a sudden
suppression of his natural urgings or of any external
blows or
injur)-
bodily Vayu,
fits.
The deranged
choking up the sense-carrying nerves
give rise to fainting
etc.
of the body, produces that giddy state in a patient in

which the world seems to vanish from the eyes of the
person and the
afflicted
pain
perception of the
consequence of this suspension

drops
is
down
Moha
being divided into six kinds

attack
is
of the
due to
the
separately or to that
or
action
(fainting).
types
patient,
in
sense-perception
wood and
insensible as a log of
Marchchha' or
called
pleasure or
The
suspended for the time being.
is
this
It
disease
admits of
according as an
the deranged Doshas

wine or poisOB, but a
of
of blood,
predominance of the deranged Pitta may be detected in

forms of the diseases due to any cause whatever. 2.
all
Premonitory Symptoms : Pain

pression of the heart, yawning,
ciousness
and of strength arc the
usher in an attack of the

to the nature of the
root.
lassitude,
loss
or op-
of cons-
symptoms which
disease (Murchchha) according
deranged bodily Dosha lying at
its
3.
The
natural elements, water (Ap) and earth (Kshiti)
abound with the attribute of Tamas

smell of blood also contains the
same
insensibility
attribute,
).
Tamas,
THE SUSHRUTA SAMH1TX.
286
XLVL
tChap.
persons generally lose their conscious-
It is therefore that
Several authorities hold that
ness at the smell of blood.
the loss of consciousness in these instances happens in

thing
virtue of the natural properties of the
blood, wine
perties in a greater degree
of cither of these
Moha
produces
and
it is
therefore that an
terised
by
due to the
use
suspends animation and
substances
4-5.
(fainting).
Symptoms: A case of Murchchha

sciousness)
viz.,
itself,
and poison which also possess these pro-
effects of (deranged)
stiffened condition
of uncon-
(fit
blood
is
charac-
and by the
of the limbs
fixedness of the eyes (Drishti) and by deep
breathing.
Delirious talks, mental aberration and the state of the
patient convulsively lying flat on the earth until the wine

is
perfectly assimilated into the system are the
of a case of
shivering,
Murchchha due
drowsiness, thirst and
attended with the specific

the general
of poison.
to the effects of
symptoms
wine
characterstics of the
of poisoning form
type due to the effect
6.
of water over the
sprinkling
body (water-spray) plunge-bath in

gems and garlands of flowers,
water, contact of cold
and compresses,
(cold) breeze
efficacious
in
all
cases
of
the
cold
cold
and fanning, cold
and perfumed drinks and cooling measures

are
while
numbness of the body)
symptoms
General Treatment :Constant
plasters
in general
desease
under
discussion. Cordials prepared with the expressed juice of
Drdkshd and with sugar or with the

Drdkshd and Madhuka ( Maula ) or
those prepared by boiling Kds'marya and Kliatjura or
Ikshu, Piydla and
expressed juice of
clarified
butter
duly cooked with the drugs of the
Jivaniya group with the d "ugs of the
expressed juice
Madhura group,
or
meat in combination with the

of pomegranate should be taken in a
the essence of Jangala
Chap.
UTTARA-TANTRA.
XLVI]
The
case c Murchchha.
diet
287
should consist of cooked
red S'dli-rice or barley grains or Satiua-puhc*
Specific Treatment : A compound

Kola as well as Visa
stem) taken
(lotus
equal
in
parts
decoction of Satina (D. R.
and Mrindla
stock)
should
with
con-
kernal of
Us'ira, the
Ndg.i-kes'ara, Marietta,
sisting of
8.
(lotus-
be taken with the
cold
Pippali
water).
with honey or Pathyd with sugar should also be taken.
The mouth and

during a
fit
the
nostrils
be pressed close
should
and the breast-milk should be given to the
patient to be drunk.
9.
Strong medicinal orrhine should be administered and

strong emetics should be as well
repeated attacks of the
fit.
employed
cases
in
of
cooked
and prepared with the decoction of Haritaki or with

expressed juice of Anialaki should be prescribed.
The
decoction remedial to Piltaju-fevcr should be given
in
cold
state,
Nilotpala
mixed with Drdks/id,
sugar, parched paddy,
Padtna and well
perfumed with any
and
good-smelling scent.
Sannyasa
10.
The case
of a patient
lying in
and incapable of being roused up or

the circumstances owing -o the aggravato
under
brought
comatous
ted
state
nature of the delusion (unconsciousness) due to an
extensive preponderance of the deranged
bodily Dosha
looked upon
by an
gent physicion as extremely hard to cure.
This
(involved therein) should be
to be a case of Sannya'sa (Epilepsy

clay,
when thrown
taken up before
?).
Just as a
into water, should be
it is
said
lump of
instantaneously
being finally desolved therein, so a
patient lying unconscious under an attack
* Chakrapani and Vrinda both-read

diet.
intelliis
Mudga
of suspended
also in
the
list
of the
288
animation
Sannyisa
[Chap.
XLVL
should be speedily restored to
consciousness with the help of medecinal remedies before

the process of final dissolution
body.
( lit.
death
sets in his
12.
Treatment : The
be
patient should
tried
to
be roused up with the applic-ition of strong eye-salves
sweet words and music in his
smoke (Dhuma) or
by discoursing
hearing or by shaking his
limbs roughly or by rubbing
his skin
(Anjana), unguents and inhalation of
by pricking needles
into his finger-nails or
An
Atma-gupta creepers.
with the fruits of
attack of the
present disease
not amenable to the above remedies but attended with,
laboured breathing, retention
salivation,
urine and distension of the
as irremediable.
abdomen should be given up
employed
a month.
particular.
of
consist of light articles
mixed with
and
Strong emetics and purgatives should
be exhibited after the return

diet should
of stool
Tri-phald,
consciousness
of fare.
Chitraka, S'unthi,
and
S'ildjatu*
should
etc.
be
combination with sugar and continued for
in
Matured
clarified
be used
butter should
in
Medicinal compounds remedial to any case
of fever originated by the

well prescribed in
any
Dosha in the case may be as

Murchchha
and a case
;ase of
due to the action of poisom should be remedied with

the
antitoxine
Sthana).
remedies
(mentioned
in
the
Kalpa
1314.
Thus ends the
forty-sixth chapter of the Uttara-Tantra in
the
Sus'ruta
Samhita which deals with the (symptoms and) treatment of Murchchha.
* According to Dallana S'ilajatu
should be
prepared
with the said
drags after the manner of BhaVana' saturation and then be applied with
sugar.
CHAPTER XL VII.
Now
on the (symptoms and) medical

and its kindred maladies
shall discourse
treatment of alcoholism
(PsCnsCtyaya-Pratishedha). i.
Properties and actions of
Wine
heat-making
is
properties, subtile
in its potency,
in
essence,
its
Wine :
keen or sharp
acts
as a
in
its
soaker or
cleanser of moisture and albuminous matter (Vis'ada),

dry,
and instantaneous
ting or exhilarating in
sive (Vikas'i).
of
It
in
its effect
(Vyavayi) and
destroy cold and
heat-making potency.
its
suspends
It
ness or sharpness,
of the body by reason of

destroys
Kapha
its
in its
action
rating
on
dryness
acid
of
all
in
its
its
of all the
boiled
rice,
and
is
Sukshmatva
taste,
is
light
Vayu on
It is exhila-
and
its
diffusive
Vikas'itva.
and appetising, and
Others assume the pre-
one in it. 3 4.
combination with cooked meat and
in
or any
a
),
its
instantaneous
As'ukaritva.
through the body) for
its
member
tastes except the saline
Wine taken
saturated with
),
keen-
its
in virtue of
Vyavayitva
produces fresh relish for food.

sence
and semen
Rukshmtva
by reason of
account
(coursing swiftly
is
subtlety
its
)
enrages or aggravates the bodily
Vais'adya,
account of
Wine
phlegm
virtue
cognitive
all
every limb and
into
.diffu-
is
by
shivering
process (lit.-intellectual motions) on account of

enters
is
action (As'ukara), stimula-
its
other articles of food
Sneha
(clarified butter,
profusely
adds to
of a
etc.)
the longevity, muscular strength and corpulency
person (using
it
larated state of
in
moderate quantities) and to the exhi-
mind accompanied with beauty,
vigour and valour and these benefits one
frpm the proper use of wine.
This
fortitude,
may
fiery liquid in
37
derive
com-

290
bination with the aggravated bodily
fire
[Chap. XLVII.
Kaya-Agni
produces the symptoms of intoxication and unconcious-
Mada
ness, etc. (
food, or
an empty stomach and
in
quantity.
in a foolish person taking
in
it
without
an inordinate
5..
Evil
Drinking:Excessive
Of
effects
nescience which gradually

and clouds the sense-perceptions, destroying
-drinking produces incidental

creeps into
power of
all
self
control (control over the sense-organs)
and giving publicity to the innermost thoughts
mind) of the intoxicated person.
the
(in
6.
Three stages of Alcoholic Intoxication

the
There arc
first,
The
three
stages
of intoxication
viz.,
the second or intermidatc and the third or
first
or preliminary stage
of
intoxication
last.
is
marked by an exhilarated state of mind with increased

and
valour,
conviviality
indicated
as well
The second
talkativeness, etc.
by incoherent
as
exhilaration and
speech,
performance of proper and improper

or last stage the
man
man who
whom
there
is
only a
the
In the third
acts.
down unconscious, bereft of

memory and of judging the ethic
7.
in the habit of
taking fatty food or in
Sleshma predominates, or
is
is
lies
all powers of action, of
effects of his acts.
and
satisfaction
or intermediate stage
little
of Pitta,
is
in
whose
constitution,
not so easily affected by
the action of wine, which, however, proves distressing in
a person of contrary nature. Wine,

food by a
distressing
man
in
if
taken daily without
an empty stomach, gives
and dangerous diseases
in his
rise to
many
organism and
leads to the ultimate dissolution of his body.
8-9.
Cases where wine Is prohibited

.Wine should not be taken by a person under the
fluence of anger, grief, fright, thirst or hunger.
:
in-
The use
UTTARA-TANTRA.
Chap. XLVII.j
of wine
immediately
prohibited
is
2QI
after
a fatiguing
journey, physical exercise or an act of load-carrying, dr
the repressing of any physical urging, or after the
after
use of
excessively acid food, (D. R. excessive water and
food) to
the
full,
or before the proper digestion of food
by a weak person, or by one suffering from the effects

In the above cases, wine undoubtedly proves
or
of heat.
a
source
of
host of bodily derangements such
as
Panatyaya, Paramada, PanAjima and the violent Panavibhrama the characterstic symptoms of which I shall
presently describe.
Specific
10.
symptoms of
Pa'na'tyaya
The Va'taja type of Pa'na'tyaya is marked by such

symptoms as numbness and aching pain in the limbs,
palpitation,
of
the
heart
catching and pricking pain in the region
and headache.
Perspiration,
delirium,
dryness of the mouth, burning sensation and fainting

fits
(loss
of consciousness)
>nd
yellowness of the face
and eyes arc the features which distinguish the Pittaja

type (of Panatyaya). Vomiting, shivering and waterbrash are the indications which mark the
The symptoms
of
all
Kaphaja
the three proceeding types
exhibited in the one due to the concerted action

three deranged
Panatyaya.
bodily
of Para- mad a : Heat and
of heaviness in the body, bad taste in
excessive accumulation
of
Sleshma
in
aversion to food, supression
of stool
and
headache
of the
type
of
1 1
Symptoms
s.-nse
DoshasTri-Doshaja
type,
being
and a crushing pah:
in
the
mouth,
the body, an
urine,
thirst,
the joints are the
symptoms which the learned physicion sets down to

Para-mada (reactionary effects of the abuse of wine). ii
Pa'ria'Jirna and Pa'na-Vibhrama :
Distension of the abdomen (tympanites), acid or sour
igi
taste (in
the
mouth), vomiting, deficient gastric diges-
symptoms which
tion are the
[Chap. XLVII.
are exhibited in a Ptfatf-
Aggravation of the
jirna type (alcoholic indigestion).
deranged Pitta should be regarded by a physicion as
The malady which
the exciting factor of the disease.

exhibits such
symptoms as
and limbs, vomiting,
fever,
piercing
a
pain
all sorts
of wine)
in
the heart
sensation of the rising of
fumes into the throat, salivation, epileptic

a burning sensation
in
fits,
headache,
the throat and an aversion to
of food and wine (in connection with an abuse

is
called
Pana-Vibhrama.
Prognosis
of excessive drinking and

as protuded upper
sensation and
13-14.
A patient suffering from the effects

lip,
clamminess of the
colour of the tongue, lips
fever,
or burning
black or blue
face,
or teeth and
blood-colour of the eyes should be givin
Hiccough,
such symptoms
exhibiting
excessive shivering
yellowness or
up
as incurable-
vomiting, shivering, tremor, cramp of
the sides, cough and vertigo are the supervening symp-
toms ( Upadrava ) which are found

Panatyaya (alcoholism). 15.
Treatment of
me
describe the
said
maladies.
all
forms of
Va'taja type : Now
medicinal
Wine
in
remedies, for
saturated
all
hear
the above
with the mixture of
pulverised Chukra, Maricha, Adraka, Dipya (Yamani),
Kushtha and Souvarchala should be given
for the relief
of the Va'taja type of Panatyaya,
mixed with
or one
Pritkvikd, Dipyaka, Mahousfiadhi and Hingu, or with
Souvarchala should be taken for comfort.

cardials
made
of Amrdtaka, AmrorfruitSi
Mdtulunga should be given

.
thfc
cooked
toise, etc.
above
flesh of
for relief. In
Shadavas or
Dddima and
the alternative,
an animal of Anupa group
i.i.
tor-
should be seasoned with the expressed juice of
fruits
and be taken.
16.
UTTARA-TANTRA.
Chap. XLVII.]
Treatment
293
PIttaJa type: in
of
the
Fittaja-type of Panatyaya, wine mixed with the decoc-
drugs of the Madltura group and saturated

and flavoured with the admixture of sugar and scented
drugs should be taken, or wine profusely mixed with the
tion of the
expressed juice of sugar-cane should be taken and fully
vomited out, a short while thereafter.
Ena and
Mudga soup should
of Ldva,
butter.
Meat-juice (Rasa)
unmixed with any
acid, or
be taken with sugar and
clarified
Tittira
17.
Treatment of Kaphaja and TriDoshaja type, etc. :-In the Kaphaja type of
Panatyaya, the mucus should be eliminated by taking
mixed with the expressed juice or

decoction of Vimibi and Vidula (Vetasa).
Meat-juice
of wine
a potion
of
any
fatty
and pungent
Jdngala
mixed with bitter and

the Mudga-soup made bitter
animal
articles as also
and pungent should be taken as
The
beneficial to the patient.
of preparations of barley, flesh
diet should consist
o{ Jdngala animals and also the Kapha-subduing articles,

as well as
those
calculated as
diet should be combinedly
the
concerted
treatment should
in
of medicines and
the
one due to
Doshas of the body

the Dvi-Doshaja types, the
in
be according to the nature of the
predominant Doshas.
I
applied
action of the three
(Tri-Doshaja type), while
Now
remedial to the present
The above kinds
type of Panityaya.
18
19.
shall describe the medicinal
tend to relieve the delirious
stale of
compounds which
mind and may be
of all forms of Panatyaya in

powder of Ndga-pushpa, Mdgadhikd,
Eld, Madhuka, Dhdnya, Ajdji and Marietta taken in
equal parts mixed copiously with the expressed juice of
Kapittha, water and Raruskaka should be duly taken
employed
general.
for the
The
fine
relief
294
in
[Chap. XLVli.
forms of Panatyaya after the mixture
all
ed through a
The body
piece of cloth.
is
should be anointed with a paste of Haridrd,

Paripelava,
strain-
of the patient
Padma,
Karavira, Padmaka, drugs of the Sdt ivddi
group and acquatic flower pasted togather, and
clear
and cold water should be sprinkled over the body of the

patient in a case of Madatyaya. 2021.
PsfliakS
Chocha,
Ptfoak prepared with Tvak, Patra,
Ndga-pushpa and flowers of
Eld,
Marietta,
S'leshm&taka ground together into a paste and mixed
with treacle and Drdkshd, should be
filtered
and
per-
fumed and given to a person suffering from an attack of

Panatyaya. The patient would find relief by the frequent
use of a Pa'naka (draughts) composed
Yashti-madhu,
of
Drdkshd and Trapusha-roots, or of KdrpdsaNdga-vald and Suvarchald (Surjavarta) all taken
Katurohini,
roots,
in
22
equal parts.
23.
Treatment of Para-mada : A
(
cordial
Dddima,
made
Vit,
Pippali,
disolvcd in water and
taken
in
combination with the
expressed juice of Vijapuraka, instantly gives

discomforts due to
Pa'naka
Kdshmarya, Ddru,
Drdkshd pasted together and
the fruits of
of
an abuse
of
wine
relief
in
(Para-mada).
Panakas made of sugar, Drdkshd, Madhuka, Jiraka,

Dhdnya, Krtshnd (Y'\p\>a.\i)3iud Trivrit, or of Souvarckala,
the meat-soup (Rasa) of any fatty Jdugala animal and
Phaldmla should be taken.
Cold infusion of Bhdrgi
would be found beneficial in sprinkling.
Treatment of
should
74
Pa'na'Jirna
25.
sVomiting
be induced with an Anjali measure of milk-
duly cooked with the admixture of Ikshvdku, Dhdtndrgava, Brikskaka
and two kinds of Udutnvarikd
after
which the patient should be advised to take wine

the evening in
case
in
of indigestion due to an abuse
UTTARA-TANTRA.
Chap. XLVII.]
Phaldmla
of winfi (Psfadijirna).
Tvak, Pippali, Ndga-pushpa,

Eld, or a
compouud
pounded and desolved

the
patient
Pippali,
and S'unthi
warm water should be taken.

should be made palatable with
in
the
in
present
ins-
27.
Treatment of
Panaka composed
lunga,
Maricha and
Pippali-roots
admixture of Khada-jusha *
tance.
combination with
Vid, Hingu,
consisting of Saindhava, vid, Tvak,
Chabya, Eld, Hingu,
The food of the
in
295
etc.)
PsCna-vibhrama:A
of DrAkskd,
Kapittha, Phala
( Matuand Dddhna sweetened with profuse quantity
of sugar and honey, as well as
the one
made with
the
expressed juice of Kola and Amrdtaka sweetened in the
same manner would prove curative in a case of PtfnaA compound consisting of Kharjura, Vetra,
Karira, Parushaka, Drdkshd and 1'rivrit pounded
vibhrama.
together and
disolved
cold
in
water should be taken,
sweetened with sugar, or the same should be taken
with S'ri-parni.
combination
tender sprouts of Kshiri-trees,
In
in
the alternative, the
Visa (Mrinala), Jiraka,
Ndgapushpa, Patra, Elavdlu, Sita-sdrivd, Padtnaka,
Am-
Karamarda, Kapittha, Kola, Vrikshdmla,

Jiraka, Dddhna, Yas/iti-mad/iu and Utpala,
rdtaka, Bhavj'a,
F/z/ra-fruits,
all
pounded together and mixed with the cold infusion
of such drugs
as Maricha, Jiraka, Ndga-pushpa,
Patra, Vis'va, Chavikd and
Eld
filtered
Tvak,
through a piece
of thin linen duly perfumed with the addition of scented
drugs would be found curative in the seven types of distempers which have their origin in drinking excesses. 28.
Objects which are pleasing to the five sense-organs
of
man and
gratifying to the
mind and
heart, as well as
* Dallana in his coramentatory says that some read
"liif and others read
"q$? in
place of "qrJ:".
"^"
in place of

THE SUSITRUTA SAMHITA.
296
[Chap.
wine should be always prescribed
light
XLVH.
a case of
in
Panitayaya and the patient should be enlivened with the

embrace of handsome and youthful damsels exceedingly
attached to the gratification of the senses with splendid
hips and thighs with their slender waists drooping under
the weight of the exuberance of their breasts.
powders of Ndga-pushpa,
with
prepared
Potions
Ajdji,
Krishnd and Moricha taken
with
sugar,
disolved
Madhuka and
in
equal parts mixed
Tri-sugandhi
Karvudara, Jiraka,
Tvak, tender sprouts of
Krishnd
Drdkshd,
should be given mixed with tepid milk.

person
etc.
wines (Sura, Asava,
he
will
be ruined,
duly administered otherwise
etc.)
has incurred the king's
same manner as a person who

displeasure, should be saved by
An
favour.
giving up his habit of drinking
symptom*
of Panatyaya
former pernicious habit.
if
32
body, hence thirst
in
is
drunkard
afflicted
with the
33.
virtues of
the water carrying
wine tend to
channels of the
experienced by a drunkard person.
cold infusion of Patola, flowers
and
inveterate
is
he suddenly revert to his
The Agneya and Vayaviya

produce a dryness
and bulbs oi'Utpala,
Mudga-pami mixed with Mdgadhika' should be
taken under the circumstances (reactionary

oil,
Kes'ara
31.
should be treated with the same
in the
courting the royal
and
30
with diseases due to the excess
afflicted
of Sura, Asava,
then
Kushmdnda fruits,
The drugs known as Varshdbhu,
taken.
Yashtydhva, Madhuka, Ldkshd,
and
expressed juice of
the
in
should be
29.
clarifiied
butter,
Vasa
(lard)
thirst),
or
and marrow (D. R.
milk) should be duly cooked with curd (four times), expressed juice of Bhringa-ra'ja (four times), and the decoction of Vilva
of the drugs
Yava (four times) with the Kalkas

known as the Sarva-gandhd should be
and
UTTARA-TANTRA.
Chap. XLVII.]
applied
.as
397
an Abhyanga. The body should be sprinkled

Palatable foods and
(Seka) with the cold decoction*.

pleasing
cold,
and scented
should
cordials
be
according to the nature and intensity
cribed
deranged bodily Doshas underlying the disease,
The
34 -35,
by drinking being aggravated

and blood of an intoxicated person,
heat generated
by bodily
Pitta
escapes through
feeling
pres-
of the
the
of intense
surface
burning
skin and causes a
of the
which should
(DaTia)
remedied with measures and
therapeutic
cribed in connection with the aggravation of Pitta.
Remedies for Dstha : Now

the cooling
measures which
36.
shall describe
should be
be
agents pres-
employed
for
alleviating the burning sensation (DaTia) in the case of

rich
patient.
The body of such a
circumstances should be smeared
patient under the
at
the
outest with
Chandana white sandal wood) pastes made cooler by the

contact of cold beams of the moon, pearl-necklaces and
v
the
He
should be
in a bed of full-blown lotus flowers
sparkling
water produced from
down
with dew drops
laid
melted
or of lotus-leaves
ice.
sprinkled
with spray
and youthful damsels decked with

necklace and bangles of lotus-stems cooler even than
cold water, should be asked to touch him.
He should
of translucent water,
try to alleviate the burning feeling
banks of a tank in a garden

breeze bearing
Kalhdra
(red)
adjoining tank.
on
lotus
in the
by
on the
and sweet
perfume of
strolling
soft,
cool
wings the soft

and water-moss dancing
its
in
the
Water cooled and charged with Ufira,
Vdlaka and (white) sandal paste should be sprinkled

over his body, or he should be
cleansed
*
tank
filled
with freshly
made
to
collected
sport in a
water era-
Decoction of the drugs of Madhura-gana and of the drugs of cold
virtues.
38
"3gS
balmcd with
scents
(e.
sandal
their roots
and beautiful damsels
his
skilful in
body standing
bath with young, gay
aquatic sports refreshing
him with the lotus-like touch of their

and mouth and hard (t.e. full-grown)
cold hands, thighs
their sweet words.
He
should
lie
breasts and
with
37- A.
down, when
tired,
cooled with watery breeze, fitted
in a
cool
with the misty
floor of the
chamber should be sprinkled
jets
chamber
with fountains and
made dusky
scented water
and
being smeared with
with the magnetic touch of beloved female
Here he should take
hands.
XLVII.
ved and blue lotus-flowers
pastes) after
paste and with the hairs of his
sandal
on
full-blown
g,
[Chap.
The
(vapours, of water.
over with
and flowers and the walls thickly coated

Teja-fatra and Vdlaka.
with pastes of sandal wood,
The chamber should be scented and decorated with

Mdnst, Tamdla, Musta, Kumkuma, /Wwa-leaves, JdtiUtpala (blue-lotus), Priyangu, Kes'ara (Bakula),
flower,
and Pmdarika (red-lotus), Punndga, Niga-Kes'ara, and

Karavira and there in the room with garlands of
flowers
gently swinging in the
the patient should

discourses about the
or -the
lie
sweet and lazy wind,
down and
listen
to the sweet
Hemanta, the Vindhya, the Malaya
Himalaya mountains as well as about cold water,

any other evergreen tree or plant
leaves of Kadali or of
and about the receptacles of full-blown blue or red

lotus, as well as about topics of moon-rise, or any other
subject which may be calculated to be agreeable to his
mind under the circumstances. Young and beautiful

damsels with their full and thick-set breasts and thighs
anointed with sandal pastes, being clad in wet clothes
(adhering to and advantageously showing the splendid
contours of their limbs,
and
girdles
loosely
etc.,)
sliding
and with
down
their
their
necklaces
bosoms and
.
diap.
UTTARA-TANtRA.
XLVH.]
slendef waists should He there with
These damsels should
embrace.
secret
coolness would
him in their firm

him with their
refresh
charms in that lonely chamber
their bodily
29$
and by means of
be able to alleviate the
burning sensation of aggravated Pitta due

drinking.
to over-
3;.
These are the measures in general which should be
employed also
the
in
of burning sensation
cases
due
Pitta and thirst.

discourse on the measures which are to be
to the aggravated condition of blood,
Now
hear
me
employed in the case of a burning sensation

body under different circumstances. 38 A.
specifically
in the
Symptoms
Raktaja Drfha : The
of
blood coursing through the whole body when aggravated
by any cause whatsoever becomes heated and imparts

a copper colour to the skin, complexion and the eyeballs of the patient.
It
produces a blcody smell in the
mouth and the body, and the

contracting sensation as
Treatment
if
he
patient feels a burning

is
surrounded by
Fasting
should
be
fire.
and
38.
prescribed
and then the diet should

be regulated conformably to the nature and intensity
of the deranged bodily Dosha involved therein.
If such
at the outset in such a case
burning sensation
(in
the body) be
still
unrelieved, the
patient should be treated with a diet largely composed

of the soup of Jdngala flesh
and venesection
tremeties should then be resorted to duly in
with the rules

Sthana).
in
the ex-
conformity
Chapter VIII
Jsarira
Cases of burning sensation due to the aggrava-
tion of Pitta
fever
(prescribed
in
would produce the symptoms of
and remedies
cases be resorted to.
for
Pittaja
fever should
Pittaja
in
such
39.
Symptoms and treatment of Da'ha

due to thirst : The watery part
dried up in
is
THE SUSIIRUTA
jOO
[Chap. XLVtl.
SAMIIITX.
the event of an unslaked thirst, thus generating a heat

the organism.
in
of the
lip,
(Djflia)
both
throat
This produces an extreme dryness
and palate and a burning sensation

and inside the organism of the
in the skin
patient followed
the trembling
by the coming out of the tongue and
of the whole
body.
ment under such circumstances
The medical
treat-
consists in alleviating the
heat and adding to the watery component of the body.
A large draught of
cold water
or cooled milk saturated
with a copious quantity of sugar, or of the expressed
Mantha should be given
juice of sugar-cane or of
patient to his satiety under the circumstances.
An
intense burning
sensation in
the
to
the
40-41.
body
is
caused
by the presence of accumulated blood in the abdomen

(Koshtha), the symptoms and therapeutics of which are
those mentioned in the chapter
II
Chikitsita-Sthana)
incidental to
on Sadyo-vrana (Chap.
burning sensation of the body
the waste (Kshaya) of
mental organic principles (Dhatus)

fainting
fits,
and mental
in its train
feebleness
of voice,
any of
brings
fundathirst,
suspension of physical
faculties or functions,
weakness and lassitude

which should be remedied with measures laid
down under
Rakta-pitta.
Emulsive and Vayu-subduing
remedies are likewise applicable therein.
its
on
42-43.
body may
severe internal burning sensation in the
also be produced
by
(the aggravation of)
(the breach of the rules of) diet
and to
blood due to
grief of
any
kind.
The symptoms in such cases are thirst, fainting fits and

delirium.
The remedy should consist in giving the
patient the wished-for objects,
and the diet under the
circumstances should largely consist of milk and

essence to be partaken of in
the manner described before.

|h'c
body
incidental to
company with
a hurt or
meat-
friends
in
burning sensation in
to
a blow on
any of
UtTARA-TANTKA.
Chap. XLVII.]
Jot
its
vulnerable or tender parts (Marma)
the
seventh of
its
kind and should be deemed as incurable.
All kinds
is
body with a coolness of its

surface are incurable.
Emetics and purgatives should
be exhibited according to the Dosha involved even after
of burning sensation in the
the subsidence of the supervening

in wine.
symptoms
of excess
44-46.
Wine mixed with
half
its
quantity of water and
scented with Jiraka, Sauvarchala, Ardraka and S'unthi
becomes palatable and immediately

taken with meal and with
allays thirst.
cooked
Wine,
meat by a person
besmeared with sandal paste and wearing wet clothes
and garlands of
after-effects
flowers, does not
nor brings
turn would throw the

their balance.
Thus ends the
produce any of
on intoxication
mind and mental
bad
in its
faculties
off
47-48.
forty-seventh chapter of the Uttara-Tantra in the Sus'ruta
Samhita which deals with the (symptoms and)

alcoholism.
which
its
CHAPTER
Now we
shall discourse
XLVIIL.
with the (symptoms and) medical treatment of
thirst
(Trlshna'-Pratlshedha Adhyaya).
i.
He who
not satisfied even with the constant
is
drinking of water but craves for more and more water
known
should be regarded as afflicted with the disease

as thirst (morbid desire for water).
2.
EtlOlOflfy :The Pitta and Vayu of the body

become extremely aggravated by such factors as
(excessive) exercise, grief (or any violent mental agitation), fatigue, drinking, use of any extremely dry, acid,
hot
pungent
or
parched condition
vital
or
fares,
the
in
those which
of
organism, or
cause a
waste of any
organic principle (Dhatu) of the body, fasting or
exposure to the sun, and combinedly

carrying channels
of the
The
portion of the bodily lymph-chyle).
channels thus affected give

disease
is
rise' to
divided into seven types.
the water-
affect
body (diminish
the liquid
water-carrying
The
violent thirst.
.
3.
Classification :The
of the deranged
the action
Kapha).
to
any
The
ulcer
first three are due to

Doshas (Vayu, Pitta and
fourth and fifth!are respectively incidental
and
to the waste of
organic principles.
The
sixth
is
any of its fundamental

due to the presence of
undigested fecal matter in the intestines

the seventh
is
due to errors
describe their specific
in diet.
symptoms and
agents to be employed in curing them.
(lit.
mucus) and
Now
and
a,
burning
sensation
me
4.
Premonitory Symptoms : An
dryness of
hear
the therapeutic
in
extreme
the
palate,
UTTARA-TANTRA.
Chip. XLV11I.]
303
throat, lips
and mouth, external
consciousness, and
delirium
heat, vertigo,
of
loss
are the general premoni-
tory symtoms which usher in an attack of the disease.

The specific symptoms are given below. 5.
Symptoms
Pittaja
of VsCtaja,
Kaphaja Thirst :Dryness
tingling sensation in the regions of the temples,
head (D. R.
throat), obstruction
and
mouth with a
of the
and the
of the (water-carrying)
channels of the body and a bad taste in the mouth,

are the
symptoms which
specifically
mark a
Vtftaja type in which the drinking of cold

to a distinct aggravation
of consciousness
food, dryness
of the disease
(epileptic
(in
of the
eyes,
whole body, desire for

mouth
and a fumid sensathe
coldness, a bitter taste in
mark
Loss
(thirst).
delirium, an aversion to
mouth, yellowness
of the
extreme burning sensation

tion
fits),
case of the
water leads
in the
the throat) are the features which specifically
type of the disease.
the Pittaja
produced by the
The vapours
of digestion being enveloped
fire
and
by the layer of accumulated

Kapha, the heat (pent up in the body tends to dry up
obstructed in their course
the moisture of
its
water-carrying channels and) produces
a kind of thirst which is characterised by somnolence,
a sense of heaviness
in the limbs, a
mouth, extreme emaciation,
aversion to food and suppuration
symptoms of Kaphaja
type.
And
are present, the patient has
drinking water.
sweet taste in the
cold-fever,
in
the
vomiting, an
skin are the
where such symptoms
no excessive desire
for
8.
Kshataja and Kshayaja Thirsts :

engendered in consequence of
or discharge of blood from, any cut in the body
case of thirst which
pain in
is
the fourth type and
days of the patient
in
is
is
known
as
such a case
Kshataja
thirst.
pass with great
The
un-
304
easiness even
if
In the type due to the
he drinks water.
(Rasa) which
waste of the fundamental organic fluid
known
as
Kshayaja
thirstj
by
still
finds
no
This type
the concerted
three deranged Doshas and
due to the waste of the
the day and
in
relief.
authorities to
several
is
the patient constantly drinks
water in large quantity both

night but
[Chap. XLVIII,
action of the
symptoms
the specifice
all
vital
in the
attributed
is
organic principle (Rasa)
described before are expected there.
10.
Amaja and Annaja Thirst:The symptoms of
all
the three (aggravated) Doshas in addition to
pain in the heart, spitting and a sense of lassitude in the

limbs are present in the type which
(Amaja).
The
case of thirst which
is
is
due to indigestion
produced by using
extremely fatty and saline articles of

those which are hard to digest
(and
is
known
as
Annaja
Prognosis
tremely weak and deaf
who
suffers
thirst).
patient
in
fare, as well
due to
is
1
1 12.
who has become
consequence of
from a mental stupour and
tongue protruded and hung
lies
ex-
and
with his
1 3.
General Treatment : Vomiting

case of thirst
thirst
down should not be taken
charge of (by a physician) for treatment.
induced with a solution
as
errors in diet
of powdered
in which the stomach
should be
Pippali
of the
in
patient
A plaster composed
fully loaded (with water).
Dddima, Amrdtaka and Mdtulunga is also beneficial.
Drugs which are cooling in their virtue and potency
becomes
of
should be applied in the three cases of thirst (due to the

three Doshas).
gargle composed
of a
solution of
powdered Amalaka with any acid drug (Matulunga, etc.)

should be retained in the mouth for removing the bad
taste in the mouth under the circumstances.
Water
made hot by immersing bits of heated gold, silver, etc
UTTARA-T ANTRA.
Chap. XLVHI.]
as well as pieces of heated
stone
305
or baked
clay in
it
and taken in a tepid state, or cold water charged with

sugar and honey,
14
thirst.
is
possessed of the efficacy of allaying
16.
Treatment : A
Specific
suffering
patient
from Vritaja thirst would find relief by taking lukewarm

and in a little quantity at a time the water boiled with
the drugs of any of * the five Pancha-mula groups
with the drugs

gana).
groups
of the
group
first
(Vidari-gandhadi-
decoction of the drugs of the
subsequently
and
cooled
or
Pitta-subduing
with the
taken
honey and sugar, or milk duly boiled with

the admixture of the drugs of the Jivaniya group (Kakoaddition
of
Gana) would
lyadi
Water duly
boiled
allay
with
of the Kantaka-Pancha-mula
case of
Kaphaja
thirst.
case
Vilva,
of Pittaja
Adhaki, the
and
Darbha
thirst.
drugs
allays a
Vomiting induced with the help
of a draught of the infusion of tender
iVwfa-leaves
taken lukewarm would likewise prove curative in such

a case.
17
The
19.
Pitta-subduing remedies and measures should, in
the alternative, be applied in
decoction
of
ripe
types of thirst which
all
cannot otherwise be allayed.
The expressed
Udumvara
juice or a
should be taken with
The five Pancha-mula groups are (1) The major pancha-mula, (2) The
(3) The Valli Pancha-mula, (4) The Kantaka-Panchamula, (5) The Trina-Pancha-mula. See Chap. XXXVIII, Sutra sthana.
t The Pitta-sulxluing groups are Utpalacli, 4rivadi and Kakolyadi
*
minor Paucha-mula,
groups.
In
place of
"qr^rq*^,
etc.
',
some read
Kantaka (Gokshura) and the drugs included
"^Kq^fq"
group known
"TOftl," vu Pippali, Pippali-mula, Chavya, Chitraka and Nagara.
The commentator Kartika Kundu supports this: Dallana. For Kantaka
etc., i.e.
as
in the
Pancha-mula, see Chap.
XXXVIJJ Sutra-Sthana.
39
306
sugar under the circumstances.
thirst-afflicted patient
the water duly boiled with the
likewise drink
should
[Chap. XLVIII.
drugs of the Sdrivddi group sufficiently cooled down
2021.
for the purpose.
Water duly boiled with Kas'eru, S'ringdtaka, Padtna,

Mocha (plantain-flower) and Vis'a is efficacious in allaying thirst incidental to hurt (Kshataja). Water containing Nilotpala, Us'ira and red Chandana should be kept
an open space during the night and a physician should
give this well-scented water mixed with sugar and honey
in
and with a large quantity of Drdkshd

patients on
afflicted
benefit.
the
the thirst-
Madhura
(D. R. the
their
for
Cold infusions of the drugs of any of the
pancha-mula, Utpalddi and

i.e.,
to
morning
following
Trina-
first
group
Vidarigandhadi) groups mixed with the drugs of the
Sdrivddi group as well
as that
of the
drugs
Madhuka-pushpddi groups should be prepared

preceding manner and
cordials (Panaka)
The
prescribed.
of the
in
six kinds
the
of
separately prepared (in the preceding
manner) with the (four kinds
of)
Kapitana are also beneficial
in
Rdjddana, Kshiri or
such cases. Fruits of
Tundikeri (wild Kirpasa) and of Kdrpdsa pasted together (and
dissolved
would prove
beneficial.
any
ulcer (Kshataja)
water) and taken internally
is
in
case of thirst incidental to
allayed with the stoppage or
removal of the pain or by taking meat-soup or the

blood (of deer, goat,
22
etc.).
26.
case of thirst due to the waste (Kshiyaja) of
fundamental
organic
fluid
(Rasa)
is
removed
any
by
taking draughts of clarified butter churned from milk *
In places
of
"ÎW?" m ilk
(
tpqgptf (honey
>'^\x&t"
"ntW
mixed with watei),
mixed with water)
and
"^nf^"
respectively.
"n*fc#' some
(soup of
Masha
read
pulse) and

Chap. XLVIII.
as
UTfARA-TANTR.A.
and infusion of Yashti-
as those of meat-soup
well'
Thirst which
madhu.
incidental
is
307
to
presence of
the
mucus and undigested fecal matter in the intestines

(Amaja) should be remedied with the decoction of
Vilva, Vachd and the drugs of the Dipaniya (Pippalyadi)
group or with the decoction of the drugs of the Dipaniya
group mixed with Amrdtaka, Bhalldtaka and Vald.
The type which has

all
errors in
incidental
is
organic principle should be
27
ing.
is
of
common
Warm
would alleviate
a thirst
the participated
meal.
heat,
by draughts
may
The
thirst of a habitual
of half-diluted
be allayed with
surcharged with sugar
29
suger-cane.
or
effects
wine.
in
meat-
due to
warm
drunk-
of wine
is
Thirst due to
draughts of cold water
with the expressed juice of
$3.

induced
is
should drink
due to the reactionary
is
or
which
Yavdgus or cold Manthas *

caused by the obstruction of
A man
fatty substance (Sncha).
ard which
Mautha
thirst
due to an excessive taking of any
in cases of thirst
allayed
by inducing vomit-
or
treacle
allaying
in
efficacious
physical fatigue.
water
cured
28.
Solution
soup
as well as
waste of any fundamental
the
to
of heavy and
diet
exception of the one
other types of thirst with the
which
use
origin in the
its
or due to
indigestible fares
should be
these cases with the decoction of such drugs
as are remedial to the deranged bodily Doshas involved

in
each case
prescribed in
these
in
Warm
and the digestive (Pacnana) remedies as

cases of fever should also be prescribed
cases.
Use
of cooling plasters and of cold
Yavagu should be
ponderates and cold
Mantha
prescribed
in caaea
in cases where Vayu

where Pitta preponderates.
pre.
30$
f HE SUSHRUTA SAMHITX.
baths and spray, residence

of emetics and
clarified butter
purgatives,
chambers, exhibition
use of milk, meat-essence,
and sweet and cooling Iambatives would
be likewise prescribed in
Thus ends the
in cold
[Chap. XLVIit.
all
cases of thirst.
34
35.
forty-eighth chapter of the Uttara-Tantra in the Sus'ruta
Samhit which deals with the (symptoms and) treatment of thirst.
CHAPTER
Now we
XLIX.
shall discourse
with the (symptoms and) medical treatment of vomiting,
(Chhardi-Pratishcdha).
Causes and Nomenclature : The
bodi-
Doshas are deranged and aggravated per force by

the use of extremely liquid, emollient, unpalatable or
ly
food
oversalted
improper time
of one taken at an
or
an inordinate quantity or which
or in
to the
physical
temperament
by over-fatiguing physical
up to the mouth and
of
come out with
pain
the limbs.
in
(Chhardi).
The
is.
incongenial
fear,
as well
(in
as
mental agitathe intestines),
pregnancy or any disgusafter
force
great
This
is
user,
Thus deranged,
causes.
rush
it
ts
worms
of
or quick eating or owing to

ting or loathsome
exercise,
indigestion, presence
tion,
of
the Doshas
covering the whole
and with an aching
therefore, called
Vomiting
2.
vital
Vayu known
as the
Udana-Vayu coming
in
combination with the one known as the Vyana-Vayu
in
man
to the
up
to
addicted to incompatible food and drink leads
derangement of the bodily Doshas and rushes

the upper part of his body (which causes vomit-
ing).
3-
Premonitory Symptoms :Nausea,

pression of eructations, thin
and
saline
sup-
water-brash and
an aversion to food and drink are the premonitory symp-
toms of vomiting.
Specific
frothy
4.
Symptoms
: Scanty
ejections of
matter of strong astringent taste accompanied
with a loud sound and cramps at the back and the
sidfes
THE SUSIIKUTA SAMHITA
3 to
XLtX.
[Chap.
produce a sense of exhaustion or fatigue and increase

the
after
ascribed
digestion
the
to
meal and
of
should be
this
of the deranged bodily Vrfyu.
action
Vomiting of yellow, greenish or blood-streaked matter

with an excessively acid, pungent or bitter taste in the
mouth and attended with such complications

dryness of mouth, fainting
as fever,
and burning and sucking
fits
(Chosha) sensations in the body, should be ascribed to

white,
sweet,
Pitta.
Excessively cold,
and mucous vomiting
thick
attended
with horripilation, an aversion to food, heaviness of the

limbs and
lassitude should be ascribed to
The
type of vomiting.
present
concerted action of
the three Doshas.
in
Traumatic Cases :The

ing due
Kaphaja
all
the three
the type due to
preceding types are

all
the
specific features of
vomit-
five cases of
any disgusting or loathsome cause or
to
pregnancy,
bowels) or the taking
of
presence
indigestion,
the
*
8.
worms
(in
to
the
uncongenial food and drink,
of
should be duly classified according to the Dosha aggravated in each case.
The stomach
types of vomiting.
Fasting should, therefore, be the
first
remedy
the
as well as
Violent
in these cases.
irritated
worms
of vomiting
in the bowels.
Prognosis : A
skilful
in
all
cramps and nausea
symptoms of Krimija-llridruga
special characteristics of a case
presence of
is
arc the
due to the
10.
physician
shall
not
take in hand the medical treatment of a patient afflicted with vomiting, where the patient is emaciated and
is.
distressed
which
with the supervening symptoms* and in

matter"
is
The supervening symptoms
ate
cough,
the
thirst,
ejected
mixed with
: Cough,
asthma,
pus and
fever,
mental dejection, heart-disease and Tamaka-S'vasa,
hic-
UTTARA-TANTRA.
Chap. XIJX.J
311
blood, and resembles the variegated colour of a peacock's
plume and where vomiting
almost constant.
is
General Treatment : In
vomit-
marked by an excessive preponderance of any Dosha

by the presence of all the three Doshas), emetics
ing
(or
be administered with a due regard
or purgatives should
to
II.
a case of
the nature and

In
involved.
of the
intensity
due to the
cases
Dosha
or Doshas
concerted
action
of
any two of the deranged bodily Doshas the medical

treatment should be determined
relative
should
order of preponderance.
Diet
of dry and
articles
consist
patient
according
is
accustomed
light
in
to
these cases
and what the

should
Febrifuge decoctions
to.
their
be administered accord ing to the nature and intensity of
<he deranged bodily Doshas involved
in
each case.
1 2.
Treatment of Vataja Type :Draught

of clarified
of
butter
churned from milk, * or the soup
Mudga and Amalaka
Saindhava-*s\\., or gruels
taken with
(
Yavdgii
drugs of Pancha-mula and
prove curative
use of the
prepared with the
the Vtftaja type of vomiting.
taken with a
juice of acid-fruits
Pitta-subduing
virtue
little
quantity of salt
mixed with
would
the derangement of Pitta.
efficacious.
salt
are also
13.
Type :Cold
Pittaja
The
Vishkira group
would likewise prove
"Lukewarm oily purgtives

recommended in such cases
and
taken with honey, would
essence of any bird of the
chicken, etc.)
(e.g.
and
in
clarified butter
drinks and decoctions of

relieve
vomiting
due to
Emetics or purgatives com-
posed of the drugs of the Madkura-drugs and mixed
"?ftT?t?"
mixed with
' las
clarified
been explained by
butter.
water in place of ''^jkvtf",
Chakradatta
some commentators as milk

teads
""^t^j"
milk and
THE SUSHRUTA SAMH1TA.
312
fChap.
*UX.
with the expressed juice of Drdkskd majj likewise be
employed
the present type.
in
medicated
vomiting the
In violent' attacks of
known
butter
clarified
Tailvaka-ghrita should also be prescribed.
i\.
Treatment of Kaphaja Type : A

Das'a-mula should
be given with honey in a case of
vomiting due to the aggravation of Kapha.

infusion
would
Vomiting due
or loathsome
to
by giving
15
16.
the use or sight of
any disgusting
should be treated with .agreeable
thing
peculiar
while that
relieved
cold
(Hima-Kashaya) of Guduchi mixed with honey

prove an excellent remedy in all the three
preceding types of vomiting.
things,
de-
drugs of the Aragvadhdd\-%xowp or of
of the
coction
as
to
pregnancy should be
to the enceinte the things she longs for.
Traumatic Types : Vomiting
due to the
use of any unaccustomed or incongenial food should be

relieved with fasting, vomiting or with
tion of habituated
the presence of
or
worms
in
the
administra-
Vomiting due
congenial food.
to
the bowels (Krimija) should
be treated with remedies applicable in a case of Krimija

Hrid-roga (heart-disease of parasitic origin).
The measures
and remedies prescribed before should be employed with

a due regard to the nature and intensity of the deranged
bodily
Dosha
or Doshas involved in each case.
17.
is
relieved
made
of Pippali, honey
and the expressed juice of Kapittha-ixwX.. MadJmrasd *
by frequently
with the
licking a lambative
washings of
rice
and with honey may be
Tarpana (soothing)
measure with the admixture of honey would be bene-
likewise taken
for
the purpose.
VMadhurasd" may mean

pi (4) Yashti-madhu.
The
(I)
Drak'sM
(2)
Gambhiri
practice is to prescribe
PnSksM.
fruit (3)
Murv
UTTARA-TANTRA.
Câp. XLIX.]
ficial
iti
the three cases (due to the aggravation of the
all
Doshas).*
seeds and
potion composed of powdered Attna-guptd-
Yashti-madhu mixed with a copious quantity
rice-washing and
of
313
with honey as well
as
gruels
prepared^ with the admixture of Karanja-\ea.ves should
Kustumburu pasted and mixed with

and acid would also be bcnificial. Kapittha should
be taken with Tri-k tu, and rice-washing. 18 A.
be administered.
salt
also
The excreta
of
honey and sandal

in hot milk and
given
the
to
should be licked with sugar,
flies
paste.
be immersed
lizard should
this
milk,
when
patient
to
drink.
paddy mixed with honey and
Powdered
clarified butter
and
butter
clarified
be
fried
should
mixed with
be given to drink or pulverised Pippali

honey, sugar
should
cooled,
should
be licked.
Sandal-paste * with the expressed juice of Amalakaôx

the decoction of the leaves of
composed
lambative
Amalaka
of
spiced with the
the
Mudga f
marrow
as well as a
of Kola
Tri-sugandhi drugs
(viz.,
and
Eld,
Patra and Tvak) powdered together should be prescribed.

Gruels of fried S'dli paddy mixed with honey should
also
be prescribed.
agreeable both to
is
also recomended.
Diet
palatable
The
cordials
The use of perfumes which are

the mind and to the organ of smell,
18-B.
meat of any Jangala animal and

and victuals of various plates should
be likewise taken with care in

Thus ends the
all cases.
forty-ninth chapter of the
18.
Uttara-Tantra in the Sus'tuta
Samhita which deals with the (symptoms and) treatment of Vomiting.

*
I
The
practice is to take white Sandal in this case.
Viigbhata'prescribes the decoclion alone as a separate remedy.
40
CHAPTER
Now we
shall discourse
the chapter which deals
on
L.
(HIccst-Pratishedha).
cough
Causes
Hiccough,
result of using those articles
hic-
i.
cough and asthma are the

of fare which are heavy, dry,
or secreting (Abhishyandi) or
which are followed by an
acid reaction or which remain long in an undigested state
stomach} as well as of cold drinks, residence
(in the
smoke or
cold places, exposure to cold or dust or
wind, over-fatiguing physical exercises,

tion,
load-carrying,
of
Ama-dosha (mucus
or hurt, emaciation
or
exer-
accumu-
sion of (physical urgings), fasting (Apatarpana),

lation
fire
physical
voluntary repres-
of journey,
toils
in
the intestines), blow
in
(weakness) due to sexual
cxccssc,
concomitant distress or agony of any existing or conphysical
tinuing
ailment,
irregular diet,
the digestion of a previous meal or of a

tion of
:
Sams'amana remedies.
belches out
it
mouth with
owing to
fact ,of
its
(wind)
applica-
the
intestines.
name Hkctf on
speedily
constantly
report shaking, as
were, the spleen, the liver and
physicians have bestowed the
wrong
2.
Derivation :The Vayu

of the
eating before
extinguishing
the vital
man (from Sanskrit root Ilins to kill). 3.

Classification : Hicca is divided into
spark
kinds
The
the disease
in
which
arc
styled
Gambhira and Mahati,
all
Annaja,
of which
the derangement of the bodily
with the deranged Kapha.
Yamala,
Vayu
five
Kshudra
are the effects of

acting in
unison
4.
Premonitory Symptoms : An
astrigent
UTTARA-TANTRA.
Chap, t,J
taste
the moulh, an aversion to
in
rumbling sound
in the
abdomen
symptoms which
monitory
all sorts
of pursuits,
cardiac region and a
heaviness about the throat and
cough.
jlj
(Jathara) arc
usher in
the pre-
fit
of
hic-
5.
Symptoms
: The
Vayu
bodily
being suddenly
deranged by taking too much food and drink, is pushed

upward and belched out in gusts which are known as,
Annaja' Hicca. The hiccough which occurs in double
strokes and at long intervals shaking the head and
neck
is
called
The
Yamaltf.
which
hic-cough
the
rises
with a mild force and at long intervals from the root*

of the clavicles (Jatru)
hiccough which
The
called Kshudrika'.
is
violent
from the region of the umbilicus
rises
accompanied by a deep sound and interfering with

respiration,
causing dryness of the
lips,
throat,
free
tongue
and of the mouth and producing pain at the sides and

complicated with
many
feeling of crushing pain
parts
ing
as
it
all
is
were, at the vulnerable
(Marmans) and stretches out the body
shak-
in full,
the limbs and which occurs frequently and with
considerable
accompanied by a
force
produces a severe thirst
Prognosis
is
symptoms,
The hiccough which produces
Gambhira'
called
other distressing
stretched out in
upward and fixed
full
in
is
report,
called Maha-Hicca'.
hiccough-patient
during a
fit,
and
id.
whose body
with his eyes turned
a gaze as well as the one suffering
frequent sneezing (D. R. cough) or

an aversion to food as well as those suffering from the
from weakness,
last
two cases of Hicca
vis.,
should be given up as incurable.
By
the
word "Mula"
('.
Gambhira and Mahati

11
tool) of the Jatru (clavicles)
GayaiWa
understands the regions of the heart, Kloma, throat, etc.Dallana.
THE SUSHRUTA
316
Treatment
[Chap.
Practice of Pranayama (control of
frightening
breath-wind), tickling,
fusion
SAMiilTX.
and producing con-
by pricking with needles may be
effectively
mixed with honey, or Pippali mixed with

lnkewarm compound of milk,
re-
Yashti-madku
sorted to in a case of (simple) hiccough.
sugar, or a
butter and the
clarified
expressed juice of sugar-cane* should be employed after

the
manner
may
purging
weak.
Vomiting and
Avapida-Nasya.
an
of
be induced in a patient not
Red sandal-wood made
into
extremely
paste with the
lukewarm clarified butter mixed with

Saindhava salt, or powdered Saindhava dissolved in
breast-milk, or
water
snuff.
beneficial,
is
administered
if
as
medicinal
12.
Gummy
S'dla trees, Mana/i-Ji/d, or
exudation of
cow's horn, or cow's hairs and skin, charged with clarified

butter, should be used in fumigation (Dhupana).
the
alternative,
region,
advised
use
to
(viz.,
animal
a sheep, a
pasted
cow or
with honey.
any domes-
Hairs of Svavidh
-f-,
of Sallaki should be burnt in a covered
pot and given to be licked
peacock or the
patient
lambative composed of
Svartia-Gairika or the ashes of the bones of

tic
As an
umbilical
The
duly fomented.
should be
etc.)
should be
hiccough
of
seats
fruit
of
with honey.
Uditmvara
Plumes of a
or (the
bark
of)
Lodhra should be similarly burnt and the ashes thus

prepared should be licked by the patient
with honey and
clarified butter.
in
combination
Sarjikd-kshdra licked
with the expressed juice of Vijapura and with honey
Tepid
Iliilk,
tepid clarified butter and expressed juice of sugar-cane
are also separately used as snuff,
t S'vavidb and S'allaki are the two
different kinds of porcupine.
Uf TARA-TANTRA.
Chap. L.]
317
would- also give instataneous relief in a paraxysm of hic-
cough,
13.
Lukewarm
gruels (Yavagu) saturated with
butter as well as
case
clarified
lukewarm Payasa prove curative
The
of hiccough.
milk-
of
cooked with S'unthi and water *
manner
(in the
Kshira-paka) and mixed with sugar could
taken with benefit.
The
ewe taken
would readily cure a
to satiety
in
she-goat duly
of
be as well
urine of a she-goat and of a
Similarly the smell of Puti-keeta
fit
of hiccough.
duly soaked
in
the
Vachd and Hingu \ after the manner

of Bhavana saturation would have the same result.
14.
infusion
of radish,
Ndgakes'ara mixed with sugar and honey should be

taken with a copious quantity of) the expressed juice
of sugar-cane and
of
Madhuka
flowers.
Pala weight
of Saind/iava salt should be used with two-Pala weight

of clarified butter,
Haritaki should be
taken and
first
then a draught of tepid water.
Clarified butter should
be taken with milk and honey.
Pichu (two Tolas)
weight of the expressed juice of Kapittha should be

taken with honey and powdered Pippali for the
(of hiccough).
A'malaka,
S'jint/ii,
lambative
prepared
with
relief
Pippali,
sugar and honey, or one prepared
with Anjana (Souviranjana), powdered
fried
paddy, and
the kernel (of the stone of) Vadara-fruit should be licked

as a
remedy
The
*
Some
for
four
an attack of Hlcca.
different
liquid
1 5.
compounds
il
prepared
tender 7j<iH<flq as the decoction of S'unthi.
t Pnti-keeta
is
a kind
of
worm
bad-smelling
appearing generally
during the rainy season.
t Some read f^psj' (Hingu and
lotus) in
place
of
'f*w'
both cases, however, ' mfqfl ' means simply 'mixed'.

H
According
pared with these
to
Vrinda and Chakrapani lambatives should be preAccording to some, the decoction bhould be used.
drugs,.
THE StlSHKUTA SAMHITX.
38
with the drugs
mentioned
The
present verse, vie.,(i)
[Chap. L.
the four quarts of the
in
and flower of Pdtald,(2)
fruit
Gairika and Katu-rohini (3) the kernel (inner pulp) of

Kharjura and Pippali and (4.^ Kdsisa (sulphate of iron)
and Kapittha (D. R. Dadhi), should be mixed with

honey and administered by an experienced physician in
cases of Hicca.
Meat
16.
as diet
The
soup prepared with the
meat of S'allaka (porcupine),

Vrisha-dams'a (wild
cat),
S'vadamshtrd,
Godhd,
Rishya (D. R. Riksha
a bear)
and Mriga (different kinds of deer, as well as of

Kapota and Pdrdvata (different kinds of pigeon), Ldva
and other birds should be taken lukewarm with the ex-
and with Saindliava and a
pressed juice of acid fruits
Sneha
(clarified butter, etc.).
17.
Purgatives as well as potions of tepid clarified butter
mixed with Saitidhma-saXt and sugar should be regarded

as highly beneficial in an up-coursing of the bodily
in cases of
Hicca.
Some
the application of an
beneficial in such cases.
Thus ends the
fiftieth
V&yu
authorities are of opinion that
Anuvasana-vasti would be also

18.
chapter in
the
Ultara-Tanlra of the Sus'ruta
SarahitA which deals with the (symptoms
and) treatment of hiccough.
CHAPTER
Now we
shall discourse
LI.
with the (symptoms and) medical
treatment of Asthma
(SVasa-Pratishedha). i.
Êtiology : To the same
factors
which bring
group
of exciting
an attack of hiccough should
in
be attributed the origin of that voilent disease which
known
The
as Svasa (asthma).
Piana-Viyu foregoing
vital
Vayu known
normal function
is
as the
upward
in unison with the deranged Kapha of the body and
produces that gasping and laboured breathing which is
five
one
spicific
in
nature and origin
its
types,
rises
This dreadful disease though
(asthma).
called Sva'sa
virtually
its
viz.,
is
divided
into
Kshudra-Svasa, Tamaka-Svasa,
Chhinna-Svasa, Maha-Svasa and Urddhva-Svasa.
4.
Premonitory Symptoms : Pain
in
the
region of the
as well as to
and at the
hear;,
all
urine and a bad
Specific
The type which
weather
is
in
: The
5.
type in which
on an aggrava-
is
or relief
called K8hudra-Sva'sa
vomiting and a rattling sound
finds
aggravation specially in foul
Tamakaweak and has a dud (wheezing)

also cough, the symptoms
as
is
In a case of
I
throat,
of (bronchial) catarrh
oppressed with
be regarded
distinct amelioration
called Tamaka-SJvasa.
the
may
and
accompanied by such symptoms
is
and
Svasa the patient
sound
mouth,
or exertion brings
and a
perspiration,
throat
the
aversion to food
of the disease.
Symptoms
restored in a sitting posture,
as thirst,
in
the
symptoms
movement
tion of the disease,

is
in
taste
as the premonitory
the least
sides,
other pursuits, suppression of stool
and an aversion
difficult
breathing
even
He
to
food.
in
sleep which
is
THE SUSHRUTA
320
abates only
when the
when
SAMHITA*.
the cough subsides and
patient sleeps.
If a case of
attended with fever and fainting
Pratamaka.
The
[Chap. LI.
fits,
aggravated
is
Tamaka-Svasa be
then
is
it
called
9.
case wherein
the patient pants for breath and
has tympanites and a burning sensation
in the bladder,
and wherein the breaths
detached and
intermittent,
is
known
are
as
painful,
The
Chhinna-svtfsa.
case
wherein the patient breathes heavily lying unconscious
and with a loud
sound
rattling
and with
in his throat
cramps at his sides, the lips and the throat being parched
and the eyes riveted in a fixed gaze or stare, is known
The
as tfahtf-S 7tfsa.
case wherein
a patient breathes
hurriedly, lies unconscious with choked voice
ed eyes and with his
each stroke of breath
Prognosis
Marmans
is
and upturn-
stretching out fully with
10
called Urddhva-Svtfsa.
Of
these (five)
types
12.
the
one
known a Kshudra-Svasa is easily curable, while the one

known as Tamaka-Svasa is hard to cure, and the three
remaining ones, as well as Tamaka, ocurring in a weak
or enfeebled patient arc regarded as incurable.
General Treatment : Several

emetics and purgatives
aver that mild
downward cleansing Sodhana
(lit.
13.
authorities
upward and
of the system) with
the
exception of the application of Sneha-vasli would be the

chief
remedies
in
of
cases
asthma,
if
the
patient
Old and matured clarified

butter duly cooked with Abhayd, FiV-salt and Hingu or
with Souvarchala, AbJiayd and Vilva would be benepossesses sufficient vitality.
ficial in
disease.
cases
of cough, asthma,
Similarly old
and
hiccough and heart-
matured
clarified
butter
duly cooked with the pulverised drugs of the Pippalyddi
group as Kalka and with (the decoction

of the
first
i.e.
the
of)
the drugs
Viddrigandh&di group and with the

UTTARA TANTRA.
Chap. LI.]
five officinal
kinds of salt added
after-throw, relieves both
to
321
it
by way
cough and asthma.
Hfmsra'di Chrita :Clarified
14
an
of,
15.
butter should
be duly cooked with a Kola (D. R. Karsha) weight each

of * Himsrd, Vidanga, Putika,
Chitraka, and with milk
much
times as
as
mediated Ghrita
clarified
relieves
Tri-phald,
butter.
piles,
thus
aversion to food, Gulma,
diarrhoea and consumption (Kshaya).
times
four
draught of
both cough and asthma and
proves curative in cases of
Vyosha and
much and water
twice as
16.
quantity of clarified butter, duly cooked with four
much
as
of the decoction of all the parts (viz.
flowers and roots) of Vdsaka

and with its roots and flowers as Kalka, should be used
with honey when cold (in cases of asthma). 17.
^ringya'di-Ghrita, A Prastha measure of
leaves, branches, barks,
clarified butter
B/tdrgi,
and
duly cooked with S'ringi, Madhurikd,
S'unthi,
Rasdnjana, sugar,
Yashti-madliu
all
taken
in
Ambuda, HaridrA
parts and as
equal
Kalka and with four times of water, would cure

cough, asthma and hiccough 18.
Slivahacli
clarified butter
Chrita S A
should
much of water and with
cases of
Prastha measure of
be duly cooked" with twkc as

a Kola (one Tola. D. R.
Karsha)
weight each of Suvahd, Kalikd, Bhdrgi, S'ukandsd, fruits

of Nichula, Kdkddani, S'ringavera, Varshdbliu and the
two kinds of Vrihati.
Taken hot
after being
made
pungent (by the addition of some pungent drug

Pippali), it would cure all forms of asthma. 19.
Calrified
Souvarc/iala,
Some
g.,
butter duly cooked with the admixture of
Yava-kshdfa, Katuka,
Vac/id, Ab/iayd,
Chitraka,
Vyoslia,
and Vidanga, proves curative in a cas6
prescribe Ihe Kalkas to
that the dose
e.
be taken
in tile
ordinary
way and
would be one Kola weight.
41
say
322
Similarly clarified butter duly cooked
of asthma.
of Gopa-valli
the decoction
much
as
[Chap. LI.
the clarified butter
as
weighing
(Sariva)
Physicians prescribe these
medicated Ghritas
five
cases of asthma and cough.*
prescribed.
also
is
with
twice
in
20-21
Tsfllscfdl-Ghrlta :Clarified butter mixed with

Hingu weighing a quarter part of its own weight and
duly cooked in combination with four times as much of
water and with
Tdmalaki and Ugrd,
Tdlis'a,
Jivanti,
Kushtha, Saindhava, Bilva, Pushkara, Putika, Souvarchala,
taki)
Kand
(Chitraka),
Pat/iyd,
Ghrita f and Shatpala-Grhrita
(Hari-
all
forms
as VistL-
would likewise prove
22.
beneficial.
The
in
known
The medicated Ghrita
asthma.
of
Agni
{Pippali),
and Tejovati as Kalka proves curative
proper. use of
oil
duly cooked
combination
in
with the expressed juice of Bhringa-rdja weighing ten

times as much, would relieve cough and asthma. 23.
Meat 83 Diet
Vishkira species
the juice of
etc.)
(e.g.
any acid
and with
Essence
of
chicken, Lava,
fruit
bird
of the
charged with
pomegranate, Vijapura,
(e g.
clarified butter
any
etc.)
and
salted with a
profuse
quantity of Saindhava, or the soup of Kulattha cereals,

properly cooked with the heads of
as milk
Ena
deer,
drugs
(c.g.
cough and asthma.
Pancha-mula)
Some
Viitf-Cthrlta
XLV,
editors
20,
add
destroy
lambative com-
this sentence after the next (Talisidi) Ghrita.
is
mentioned
Uttara-Tantra).
if
Vtfyn
the treatment
in
It should
asthma when Pitta predominates.

X Sliatpala-Grhrita is mentioned
should be prescribed
would
24.
The five Lam bat Ives : a
-it
as well
duly cooked with (Anti-asthmatic and Vayu-
subduing)
(Ch.
etc.,
in the treatment of
prevail.
Rakta-pitta
'of
be prescribed
in cases
of
V&a-Vy&dhi.
UTTARA-TAJjfRA.
LL]
Chap.
posed of any of the following
five
tioned in a hemistich each, vis
323
groups of drugs men-
Karkata~
Tinis'a-seeds,
S'uvarchikd {Jatuka-creeper), or Durd-laikd,
S'ringi
and
Pippali,
Katuka and Haritaki,; or porcupine's hair, peoMdgadhikd, and Kane/*
cock's feather, Kola' (Chavya)
(cardamom),
Tvak,
or Blidrgi,
S'arkara'
S'tingavera,
and SW/a&J-bark, or the well-pounded seeds of

be licked with honey and
(sugar)
Tri-kantaka alone, should

clarified butter
asthma.
by a patient
suffering
from cough and
25.'
Powders of
and Pippali should
sapta-c/ic/ihada-fiowers
be taken with curd-cream (Mastu) or powders of

barley grains (?) previously soaked for several
in
fried
times
the expressed juice of tender Arka-twlgs together
with honey should be
(cordial)
prepared
with
powder (by mixing
As an
taken.
alternative,
asthma \vou"d drink the Tarpana
patient suffering from
above-mentioned barley-
the
with a copious quantity
it
of water
and) with honey. 26.
potion
prepared with the
flowers
of
S'irisha,
Kadali and of Kunda and with Mdgadhikd and dissolved

in the
washings of
The
of asthma.
of Tdla
skin
rice
would completely cure
with honey
Nimba
and
honey and the washings of

Drdkshd, Haritaki,
Maghadhika and Kan a
therefore,
prescribe
two
The
and the burnt

should be taken
rice.
27
and one
Pippali
butter,
28.
Karkata-tfringi
synonyms and mean
are
skin of the deer should
clarified
combination with
in
Krishnd,
parts of
prescribe one part of Pippali,
species,
or Bhdrgi with honey and
or Kadamba-seeds
Tala-muli)
of a deer of the Rishya
forms
of AWa-stone, roots
pith or inner pulp
(palm) tree (D. R.
all
in
the
Pippali.
compound.
and
Some,
Others
of Gaja-pippali.
be burnt in a covered
and the black contents should be used.
earthen pitcher
THE SUSURUTA SAM HIT A.
J24
Durdlabhd
in
[Chap. Lt.
combination with honey and
clarified
butter, should be licked by a patient whereby he would
lambative
Haridrd
Mariclia,
get rid even of a violent attack of asthma.
composed of the
equal
Drdkshd,
Rdsnd,
treacle,
given to be licked with
parts
of
Kand and
by an
oil
liquid
29
diet.
of cow-dung and
the patient with
Pippali in cases of cough and
be
asthma-patient, con-
forming to the regimen of wholesome
The expressed
should be licked by
S'athi. should
30.
horse-dung
honey and powdered
The
asthma.
medicinal
compounds mentioned in connection with

Pandu-roga, and edema (Sotha) or cough, may be employed with efficacy both in cough and asthma. A compound
remedies or
made
of Bkdrgi, Tvak,
fohini, Pippali,
UtkrfriktC
Taken
should
internally,
violent attack
Articles
be
it
Haridrd, Katu-
oil,
Chandd
cow-dung should
of
liquid
Tryushana,
Maricha,
and
the
be given
(to
with
prepared
expressed
be
licked).
Tala-keeta-vija*
instantaneously subdues even
of asthma.
31
recommended : Matured
fied butter, Pippali,
clari-
soups of Kulattha, or of the flesh of
any Jingala animal, Sura, Souviraka (fermented

boilings),
rice-
Hingu, the expressed juice of Mdtuluiiga, honey,
Drdkshd, Amalaki and Bilva arc recommended

in
34.
cases of asthma and hiccough.
35.
Application Of SV.eda : Oily

(Snigdha-Sveda) with the help of
applied to the patient
suffering
cough, whereby the hardened
(as diet)
oil
and
fomentation
salt
should be
from asthma and
hic-
Kapha (accumulated
in
the channels) would be liquefied and the deranged bodily
Vdyu
*
pacified.
We
If
the
Vayu and Kapha
do not know what 'Tala-kecla'
"Tali>a-l;ceta"
00 the point.
is.
Some
be not thereby
printed editions read
which would evidently mean a "bug".
Dallana
silent
UTTARA-TANTRA.
Chap. LI.]
pacified,
patient should be
the
and then with a

with
meat-soup.
first
Application
should then be resorted
Sneha
treated with
of boiled rice cooked
consisting
diet
325
Dhuma-inhalation
of
36A.
to.
Application of Dhuma: The
stick (Varti)
made of Manalir
s'UA, Deva-ddru, Haridrd, Patra, Guggulu, Ldkshd and
Eranda-xoots made into a paste.
Compounds made of
to be used in the process should be duly
clarified butter, fresh
hairs, hoof,
wax and
tendon and skin
resin
S'allaki (Mocha-rasa), Guggulu and
pounded together (and made
An
tion of clarified butter.
Padmaka, should be
into sticks) with
the addi-
of smoke-inhalation in
36.
and vomiting
Purging
patient
horn,
intelligent physician should
use these (sticks) for the purpose

the disease.
or of cow's
or of Turashka (Sila-rasa),
should be
induced
in
overwhelmed with the action of the deranged
Kapha, while Tarpana measures with the administration

of a potion of the well-cooked soup of mutton or
of any Jangala or Anupa
prescribed in the case of a weak
flesh
or in respect
of'
or
one suffering from an
condition of the body.
of the
animal, should
be
enfeebled patient,
internal parched
37.
lambative should be
prepared with
Nidigdhikd
paste of the weight of an Amalaka, mixed with half as
much
of
powdered Hingu and with a copious quantity of
honey.
Duly taken, it would per
paroxysm of asthma within three days.
Irresistible
is
force
conquer a
38.
an attack of asthma like that of a
fed with heaps of fuel (D. R. fauned
by the wind) or
that of the thunderbolt hurled by the wrathful
the king of the gods.

Thus, ciuU the
lifty-first
fire
like
Indra,
39.
chapter in
the
Ultara-Tantra of the Sui'rula-
Samhita which dcalo with the (symptoms, and) treatment of asthma.
CHAPTER LIL
Now we
shall discourse
with the (symptoms and) medical treatment of cough.
(Ksfea Pratlshedha).
i.
Cause and Etiology : Cough has

in
the
same
of causes, which
sets
The
an attack of hiccough or asthma.
known
the body
as
causes as the
Kapha)
vital
Vayu
and
larynx
of
with
deranged by such
is
smcke
entrance of
physical exercise,
origin
the Prana-Vayu combined
other Doshas (Pitta and
dust (into the
its
or usher in
excite
of
or
particles
of
over-fatiguing
nostrils),
inordinate use of any dry or parched
(Ruksha) food, any food going wrong way, voluntary

of
repression
of
sneezing or of
any natural propulsion
Thus deranged,
the body.
it
is
suddenly pressed
upward and emitted through the mouth
Udana-Vayu
the deranged
producing a peculiar sound

Indian bell-metal.
learned.
This
or to
These
trachea)
called Krfs'a (cough)
it
is
is
originated
action of the deranged Vayu, or Pitta or

is
unison with
the
resembling that of broken
is
:-- This disease
types according as
body, or
in
in
by the
3.
Classification
five
(situated
divided
into
through the
Kapha
of the
due to the presence of any ulcer (Kshata)
any wasting process (Kshayaja) in the organism.

types of cough are recognised by the physi-
five
cians (in practice), which,
when
fully developed,
(i.e., if
neglected) would tend to produce phthisis (Yakshma). 4.
Premonitory Symptoms
the throat, a sense
of obstruction
of deglutition), a sticky
feeling
in
in
:- itching
in
eating (difficulty
the throat and in
UTTARA-TANTRA.
Chap. LJI.]
327
the palate, changed voice, aversion to food, and dulness

of the digestive
fire
symptoms which
the
are
an attack of cough.
Symptoms : A
Specific
usher, in
5.
person
affected
with a cough of the Va'taja type, complains of an aching

pain in the region of his heart, in his temples, head,
stomach and the sides and has dry and frequent coughs
(unattended with mucous expectorations),
with a pale
a weak and hoarse voice and diminished strength

and vigour (Ojas). A burning feeling in the region of the
heart, fever, sense of dryness, and a bitter taste in the
face,
mouth,
thirst,
yellow and pungent expectoration, paleness
of complexion and a burning
sensation in the body, are
the indications of the Pittaja type of Kdsa.

sense
the mouth, a sense of physical
in
ache, aversion
food,
to
body, itching, frequent
fits
sense
of
of cough
sticky
lassitude,
head-
heaviness in the
and thick mucous
expectorations are the features which distinguish the
Kaphaja
68.
type.
Symptoms
ation
of Kshataja Ka'sa :Ulcer-
the Vakshas (chest
in
over-fatiguing
physical
caused by loud reading,
?)
exercise
or
carrying loads of
any blow or hurt dealt

and gives rise constant
excessive weight, or incidental to

thereon,
fits
of
affects
the
cough
accompained
disease
is
chest.
9.
called
locality
by blood-spitting. The
Kshatja Ka'sa or cough of ulcerated
Sexual excess, carrying heavy loads, excessive

of journey, over-exertion
of horses and elephants and
in
toils
battle, forcible controlling
such other fatiguing feats
tend to produce parchedness of the system and ulcers in

the Uras (chest) whereby the bodily
and cough
is
produced.
The
Vayu
patient
is
is
deranged
afflicted
only
with a sort of dry cough at the outset but begins to

THE SUSIIRUTA SAMHITX.
328
with the progress of the disease.
spit blood
feels
an excessive pain
and
in the throat
HI.
[Chap.
his
The
patient
Uras
(chest)
seems to be broken and pricked into with sharp needles,
and cannot bear

of an
pressure
Breaking pain
locality.
and
thirst,
aching pain (Sula)

the joints,
in
like a pigeon.
disease and
who
and
quantity
who
or
excesses
or of taking
indulges
his
It
grief
type of cough
to
emaciation
Kshayaja
the
of
Krfsa.
sensation
in
in
of
who
are the
symptoms
streaked
in their
becomes
all
turn, give
disease
in the limbs,
with
of this
voluntarily
attended with a gradual
fits
pus,
called
is
fever,
burning
(Moha), loss of
strength (Prana) and of flesh, emaciation
blood
or
disgust
(thereby) aggravates
the body, fainting
spitting
sexual
to
body,
his
The
body.
Cramps
improper
at
or
mind, or
the three Doshas of the body, which,

rise
it
given
is
in
any natural urging

and diminished.
affected
of digestion
fire
who
or
abhorrence (of food) in

represses
lies
addicted to the habit of taking unwhole-
is
some and incongenial food

time
the patient
10.
Kshayaya-Kefea. The
person
the
in
asthma,
fever,
symptoms which mark
loss of voice are the
the Kshataja type of the
moaning
on account of the
the least touch
intolerable
of the
and
body,
weakness
type of Kasa known as
Kshayaja Kas'a. It is said by medical experts to be

due to the concerted action of all the three Doshas and
to be included within the categoiy of diseases which are
very hard to be cured. A case of cough (in an old man)
due to
his declining years is only susceptible of pallia-
tion.
II
12.
General Treatment
sisting
of
pjtanydka,
Srt'ngi,
Vac/td,
Abhayd,
Kat-phala,
Bhdrgi,
compound
con-
Ka-trina, Musta,
Deva-ddru,
Vis'wa and
UTTAKA-TANTRA.
Chap. LII.J
Hingu taken
hot water would rapidly cure a case
in
of long-stand ing cough.
lambative composed of the
equal quantity of Tri-phald,
Ra'sna'
Vyosha,
Padinaka
Vacha',
',
329
Vidanga, S'ringi,
and Deva'-ddru pounded
together and mixed with a copious quantity of honey,
sugar and
clarified
butter,
would speedily conquer a
13-14.
cough should use a lambative composed of Pathyd, sugar, Amalaka, fried paddy,
Mdgadhi, and S'unthi pounded together and mixed with
honey and clarified butter, or take Krishnd and
serious attack of cough.
patient afflicted with
Saindhava
with
salt
Ndgara and Pippali
in
warm
He
water.
combination with
should
use
treacle, or
use
a lambative of the paste of Drdkshd mixed with honey
and
A compound composed
clarified butter.
of the equal
parts
of Drdkshd, sugar and Mdgadhikd, or of S'ringa-
vera,
Yashti-tnadhu, and
Tugd (Vams'a-lochana) should
be licked with honey and
clarified butter
or a com-
and an equal quantity of Markka should be licked with honey and clarified
A compound consisting of Dhdtri, Kand, Vis'va
butter.
pound consisting of
S'itopala (sugar)
and S'itopala (sugar) should be taken with curd-cream

(Dadhi-manda).
person
an attack of
suffering from
cough should use Harenukd and Mdgadhikd taken in

equal parts and pounded together through the medium
of curd.
and the
in
The two kinds of Haridrd, Deva-ddru, S'unthi

cf a
Gdyatri-trcc pounded and mixed
pith
equal
of
of
Danti,
parts,
goat,
or
should
a
be taken
pulverised
Dravanti and
with the
compound
Tilvaka
'should
urine
consisting
be taken.
Leaves of Vadara pasted with Saindhava salt and fried

in clarified butter
tolas)
should be taken
or
a Kola (two
weight of Hingu should be taken with fermented
ricc-bmlings (Souviraka) or with the juice of
acid
42
fruit.
330
Markka
Powdered
honey.
be
should
[Chap.
likewise
licked
LH.
with
15.
Dhuma
Inhalation of
: The patient
smoke of a burning
Varti (medicinal stick) composed of Bhdrgi, Vachd and
Hingu, pounded together and mixed with clarified butmade
should be
to inhale
the
or of the scrapings of (green)
bamboo
Eld and
Lavana mixed with clarified butter. Similarly, a patient
suffering from an attack of cough due to Vita and
ter,
Kapha
should
with Musta,
inhale
bark
the
of
smoke
Ingudi,
of a Varti
prepared
Yashti-madhu, Mdnsi,
Manah-s'ild and Haritdla pasted together with goat's

urine and then take a draught of milk.
16.
In the alternative, Sidhu (a kind of wine) should
be
combination with Markka, whereby a fit of
cough would be instantaneously subdued. Milk duly
boiled and cooked with the admixture of Dr&kshd,
taken
Ambu
in
(Valaka), Manjishthd and
with honey.
Well-boiled
Pura\ should be taken
Mudga
puis* should be taken

with powdered Kanta-Kdrikd, Nagara and pippali mixed
with honeyj. Utkaraka (a kind of confection) prepared
with clarified butter,
Mula
Truti (Ela),
leaves of
Vadara and a copious quantity of powdered Ndgara

A thin Peya prepared with the precedshould be used.
ing
drugs
honey.
17
may
be taken
cold
in*
combination with
19.
Treatment of V&aja Kasa :The

cated clarified butter mentioned in connection
*
Dallana explains "twiT as
A*%$
medi-
with the
(leaves of bamboo).
t Pura means S'allaki (gum) or Guggulu. -Dallana.

t Dallana leads qr^WTfl^ as a variant and explains that the
powders of TrUcatu should be added in a large quantity in place of honey.
frBy
to
mean
the term
^y'o'ne mean q^f(taddish't
the drugs of the Pancha-mula-group.
while others take
it
UTTARA-T ANTRA.
Chap. Lit]
33*
medical treatment of Plihodara (enlargement of spleen)
and known as Shadanga-Ghrita * proves equally curaClarified butter duly

in cases of Vtftaja-Ka'sa.
tive
cooked with the drugs of the VidAri-gandhddi group,

or with the expressed juice of Vdsaka, would also prove
Applications of purgatives with any Sneha,
beneficial.
as well as those of
recommended.
Dhuma
Asthipana
or Anuvrisana-Vasti are
Snaihika
of
Inhalation
as well as potions of
lukewarm
(oleaginous)
clarified
tives saturated
advantage
may
with clarified butter,
such a
in
case.
butter,
and lamba-
gruels duly cooked with meat-essence, milk
be taken with
20.
Treatment of Kaphaja Ka'sa :Cases of

Kaphaja-K&a
tives,
readily yield to the use of emetics, purga-
medicinal
medicinal head-purgatives,
gargles, hot
and pungent lambatives as well as the inhalation of smoke

(Dhuma).
light,
Any
articles of
food which are emaciating
(.<?.,
percifying and small in quantity and even fasting)
should more particularly be beneficial.
case of cough
due to the action of the deranged bodily Kapha

relieved
by the use of
Tri-katu,
is
or of clarified butler
duly cooked with the expressed juice of Krimighna
(Vidanga) or with the expressed juice of the leaves of

Nirgundi.
2f.
clarified butter
twice as
much
duly cooked
the Kalka of Pdtkd,

*
combination with
in
juice of Nidigdhikd (Kantikari)
Vit-salt,
Vyosha,
For Shadanga-ghrita, see chapter XIV, Para
as Shatpalaka-Ghrita.
and with
Vidanga, Sain'
>8.
It is better
known
t According to Vagbhata the clarified
butter
should be duly cooked
with the Kalka of Tri-katu and with the decoction (Rasa) of Vidanga.
X Some lake 'Krimighna'

any antiparasitic drug,
The
j.ice
infusion
or
to
viz., the
mean Vidanga,
decoction of Vidanya
be not available.
Ibid.
others
take
it
to
mean
drugs of the Surasadi-gana. Dallana.

shjuld be used
if
its
expressed
THE SUSIIKUTA SAMHITX.
332
tit
Chitraka, Vald,
dhava, Tri-kantaka (Gokshura), Rdsnd,
Mustd, Deva-ddru, DurdlabM, Bhdrgi,
S'ringi, Vachd,
Abhayd and SKathi, proves curative
in
of digestion, hoarseness,
as well as
the
of the five different types of cough.
22,
Pittaja
[Chap,
asthma, dulncss
attacks
violent
and Kshayaja Kasa : A
case of
cough of the Pittaja-type, as well as the one due to the
(Kshaya) brought about by sexual excess,

every morning of the clarified butter,
wasting
yields to the use
duly cooked with the decoction of the drugs of the

Sdrivddi and the Madhura
Viddri-gaadhddi, Utpalddi,
Kakolyadi) groups and with the expressed juice of
(i.c.
and with the drugs of the

Kalka and with the addition of
milk
sugar-cane, water,
Kdkolyddi group as
sugar as an after-throw.
The
three
Kshataja (ulcer-orignicd) and

wasting process
use
the
of
the
Pittaja,
viz.,
Kshayaja (due
the system) of
in
cases
Kasa
are
to
any
relieved
by
compound prepared
Madhulikd. Eld and Amalaka
with Kharjura,
Bfidrgi, Pippali, Piydla,
mixed
in equal parts,
and taken with a copious quantity
of clarified butter, honey and sugar.
23
24.
Cases of the Kshataja (ulcerated) or Kshayaja (consumptive) Kasa, would become amenable to the use of a
compound
consisting
(Manjishtha),
Pdthd,
of the
equal
Haridrd, Anjana
Murvd and
with honey, or of
parts
Raktd
of
(antimony).
Chitraka,
Pippali pounded together and taken
clarified butter
duly cooked with the
expressed juice of sugar-cane.
Amalaka powder duly
cooked with milk and taken
combination with
fied
butter
would prove
in
efficacious.
with the three types of cough
may
Persons
clari-
afflicted
take with |benefit
the fine powders of wheal, barley as well as of the
drugs
butter.
of the
Kdkolyddi group, with milk and
Treacle boiled
with water should
clarified
be
taken,
UTTARA-TAttTlU.
Chap. LlL]
when
with honey and with
cold,
by
intervals
3^3
biting
25
it.
Markka
taken at
Prastha
measures
28
Ka&yana-Gllda :Three
expressed juice
of the
measure
(six seers
cooked
with
Amalaka and
half a
Tula
half) of treacle should be
duly
of
and a
eight-Pala-wcight
(lightly fried) with eight-Pala
powdered
of
measures of
Trivrit
Powdered
oil.
Granthika (Pippali-roots), Cluivya, Jiraka, Vyoslia, Gajapippali,
phald,
Havashd, A/amodd,
it
and Dlidnya,
Pdthd, Chitraka
Yatndni,
as an after-throw and
should be scented with the
The
Ela and Patra).
is
each
called
tive in cases of
compound
the whole
drugs (Tvak,
scented
three
Aksha (two
The medicine thus
patient should take an
Tola) weight of this preparation.
prepared
Tri-
Pichu weight (two Tolas) should then be
weighing a
added to
Vidanga, Saindliava,
Kalyana'ka Guda and
it
proves cura-
cough, asthma, hoarseness of
Grahani,
voice and phthisis. It serves to improve appetite, increase
the semen
There
is
and remove
of males
and conduct when
used.
it is
in females.
29.
Agastya-Leha :Two
known
sterility
no special restriction about the regimen of diet
Das'a-mula,
as
Gaja-pippali, Atma-guptd, Bhdrgi,
S'athi, Pushkara-roots, S'imthi,
thika (Pippali-roots),
Palas each of the drugs
Pdthd, Gulancha, Gran-
S'amkha-pushpi, Rdsnd,
Chitraka,
Apdmdrga, Vald and Durdlabhd, and one Adhaka (half

a seer) of Yava together with one hundred large-sized
Haritaki should be boiled with one Drona measure of
water and taken down from
the oven with
quarter part evaporated in the process.
be
filtered
through a piece of
linen.
treacle should be dissolved in the
>it
its
three-
should then
Tula weight of
above decoction and
duly cooked with the addition of a Kudava measure

each of
oil
and
clarified
butter.
When
the cooking
is
334
[Chp.
M.
powdered Pippali should be added as an afterthrow and honey should be mixed with it, when cooled.
One Karsha weight of this elixir Leha should be
licked every day
in combination with two Abhayas.
It conquers cases of phthisis, Grahani edema, dulness
finished,
of appetite,
hoarseness of voice, cough,
Pindu, asthma,
head-ache (Siroroga), Hrid-roga (diseases of the
heart).,
hiccough and Vishama Jwara.

elixir
improves strength
A. regular use of this

and memory, imparts vigour of
mind and energy of action and removes disinclination

by the holy sage,
It was first concocted
to work.
Agastya.
30.
cooked with the decoction made

by boiling the drugs of the Madhura or any other suitClarified butter duly
able
group with the essence of Kulira
(crab),
Chataka, Ena-deer and Lava proves curative

of cough due
to the presence of
any wasting process
or to
clarified butter
and
in
any
the
Sukti,
the case
ulcer (in the
lungs)
The
use of
system.
duly cooked with S'atdvari, Ndga-vald
Vald proves beneficial to a person
cough.
in
afflicted
with
3132.
Thus ends
the fifty-second chapter of the Uttara Tanlra in
Samhhd which
the Sus'ruta
deals with the (symptoms and) treatment of cou^jh
CHAPTER
Now we
shall discourse
LIII.
with the (symptoms and) medical treatment of hoarseness

of voice
(Svara-bheda-Pratishedha).
EtlOlOgy : The Vayu
i.
other Doshas
and the
and aggravated by such causes as ex-
are deranged
tremely loud speaking, taking poison, reading at the top

or
external hurt
of the voice,
cold, etc., *
ing channels, they
the
affect
and exposure to
injury
and finding lodgment
sound carry .-
the
in
The
voice.
disease
called Svara-bheda (hoarseness of voice) and
into six different types,
is
classified
2.
Symptoms
Specific
is
parts a black colour to the
: The Vsftaja type
im-
urine and stool
eyes,
face,
and the voice acquires the sound of the rough and

hoarse braying of an ass +. The face, eyes and the
stool
and urine of the patient are tinged yellow
case of the Pittaja type

as
if
and the voice sounds sunken
proceeding from the throat with an
ing sensation.
In the
tantly feels a sense
mucus and
is
types,
to
are
internal
Kaphaja type the
of constriction
throat with
his
in
burn-
patient cons-
only enabled to speak slowly and softly
and that specially

belonging
in a
the
in
the day.
Symptoms
preceding
three
simultaneously present
specifically
Dosha-originated
the type due to
in
the concerted action of the three Doshas (Tri-Dhoshaja)
together with indistinctness of speech and
incapability
Here
Pitta-aggravating and
intended by the word
Vayu-aggravaling
*rrf?' i-e., etc. in
t Pallana's reading evidently
is
'^hnf^fH:'
ir^^^f indistinct).
causes also are
THE SUSIIRUTA
336
This
of articulation.
curable.
should be deemed as
type
Kshayaja and Me-
of
doJ a types : In
type the voice
Kshayaja
the
emits vapour and, becoming lower and
This
mately disappears.
of voice) should be given
Medoja type the
the voice remaining, as

his throat, lips
up
butter,
Svara-bheda
as
7-8.
stick)'.
in cases of
well
as
be
first
treated
one should
be regarded as
Vasti,
crrhincs,
previously mentioned
of cough and
asthma
in their entirety in
to
help
the
of
the
the
of emetics, pur-
Avapida-Nasya,
lambativcs,
Measures and
remedies
connection with the treatment

should
the present
be
as
employed
well
Now
disease.
describe the medicinal remedies
bheda.
of the
emulsive measures) and
smoke-inhalations or gargles.
in
body
underlying the root
attack should be curbed with
beneficial
old,
wiih a Sneha (clarified
rubbed
with
deranged bodily Dosha
gatives,
weak,
a long-standing,
9.
should
lit.
And
were, inside his throat.
General Treatment : The

patier.t
ulti-
patient speaks very indistinctly,

it
or Tri-Doshaja
incurable.
it
In an attack
as incurable.
and palate become
Prognosis
lower,
of Svara-bheda (loss
stage
emaciated, or fatty patient,

congenital
in-
6.
Symptoms
of the
[Chap. LHI.
SAM111TA.
hear
me
which arc specifically
a patient afflicted with an attack of Svara-
10.
Treatment of Vataja Type in

:
Va'taja type
after a full
of the
meal,
disease,
clarified
the
butter
patient
mixed with the ex-
pressed jiyce of Kdsa-marda, Vdrtdku and
Artagala (Arjua).
the
should take,
In the alternative,
Mdrkava with
Ghrita prepared
from goat's milk and duly cooked with
Yava-Ks/tdra
and Aiamodd or with Chitrak-a and Amahrka, or with
Chap.
tW.J
UTTARA-TANTRA.
337
Deva-ddru and Agtri (Chitraka) should be taken with

honey.
The
diet of the patient in such
consist of boiled
butter, followed
rice
a case should
taken with treacle and
by draughts of
clarified
n.
tepid water,
and Kaphaja types : Clarified
Plttaja
be
butter should
used with milk in the

Payasa * duly prepared
Yashti-madhu and clarified
constantly
Fittaja type of the disease.
with
the
admixture of
Lambatives composed of
the powdered drugs of the Madkura (Kakolyadi) group
saturated with honey and clarified butter, or of powders
butter,
should also be taken.
of S'atdvari or of Vald should be similarly taken.

ders of pungent drugs should be taken
quantity of cow's urine or licked with

in a case of the
Kaphaja type
oil
and honey
of Svara-bheda. 12
Hledoja, Kshayaja, etc.,
Pow-
with a copious
13.
Types : The
medical treatment in the case of the Medoja type of

Svarabheda should be the same as in the Kaphaja type.
The medical treatment of the Tri-Doshaja and Kshayaja

types of the disease should be taken in hand without
Milk f duly cooked

Madkura group should be taken
holding out any hope of recovery.
with the drugs of the

in
combination with sugar and honey
the effects of loud speaking.
Thus ends the
fifty-third
in
a case due to
1415.
chapter of the Uttara-Tantra in
the
Sua'ruta
Samhita which deals with the (symptoms and) treatment of hoarseness.
Patyasa
is
a special preparation of rice boiled with milk end
sugar.
t Milk of a
cow
or of a sbe-buflalo, etc,
may be
used here. Dallana.
43
CHAPTER
Now we
LIV.
shall discourse
with the (symtoms and) medical
treatment
(Krlml-Roga-Pratishedha).
Causes : The
Pitta
worms
of
i.
and Kapha of the body are
aggravated by such causes as eating before the digestion

excessive use of any indigestible,
of a previous meal,
uncongenial, incompatible or filthy articles of fare, seden-
tary habits, partaking
of cold,
heavy or fatty meals,
sleeping in the day-time, excessive use of
Vidala
S'ukta (a kind
fermented
Anupa animals, Pinyaka
taka),
curd,
rice-gruel),
(wine)
milk,
Palala (dried plants of corn), flesh
sugar-cane,
treacle,
of
KaJeruka, pot-herbs, Surd
of
cikes,
S'dluka (bulbous
Visa Hotus stems),
(cereals),
of the lotus),
root
Mdsha,
and such other
(oil cakes),
Prithuka (Chipi-
articles of fare as well as
by the use
They help the germin-
of sweet, acid and liquid articles.
ation of parasites of various shapes in the different parts
of the body, Amas'aya (stomach)

tines)
and Pakvas'aya
being their principal seats or location.
Classification
The
worms
(intes-
2.
or
parasites
(which are found to germinate and grow in a living
human organism)
and have
species,
blood
*.
Now
are divided
their origin
enumerate
shall
characteristic features.
into
either
The seven kinds
Charaka speaks of another kind
external
filth
of the body), over
their
different
Kapha
or
names and
3.
Names and Symptoms
Worms
twenty
in feces,
viz.
and above
of
of Purlshaja
worms which
Malaja
are
(produced from the
that kind of
present in every organism from the very birth (Sahaja).
worms which
are
UTTARA-TANTfcA,
Chup. LIV.]
known
339
Ajava, Vijava, Kipya, Tripya, Gandu-pada,
as
Chunj and Dvi-mukha, originate from
They
are white
size.
They
and extremely
and have
thicker
of appetite, yellowness
the abdomen,
to
food,
Several
(therein).
Cramps
tails.
them
of
(Sula), dulness
of complexion,
distension
of
of strength, water-brash, aversion
loss
heart-disease
(Hrid-roga)
and
looseness
of
symptoms which mark the presence of
are the
stool,
their
in
frequent the passage of the rectum and
produce a pricking pain

are
feces (Purishaja).
attenuated
worms (in the intestines), which originate in the feces.

Of these Gandu-pada worms are red and long in their
shape producing such symptoms as cutting pain (Sula),
rumbling sound in the
indigestion
intestines, looseness of stool,
and
and they come out of the anus with an

4 5.
itching sensation.
Names and Symptoms
Kflml: Those
known
as
of Kaphaja
Darbha-pushpa, Maha-
pushpa, Praluna, Chipita, Pipilika and Daruna.have their

origin
in
the deranged
They
Kapha.
or have hairs only on their heads,
brown spots on
They
They
are white
eat
away
their sides or
marked with
are provided
and small-sized
the
are either hairy
or are
with
tails.
like fresh paddy-sprouts.
marrow and bore
the palate and the ears and produce
into the eye-balls,
head-ache,
troubles (Hrid-roga), vomiting and catarrh.
Names and Symptoms
cardiac
7.
of Raktaja
Kfimi: The
names of the worms originating from

blood are Kes'ada, Romada, Nakhada,
Dantada, Kikkis'a, Kushthaja and Parisarpa *. They
are either black or blood-coloured, glossy and thick and
the vitiated
The names
of these
worms have been derived from
of their actions on the different parts of the organism.
the
nature
THE SUSHRUTA SAMHIlX
340
[Oi*p. L.IV.
generally produce diseases -which are peculiar

vitiated state of the blood * in the
body.
Specific Causes :Worms

origin
in
the
to
8.
which have their
the feces (accumulated in the bowels) are the
results of the (excessive) use of such
Kaphaja worms germinate

of eating
flesh,
in the
articles
and
Mds/ta-pu\se, cakes, salt, treacle
system
Mdska-pulse (D. R.
of fare as
The
pot-herbs.
in
fish),
consequence
treacle, milk,
curd and Swkta (a kind of fermented rice-gruel).
Worms
which originate from the contaminated blood of the

body, are intimately connected with the use of pot-herbs
and
other
of fare.
and
indigestible
incompatible
articles
9.
General
Symptoms : Fever,
paleness of
complexion, Sula, cardiac troubles (Hrid-roga), lassitude,

vertigo, aversion to
food and diarrhoea (Atisara) are
the complaints which
mark
the system.
Prognosis :Of
of
the presence of
these the
worms may be seen with
beginning with Kes'ada
incurable).
thirteen kinds
first
Raktaja worms) are
the
)
the
first
two
first
ascertain the nature of the
to
destroy their colony in
the body, should treat the patient with a Sneha

butter or oil) and then administer an
butter duly
Surasddi group.
He
cooked with -the

should
any strong purgative
with
Asthapana-vasti prepared
Kola,
*
(as
11.
physician should
clarified
(viz.,
Romada) kinds should be given up
worms and, with a view

fied
-in
the naked eyes, while those
(viz.,
not so visible and (of these latter

Kes'ada and
worms
10.
Kulattka-pu\se,
then
and
(clari-
emetic with
drugs
of the
purge the patient

treat
him with an
with the decoction of Yava,
and the drugs
See Chapter xxiv., Sutra Sthaca.
of the Surasddi
Chap.
UV,
UTTARA-T ANTRA.
341
Sneha
group, charged with salt and with a

butter Or
oil)
Vidanga.
duly cooked with
be
after
solution (through his
the flowing out of the injected

anus) the patient should
(clarified
Just
with lukewarm
bathed
water and a meal prepared with vermifugal articles

should be given to him.
Anuvasana-vasti
should
then
be applied with the preceding Sneha (prepared with
He
Vidanga).
potion composed of the
should take a
Kiniki
and
expressed juice of S'irisha
(Apamarga)
mixed together aud sweetened with honey. The exKevuka may be similarly (mixed with
pressed juice of
and) administered with a meal prepared with the articles

of strong (Tikshna) property.
sed juice thereof should
of
1 2.
paste (or powder) of Palds'aseeds or the expres-
The
rice.
be taken with the washings
expressed
Pattura * or the drugs of the
be taken, or the
(similarly)
dung
or
of
Vidanga
of
juice
should be taken with honey.
The
Pdrtb/tadrn-lc&ves
juice extracted
from
Surasddi group should
powders of dried horselicked with honey.
should be
Yava and) the
Pupulika-cakes prepared with (pasted
pasted leaves of Muskika-parni (a kind of Danti) should
be taken by the patient followed by draughts of Dhanyi-
mla (fermented paddy-gruels).
13
14.
Oil duly cooked with (the paste and decoction of)
the drugs of the Surasddi group should be given to be

Different kinds of cakes should be
prepared
him with (Yava mixed with) powdered
Vidanga.
drunk.
for
Sesamum-seeds should* be duly soaked

of Vidanga (after
and
use).
*
it
to
oil
the
should be then
manner
of
in
the decoction
Bhavana
saturation)
pressed out thereform (for his
IS A.
Dallana explains ''Pattura"
be S'alincha,
as
S'ephalika,
but S'ivadas'a
takes
342
[Chp. LTV.
Powdered excreta of a Svavidh (porcupine)

ly
soaked seven
times
of
Trirphald and
of
in
each of
similar-
the decoctions
Vidanga should be
licked
with
honey, followed by draughts of the expressed juice of
Amalaka, Haritaki, and Aksha (Vibhitaka). Powders of

any (dead) metal (Ayas) * may also be prepared and
preceding manner.
expressed juice of Putika should
be taken with honey,
taken
or
in the
be administered
should
Pippali-roots
should be rubbed
in
(Mastu) and should be taken
Kapha
aggravated
in
(killed
in
Worms
a week.
for
the accumulated feces or
body should be destroyed
the
with the help of the aforesaid medicinal remedies.
Medicinal
lead)
upper liquid part of curd
the
which have their origin
through the
Trapu
vehicle of the urine of a she-goat.
Anjanas, Nasyas and
15.
Avapidas should
employed in destroying the different

classes of vermins which infest the regions of head,
heart and mouth and the nostrils. The liquid expressed
be particularly
out of horse-dung should be dried and then

ly soaked several
times in
The
should be blown
preperation
(Pradhamana).
may
also
decoction of
the
Powders of
successive-
killed
the
into
Vidanga.
nostrils
metal (Ayas,
be applied in the same manner.
Oil
etc.+)
duly
cooked with the drugs of the Surasddi Gana should be

used
in
metal.
snuffing with the
17 A.
Measures and remedies

*
AyM iron,
as in para
lit.
t Ayas
X Oil duly cooked
is also
15
used for
mentioned
all
may mean any
connection
the metals generally.
metal.
When
become blue by being oxidised, the
and mixed with
in
with the drugs of the Surasddi Gana
placed. in a pot of Indian bell-metal.
would
blue part \ of Indian bell-
that blue part
and used as an
the
oil
should
be
inner surface of the pot
should be well
crrhine.
stirred
UTTARA-TANTRA.
Chap. LIV.]
343
with the treatment of alopecia (Indra-lupta) should be employed in cases of Romania
worms
{vis.
would be found to have invaded the

Medicines enumerated
in
of the diseases of the

cases of Danttfda
worms
where the worms
hairs of the body).
connection with the treatment
mouth should be
{viz.
prescribed in
where the vermins would
be found to have taken lodgment
in
the teeth). Cases
where the worms would be found to have their origin

condition of the blood should be treated
in the vitiated
Kushtha to
as cases of
all
intents
and purposes. The

may be used in
drugs of the Surasddi Gana, however,
any shape *
Diet
in
any case (of Krimi). 17.

composed of the articles of
Meals
and pungent
tastes as well as
bitter
draughts of milk mixed
with the soup of Kulatt/uz-p\i\se are recommended
person suffering from any complaint due to the presence

of
worms (Krimi
destruction, should
of whatever kind) and

refrain
meat, clarified butter, curd,
from using
pot-herb
seeking their
milk, cooked
(edible
leaves),
things of acid or sweet tastes as well as cold things in

general.
18.
Thus ends the
fifty-fourth
chapter in the Uttara-Tantra of the Sus'ruta
Samhita' which deals with the (symptoms and) treatment of Krimi-Roga.
* Both internally and externally e. g. as a drink or bath.
CHAPTER
Now we
LV.
shall discourse
medical
treatment of the
disease due to the retention of any natural physical
urging
(UdaVarta- Prat Ished ha),
Causes : A
man
wise
i.
valuing his
life
shall
never repress any natural urging of his body, whether
upward or downward,
is
so called from
its
e.
Vayu,
Udavarta
etc.
from the repression of any

Vata (flatus), evacuation of bowels,
natural urging such as

micturition,
g. that of
origin
yawning, lacrimation, sneezing, eructation,
vomiting and discharge of semen when
makes
its
appearance (Udita) and urges a person to answer
its
Udavarta
call.
brought on by the repression
also
is
of hunger, thirst, respiration
different
aforesaid
to the
and are
in
vital
its
in the
shall
now
of medical
It is
of thirteen
about through the
brought
over and above the one incidental
causes,
habitual
use of unwholesome food and drink
2-4.
Symptoms
The
sleep.
be pursued therein.
types
(Apathyaja).
and
symptoms and the mode
fully describe its
treatment to
it
of \fcftaja
Apana-Vayu
passage gives
(at the
to
rise
anus)
UdaVarta :
anyhow
distension
abdomen, oppression and a
at the heart, headache, laboured
obstructed
and cramps
constricted
feeling
breathing, hiccough,
cough, catarrh, catching pain at the throat which makes
speaking and Deglutition
movement of deranged
the body and suppression
difficult (Gala-graha), violent
Pitta
and Kapha
all
through
of stools or emission of fecal
matter through the mouth.
5.
UTTARA-TANTRA.
Chap. LV.]
345
PurlShaJa UC&varta : A
as rumbling in the intestines,
men),
cutting
flatus,
suppression
pain
in
severe pain (in the abdo-
the anus, upward coursing of the
even emission of feces
or
of stool
through the mouth.
6.
Mutraja UdaVarta : A
desire of
making water
urine which
is
repressed urging
by the exhibition of such symptoms,
for stool is followed
is
of
repression
the
followed by scanty emission of
often given out
by
painful drops
produc-
ing distension of the bladder and an excruciating pain in
the urethra, anus, scrotum and the inguinal regions and
about the umbilicus, and sometimes even
companied with distortion of features
yawning
repression of
ness of the
Manya and
head due
of the
in
the head, ac-
consequence.
of the neck) as well as troubles
violent diseases affecting the eyes,
Vayu and
local
nose,
ears
and the
Tears born of any mental condition of
mouth.
grief or
joy and voluntarily repressed without being given

vent
to,
give
to
rise
severe distempers
of the
heaviness of the head and catarrh (Pinasa).
repression
of
sneezing
diseases of the head, eyes,

fulness
the throat
in
in
this
case.*
is
followed
as well as the
Vayu
free
eyes,
8-9.
nose and ears.
croaking of the incarcerated

bited
7.
wry-neck (numb-
leads to
the incarcerated
to
in
by
acute
A sense
suppression
of
and
(wind) are also exhi-
The voluntary
repression
of
any
natural urging towards eructation gives rise to diseases

peculiar to the
A
*
derangement of the bodily Vayu. 10-11.
repression of
vomiting
is
followed
by cutaneous
The symptoms mentioned in this sentence (which comprises a

taken by Madhava with the following line which
in the verse) is
merates the symptoms of Udavarta due
to
the voluntary
line
enu-
repression of
eructation.
44
34
THE SUSHRUTA
>
affections (Kushtha)
due
to
[Chap. LV.
SAMIIITX.
the
bodily Doshas which,
being vitiated, had interfered with the gastric digestion
and produced the vomiting..
with reactionary acidity
Painful swelling of the bladder and of the scrotum,
and
about the anus as well as suppression of urine, formation

of gravels in the bladder
and involuntary emission of
semen are the symptoms which manifest themselves

a case of repressed seminal discharge.
Ungratified
in
12-13.
hunger brings on drowsiness,
aching
pain in the limbs, disrelish for food, sense of exhaustion,
An
and weakness of eye-sight.
ungratified thirst brings
on dryness of the throat and mouth, dulness of hearing
and pain at the
heart.
suppression of breath in an
exhausted person brings on cardiac troubles, fainting
An
and an attack of Gulma.

yawning, aching pain
in the limbs,
may
and a sense of heavihead and the
ness in the limbs as well as in the

It
fits
unindulged sleep produces
also bring on drowsiness.
eyes.
14-17.
Prognosis An Udavarta-patient
:
afflicted
with
and cramps (Sula), vomiting fecal matter and

suffering from weakness and a distressing exhaustion
thirst
should be given up by a wise physician,
General Treatment : in
varta the
forms ofUda-
preliminary treatment generally consists

_
restoring the
its
18.
all
in
deranged and incarcerated bodily Vrfyu to

Now hear me again
normal course and direction.
describe the specific medicinal remedies to be separately
employed
in
each case.
Specific
19.
Treatment : in
a case of Vrftaja
Udavarta the patient should be first treated with a Sneha

and Sveda (fomentation) after which medicinal injections
should be
made
Asthapana-vasti.
into the rectum
In
after the
case due
of feces in the intestines
to
Purohaja
manner of an
the incarceration
),
the
remedial
UTTARA-TANTRA.
Chap. Lv.]
measures and
20-21.
a large quantity of Souvarc/tala-
should be administered
tion of urine-
connection with
in
Anaha should be employed.
Wine charged with

salt
down
medicines laid
the treatment of
34?
in a case
due to the
reten-
Milk or Eld should also be taken
The expressed
combination with wine.
juice of
in
Dhdtri
diluted with water should be taken for three successive
days
or
the expressed
liquid
or of an ass should be taken
of the
or wine
dung of a horse
made from
treacle
(Goudika) should be taken with honey and cooked meat

should beltaken by biting at intervals.
One Tola weight
the compound consisting of Bhadra-ddru, Mttsta,

Murvd, Haridrd and Yashti-madhu shonld be dissolved
in an adequate quantity of rain-water and then be taken.
of
The expressed juice of Duspars'd (Dura-labha) or an

decoction of Kakubha
infusion of Kum-kuma (D. R.
/'
Arjuna' should be taken,
e,
with a
little
or
Ervdruka- seeds mixed
salt should also be taken with
water.
Milk
duly cooked with Pandia-mula* or the expressed juice

of
Drdkshd should be
The medicinal reme-
prescribed.
previously described
dies
possessed
j,s
of the efficacy
of disintegrating gravels, (As'mari)f should be administered.
Similarly,
hereafter
Mutra-krichchhra
(obstruction
deal
with
case.
22.
A
*
case
all
the
measures to be mentioned
connection with the medical treatment of
in
(strangury)
of urine) which
later
of
and of Mutr&ghata %
shall have occasion to
on should also be adopted
Udavarta
due
to
the
in
this
suppression of
Both Dillana and S'ivadasa recommend the use of roinoi Pancha-
mula, but S'rikantha rccommeds the Trina-Pancha-mula.

t For As'mail
Sec Chiktisila-sthana, Chapter VII.
% For Mutra-Krichchhra See ch. LIX., Uttara-Tantra.

% For Mutraghata See ch. LVIII., Uttara-Tantra
THE SUSHRUTA SAMHltX
348
yawning
should
LV.
be conquered with the applications
of Sveda
and
of Sneha
[Chap.
should be treated with
The
(fomentation).
patient
Sneha and then fomented and
lachrymation should then
be induced
(with
appro-
priate remedies)* in a case
where the flow of tears has
been suddenly checked.
Sneezing should be induced
with the help of strong Anjanas and
smell
his
into
the nose (Pradhamna) or by making the
at
powder
Udavarta due to the suppression
case of
in
or
towards the sun (or such like luminous
patient look
body)
Avapidas, or by
by holding any strong

nose or by blowing any strong medicinal
the application of Vartis,
2324.
of sneezing.
In a case of Udavarta due to suppressed eructation,
the patient should be
made
lardaceous articles
or
of wine surcharged
of oily
due ordcrf or to take draught
with Souvarc/iala-saXt and the ex-
of Vija-pura.
pressed juice
to suppressed
in
inhale the fumes
to
case of Udavarta due
vomiting should be duly conquered with
emulsive measures (treating with a Sneha), etc, according

to the nature of the
each
salt
case.
deranged bodily Dosha involved
in
In the alternative unguents with (Saindhava)
and (Yava-) Ks'hara should be applied.
25
26.
Milk should be duly cooked with the admixture

of four times as much water and- with the drugs of
bladder-cleansing virtues
is
and boiled
Draughts of
evaporated.
be prescribed
in
this
water
copious quantities in a case of Udavarta
due to the retention of seminal
(5)
until all the
medicated milk should
fluid
and the patient
These are the applications of strong Anjanas and Avapida-Nasyas.
The
order
is
(i)
Dhuma-inhalalion,
(2)
Nasya
(crrhine)
and
Kavala (gargle)
X These are the drugs of the Trina-pancha-mula as well as of the

Viratarvadi groups (Chapter
XXXVIII,
Sutra Slhana).
UTtARA-TAfoTRA.
Chap.'LV.]
349
should be advised to have sexual intercourse with lovely
women.
27.
Fatty (Snigdha) things should be taken
and
small
in
quantities
to the
patient
suppression
should be given to
a
case
breath
given
in
of
in
due
Food with meat-soup
thirst.
the patient after sufficient rest
in
a tired state of the body. Milk* should be

a
case
Udavarta due
of
the suppression
to
and the patient should be made
of sleep
the help of sweet discourses.
Cases of
etc.,
case of Udavarta
Udavarta originated from the suppression of
of
in
a case of Udavarta due to
in
Cold Manthas or Yavagus should
ungratified hunger.
be given to the
lukewarm
Adhmdna
to.
sleep with
28.
of the abodomen),
(distension
which are the supervening symptoms of Udavarta)
should be remedied with appropriate medicines and other
measures with an eye to the nature and intensity of the
deranged Dosha or Uoshas involved

lying at the root.
each case under-
in
29.
Udavarta due to errors
in
diet: The
abdominal (Koshthaja) Vayu deranged and aggravated
by such
bitter
factors
articles
as
dry, astringent, pungent or
eating
of fare (in inordinate quantities) causes
an immediate attack of Udavarta
in
which the Vayu
upward course and) obstructs its own channels

well as those of feces, urine, Kapha, fat and blood.
dries up the fecal matter (in the body) causing pain
the heart and bladder, a sense of heaviness in the
(follows an
as
It
in
limbs (D.
R nausea),
aversion to food (D. R. unwilling-
ness to do anything) and

of stool, urine
and
difficult
flatus.
* S'ivaditsa advises lllc use of buffalo's
bringing
on
efficacious
in
commends
the use of cow's milk.
sleep.
and scanty emission
Laboured breathing, cough,
Hut
milk
in this, case as
Dallana
refutes
being mote
this
and
re-
350
catarrh, burning
sensation
ciousness, vomiting, fever,
the body,
in
thirst,
the head, defective functional
[Chap. LV.
hiccough
activity
of uncons-
fits
troubles in
of the
Manas
(mind) and of the ear and such like symptoms, in consequence, pre-eminently
bodily Vayu.
mark
the deranged action of the
30.
Treatment :The
made emulsive (Snigdha) by
composed of
salt
and
oil.
patient's
body should be
the application of unguents
Fomentation should then be
applied under the circumstances, and intestinal injections
should be applied after the manner of a Nirudha

Intestinal
enemas (Vasti) of the AnuvAsana kind should
be applied after meal,
also
Vasti.
if
the
case
be attended
with loose motions in virtue of the specific nature of

the deranged bodily Doshas
involved therein.
Fatty
purgtivcs should be exhibited after having fully foment-
body of the patient, when the foregoing remedies would fail to give any relief from attacks of
Udavarta and he should be made to drink a potion
of any acid cordial together with the compound of Pilu,
Trivrit and Yavdni or with the compound consist-
ed
the
Hingu, Kushtha, Vacha, Svarjika-Yâkx^ and

Vidanga* each succeeding drug we ighing double the one
immediately preceding it in the order of enumeration.
ing of
These two medicinal

with
advantage
Udavarta.
31
in
attacks of
Jsula
aud
32.
The drugs known

Vacha (D.
compounds may be employed

relieving
as Deva-ddru, Chitraka, Kusktha,
R SfunthiJ, Haritaki,
Palamkashd (Guggulu)
and Pusfikara-roots should be duly boiled with half an

Adhaka measure (thirty-two Palas) of water and taken
down from
*
the oven with a quarter part
Chakradatta reads 'faf^' (and Vil
of the original
salt) in place of
firfT'.
UTTARA-TANTRA.
Chap. LV.]
solution
would
remaining.
Draughts
potion of clarified
decoction
of the
an attack of Udavarta.
relieve
butter duly
dried* Mulaka,
of
351
decoction
this
33.
cooked with the
Ardraka,
Varshdbhu,
Pancha-mula
f and Arevata (Aragvadha) fruits would

cure any form of Udavarta whatsoever,
34.
A compound
consisting of Vachd, Ativishd, Kushtha,
Yava-Kshdra,Haritaki, Pippali and Chitraka should abo
be taken with tepid water, or a compound consisting of
Madana, Vis'alyd, Ativishd, Vacfia, Kus/iKinva (sediment of wine) and Agnika taken in
Ikshdku-xoots,
tha,
equal parts should also be taken in the aforesaid manner.
compound of Deva-ddru, Agni,
Tri-phalA and Vrihati,
The
should be taken with the urine of a cow.

of Kantakdri-irwxts and
cooked
weighing
barley
Prastha
an Adhaka measure of water and boiled down
in
to half a Prastha only, should be taken
with Hingu.
decoction
35
compound
Madana and
in
combination
38.
consisting
of the pulverised seeds of
of Aldvu, Pippali and Nidigdhikd should be
blown into the rectum with a
pipe.
Nikumblia (Danti), Kampilla, S'ydmd
Varti made of
(Trivrit),
Ikshdku,
Agnika, (Ajamoda), Krita-Vedhana (Kosataki),
Mdgadhi
and
salt
addition
tionate
last
pounded together, made

of cow's urine, dried
size,
into a
paste with the
and cut
into a propor-
should be inserted into the rectum.
two ambrosial remedies give instantaneous
a case of Udavarta.
Thus ends
the
fifty-fifth
The
relief in
39.
Samhita which deals with the (symptoms and) treatment of Udavarta.

* Dallana takes dried (S'ushka) with both
'Mulaka and Ardraka.
t Dallana recommends the major Pancha-mula

Chakrapani's commentary,
mula.
"Bhdnumati,"
it
but according
to
should be the minor Pancha-
CHAPTER
Now we
LVI.
on the
shall discourse
chapter which deals
with the (symptoms and) medical treatment of Vishuchika type of cholera,
Causes V isuchi,
produced from the

tion
jirna
(indigestion
(indigestion
(indigestion
and Vishtabdhajirna
food
The disease
fecal matter).
in
the
into
stuffed
2.
which the derang-
and incarcerated bodily Viyu produces, owing to
th^ presence of indigestion, a pricking pain

resembling that produced
called Visuchiktf
in
vis.,
Vidagdha-
so-called),
form of undigested
Definition
ed
properly
undigested
kinds of indiges-
chapter XLVI),
Sutra,
with acidity)
with
intestines in the
(in
I.
Vilambika are
Alasaka and
effects of the three
spoken of before
Amajirna
(VisuchiM-Pratishedlia).
etc.
by the
by the
pricking
physicians.
in
the limbs
of needles
Men
is
well-versed
the (dietetic) principles and temperate in their diet,
enjoy an
almost absolute
immunity from
its
attack,
whereas fools who are greedy and intemperate and eat

like gluttons, fall
an easy victim Jo
Symptoms: Fainting,
tions),
vomiting,
thirst, pain,
it.
3.
diarrhoea
mo-
(loose
cramps, vertigo, yawning,
burning sensation in the body, discolouring or paleness of

complexion, pain (cramps) at the heart and a breaking
pain in the head arc the
Alasaka
symptoms
Excessive pain
the abdomen, rumbling noise

the upward coursing of the
of Visucbikd.
in
(in
Vayu
and stuffedness of
the intestines),* and
incarcerated
abdomen making a croaking rumbling sound

* According
to S'rikantha the
4.
in
in its
the
way
commentator on Madhava's Nidana
the patient himself makes an indistinct sound.
UTTARA-TANTRA,
Chap. LVI.]
35J
upwards, absolute suppression of stool and
cough
and eructations
symptoms
said
is
a patient
flatus, hic-
from these
suffering
have an attack of AlaBaka.
VilambikcC
5.
The person in whom the deranged
and undigested food matter does not find any outlet

either through the upper or lower channels of the body
owing to the fact of its being obstructed in its course

by the action of the deranged Vayu and Kapha, is said
to
be suffering from
attack
whatever part
In
curable.
an
of
experts and should be
medical
old
(undigested food matter)
is
the
of
present,
it
Vilambiktf by
given up as in-
Ama
body the
produces its'own
symptoms in that very part and the vitiation of a particular Dosha in such cases should be
diagnosed by the presence of the characteristic symptoms (e. g. distension, etc.,) of Ama (indigestion). 6 7,
Prognosis : A patient exhibiting such symptoms as blackish blue (Syama) colour of teeth, nails
characteristic
and
in
lips,
their
joints,
diminished consciousness, vomiting, eyes

sockets,
feeble
voice and looseness of
should be regarded
as
journey (to the eternal home).

of
the
not returning from his

8.
General Treatment : in
cauterization
sunk
all
the curable types,
Parshni
the regions of
(heels),
dry
fomentation, exhibition of strong emetics and such like
measures are recommended.

at (the
time
of)
Fasting should be observed
the digestion of the food.
(Pachana) remedies as well as
be prescribed.
cases
in
The
patient gets
of fainting, diarrhoea,
Digestive
purgatives should also
instantaneous
etc.,
relief
on the cleansing
body with the medicinal (emetic or purgative)

remedies.
Intestinal injections after the manner of an
of his
As'thapana Vasti
*
Midhava
may
be likewise applied in
reads "thirst" in place of "hic-cough."
45
all
cases
5$4.
Now
the present disease.
of
employed
me
describe the
in the aforesaid diseases in addition
already mentioned.
A pulverised
Kalinga
hear
compounds which may be
other medicinal
of
recipes
and
Souvarchala
to
those
10.
compound
(Indra-yava),
LVL
tCh*p.
of Pathyd,
Grinja
(a
taken
Ativishd
V&ckd, ffingu,
variety
with
of
garlic),
tepid
water
instantaneously relieves an attack of indigestion,
Visuchika and an
known
aversion
Kshartf-gada
as
or mustard-seeds
ViH'eXt,
treacle,
should be
dhava,
Hingu,
clarified butter
taken
Vija-fura,
to
food.
(Kalpa
colic,
The medicine
chapter
VII) or
and a profuse quantity of

(with tepid
(D.
R.
Sain-
water).
seeds
of
iaaka),
and the two Tri-vargas (Tri-phala and
Tri-katu)
in
combination with any fermented gruel
(Kanjika),
or
Tri-katu
gether with the milky
taken (with Kanjika).

salt
known
as
and SaindAavasa.lt mixed
to-
exudation of Snuhi, should be

In the alternative, the medicated
Kalytfaa-Lavana described before under
the treatment of Vata-vyadhi should
Kanjika). Pippali,
be taken (with
Yamdni and Apdmdrga,
or Pippali
and Danti in equal parts should be similarly taken.

Pippali mixed with Danti should also be used with the
expressed juice of Koshdvati (Ghosha). Pippali and
S'unthi should also be taken with hot water.
The drugs known

(seeds), the
1 1.
Tri-katu), JCaranja-iruits
(
two kinds of Haridrd* and the root of Mdtu-
lunga taken in
made
as Vyos/ta
equal parts should be pounded together,
into Gutikas (or pills)
application of these pills as
and dried
in the shade.
The
an eye-salve (Anjana) along
the eye-lids proves curative in cases of Visuchika.f
2.
* Chakrapani reads Haridra' in the singular number.
t Some here read the following two compounds as an additional

Kushtha, Aguru, Patra, Rami, S'igru,
VM
text
and Tvak should be
Ciup.
tVLJ
tJTTARA-TANTRA.
Diet Digestive
3$$
and appetising Peya,
etc, should
be given to the patient when he experiences a good
hunger
after
he had been fully treated with a course
of emetic or purgative or kept fasting for a proper

period.
13.
Causes and Symptoms of AneCha:

The
disease
which
in
Ama
(undigested food) or fecal
matter, gradually incarcerated (in the stomach) through
Vayu
the action of the deranged and aggravated local

fails to find its
evacuated
is
A case
natural
called
outlet, or
Asrfha (Enteritis
Anaha due
of
is
not spontaneously
?).
the accumulation of un-
to
digested food (in the stomach) exhibits such
symptoms
as thirst, cattarrh, burning in the head, a sense of heavi-
ness and cramps in the stomach, nausea (D. R.

ness
of
the heart)
and suppression
of
heavi-
eructations.
While a case of Andha in the Pakvdsaya (intestines)

is marked by a sense of stuffedness in the back and
waist, suppression of stool and urine, oolic, epileptic
or fainting
Jits,
vomiting of
respiration (D. R.
feces,
swelling),
laboured and
as well as
mentioned under the head of Alasaka.
Treatment In a case
of
presense of
Ama,
emetics and
the
difficult
symptoms
14.
Anaha due
to
the
patient should be treated
with
then with digestive medicines and
diet
the
according to the prescribed order.
The Ama
(undigest-
ed food) in a case not marked by any vomiting of

feces should be treated with fomentation
mixed together and paated with Kanjika.

for
and therapeutic
This would be the best remedy,
rubbing over the body of the patient, in a case of VisuckUat*

Oil should be duly cooked with Chitraka, Yuthi-flower, oil-cakes (of
sesamutn),
Bhallataka,
the two Ksbiras,
Saindhava and two parts of
This should be prescribed by an expert to be rubbed) or used

as a plaster over the body of the patient.
Kushtha.
tHE SUSHRUTA SAMHITX.
356
agents
digestive
of
made by
urine -of
a ewe or
she-goat or of
first
of
or of
or
she-buffalo,
of a she-elephant,
The body
cow, should be used.
be
drugs mentioned in
treatment of Visuchika
connection with the medical

together with the
(suppositories)
Vartis
efficacy.
the purgative
pasting
[Chap. LVl.
patient should
of the
fomented and then the powders of the drugs
used in preparing the afore-said Vartis should be blown

(into his
tum.
through a pipe inserted into
intestines)
his rec-
Decoction should be duly prepared by boiling the
drugs of emetic and purgative virtue
cow's
in
urine.
Nirudha Vasti* should soon be applied with the above

decoction mixed with half
as
and with honey and adding
and
laid
salt
much
also the
weighing a Prakuncha (Pala).
down
in
respect
with the
into the rectum,
Aunvasana
Thus ends
if
Vasti.
be
also
necessary, after the

15
and boiled
Oil duly cooked
drugs should
foregoing
The procedure
the exhibition of purgatives
of
should be adopted here.
urinef
cow's
of
powders of Trivrit
injected
manner
of an
16.
the fifty-sixth chapter in the Uttara-Tantra of the
Sus'ruta
Samhiti which deals with the (symptoms and) treatment of VisuchikA.
The
application of this Nirudha Vasti 'should
in the "(Til" stage of
t^Kirtika
Kundu
"iWrtS^'f" (added
Anaha and never
in its
"*|RT"
be prescribed only
stage.
does not include "urine" in this
list.
in half dose) in place of "jJjnfjpRit".
He
reads
CHAPTER
Now we
shall discourse
LVII.
with the (symptoms and) medical treatment of aversion

to food
(Arochaka-Pratishedha).
j*EtioiOgy
'The
or combined
either several
mind (through
grief,
carrying channels
vis.,
the
an apathetic
or
tends to block
etc.)
the esophagus,
to food
cians
designated Bhaktopaghtfta
is
popularly
and
it is
known
as well as
sorts
all
of
aversion
(lit.
as Arochaka)
of
by the physi-
divided into five distinct types (according
to the different nature of
Specific
at the
state
the food-
etc.,
the region of the heart causing aversion to

food, which
i:
derangement of the Doshas
its
exciting factor).
Symptoms
heart and a
vapid
: Pain
taste in the
symptoms which mark the Va'taja type
2.
and
cramps
mouth
are the
of Arochaka.
Excessive burning sensation (in the region) of the heart,
sucking pain
thirst
(in the locality),
and fainting
fits
a bitter taste in the mouth,
are the features which
mark the
Fittaja type of the disease. Itching sensation, heaviness

of the
body, water-brash, lassitude, drowsiness and a
sweet taste
in
characterise the
is
characterised
severally
mouth are the indications which

Kaphaja type. The Tri-doshaja type
by a good many symptoms which
the
mark the three Doshas. Indulgence in sensual

in fear and grief,>yr the sight of any
pleasure, as well as
repugnant
the
or of anything that tends to disturb
article,
mental Manasa) equilibrium, may

'.
attack of Arochaka.
Treatment
patient should be
also usher in
an
3-7.
S
In a case of the Va'taja type, the
first
made
to
vomit with the help of
j$8
[Chap. L\TCI.
decoction of Vacha and then be given a pulverised com-
pound of Krisknd, Vidanga, Yava-Kshdra, Harem,

Bhdrgi, Rdsnd, Eld*, Hingu, Saindhava and N&gara
through the medium of any Sneha or wine or hot water.
Vomiting should be induced with emetics sweetened \

with the solution of treacle
disease.
the Pittaja type of the
in
The<use of a lambative prepared with Sain-
dhava, Sitd (sugar), honey and clarified butter would also
be
efficacious.
Kaphaja type, vomiting should be

decoction of Nimba and the powders of
In the
induced with the
Yamdni should then
(after
the taking of the meal) be
administered with the decoction of Aragvadha mixed
with honey.
The
pulverised
compound mentioned
may
connection with the treatment of the Vataja type

also
be administered
Arochaka.
All the preceding
(in this case).
measures should be employed
in the
in
Tri-doshaja type of
8-n.
Four Specific Lambatives :(\) Drdkshd,

Patola, Vits&lt, Vetra, Karira (bamboo-sprouts),
Nimba,
Murvd, Abhayd, Aksha, Vadara, Amalaka, (barks of)

Kutaja and seeds of Karanja and of Aragvadha should
be (powdered and) duly cooked with the urine of a cow
in the
form of a lambative.
(2)
similar preparation
should be
made
kinds
Rajani, Bhdrgi, Kushtha
of
of Mustd,
V-achd,
two
and Nirdahani%
Tri-katu, the
and cooked with the urine of a ewe.
Dallana says that some take
* Ela*
(a part used for the whole).
on
(3)
Similarly
El a in the sense of Ela-valuka
S'ivadasa, however, refutes this
the authority of Vagbhata, that "Ela" should
mean
and
asserts,
Ela.
<jg|<
t According to come, the emetic used should be Madana fruit ; while,

according to others, it should be the drugs of the Madhura (Kakolyadi)
group the word 'Madhura'

MadhuVa* (Yashti-madhu)
indicating the same.
for
Some, however, read
'Madhura'.
% Nirdahani, according to some, means Chitraka, but, according

it means Yamani.
The former sense is the most general one.
others,
to
Chap.
LVH.
UTTARA-TANTRA.
Vamsd-lochana, Ativiihd and Raj'ani should be
Pdthd,
boiled together with
Manduki,
(4)
similarly
by
boiled
the
urine
Atnritd and
Arka,
an
of
she-elephant.
Ldngald should be
and
experienced
physician with the urine

licks
359
of a she-buffalo.
practical.
Whoever
up any * of the four preceding lambatives gets
of Gulma, aversion to food, asthma* and diseases
rid
affecting the heart
and the larynx,
Regi men Of Diet :The

take of
and
fruits,
take
n,
patient should
edible roots, etc. which
cordials,
grow
in his
Shadavas f Ragas
par-
country
and
other
palatable dishes which are congenial to his physical tem-
perament and which he

also be
made
to
take
is
accustomed
to.
(articles of) different
He
should
Rasas
in
ways and his food should be at the same time

Ruksha and agreeable to his taste. 1 3.
different
light,
The due
and of
applications of Asthapana-Vasti, purgatives
light head-purgatives (errhines) are efficacious in
the disease under discussion.
Tryushana, Rajani (D. R.

Tri-phald pounded
The
drugs known as
the two kinds of Rajani)
and
together and mixed with powdered
Yava-kshdra and honey, should be used as a toothpowder in washing the mouth. Any other drugs of
bitter
and pungent
for the purpose.
taste
may
be likewise prescribed
1415.
* According to Dallana the four
ofVcCtaja, Pittaja,
lambativOB
should be used in cases
Eaphaja and Trl-doBhaJa
types of
Arochaka
respectively.
t "Shadava" It is a preparation with a variety Of

and saline tastes.
articles
of sweet,
acid
X "Raga"It
salt,
is
a preparation of a cordial with sugar, Souvarchala-
Saindhava, turmeric, Parushaka, black-berry and mustard, etc.
I Dallana interprets
take
it
"Rasa" by meat-soup but
in the sense of articles of different tastes (Rasa).
we
are inclined to
[Chap. LVII.
360
Use of Decoction, Arishtaand Asava
Decoctions of the
drugs of the Mustddi and Aragvadhddi or Da/a-ntula groups as well as the different
lambatives with honey, the different
Asavas prepared
urine and with treacle as well as the
with any
officinal
different
Arishtas and the different Asavas prepared
from any Kshdra and resembling in
scent, the
wine
prepared from honey, should be used in conquering an

attack
also
Arochaka.
of
The
measures should
aforesaid
be employed for the purpose of re-kindling the
digestive
deranged
fire
(appetite) impaired through the action of
V&yu and Kapha.
16.
Treatment of Ma'nasa Arochaka :

In a case of impaired digestion due to the effects of
ungratified desire, fear, grief,
etc,
the
lost
any
longing for
food should be restored in the patient by holding out to
him the near prospect of its realisation and by consoling

him with the prospects of fresh joy and safety. In a case
due to the
loss of a splendid
fortune,
the bitter apathy
and loathsomeness of the patient towards taking any

food should be removed by infusing fresh hopes into his
and by narrating to him the balmy
heart
the Puranas.
case due to dejection
stories of
or despondency
should be conquered by sincere- sympathy and cheering

up.
In short any impairment of appetite due to any
or agitated state of the mind should be

remedied with discourses gratifying to the patient under
disturbed
the circumstances.
Thus
Sus'ruta
17
ends the fifty-seventh chapter in
Samhita which deals
Arochaka.
the
Uttara-Tantra
of the
with the (symptoms and) treatment of
CHAPTER LVIH.
Now we
shall
discourse on the chapter which deals
with the (symptoms and) medical

suppression
of
shedha).
The
disease
Mutrotsanga,
s'ukra,
and
(Mutl*(-gh(ta Pratl-
urine
is
of twelve* kinds,
Vata-kunda
vis.,
Mutratita, (Mutra-) Jathara,
Vata-vasti
(Mutra-)Kshaya, Mutra-granthi,
Ushna-vata and the two forms of
Pittaja)
the
i.
Ashthila,
lika,
treatment of
Mutraukasada.
Mutra-
Kaphaja
{vis.
2.
Symptoms
bodily
of Va'ta-kundalika':The
Vayu deranged and aggravated through an
extremely parched condition or through the voluntary

repression of an urging towards micturition affects and
retains the urine in the bladder, causing
eddies within the cavity
of that
it
to revolve in
organ.
It
urine to pass in small quantity or (even) to
drops with pain.
in
knndalika' and
is
of a violent type.
Vayu
is
known
out
as Vtfta-
3.
The
deranged and aggravated

incarcerated or lodged in the region lying
Va'ta'shthila':
bodily
This disease
allows the
dribble
between the bladder and the anus gives rise to a thick

lumpy tumour like a pebble (Ashthila), which is hard
and non-shifting in its character, producing suppression

of stool, urine and flatus, distension of the abdomen
and pain in the bladder. It is known as Vtfofehthikt- 4.
Vrfta-vastI :The
bodily
Vayu
in
the locality,
aggravated by a voluntary repression of a propulsion

urination enters into the bladder of the ignorant
to
*
Midnava
read* thirteen
different
kinds of this disease.
He reads
only one kind of Mutra-sAda and adds Vid-vigMta and iVasti-ktiDdaJa.
46
THE SUSHRUTA gAMHITA.
j<52
[Chap. LVIII.
person doing the same and also obstructs the orifice of
an oppressive
that organ causing retention of .urine with
The
pain in the bladder andloins.

VrftarVasti and
is
Mlltrsftita:
suppressing
he
The
strains.
The urine of a
does not flow out at
it
out in drops or
disease
extremely hard to cure.
known
is
as
5.
person voluntarily
all
only dribbles
or
scanty jets with slight pain, when
in
disease
is
called Mutrtftita.
Mutra-Jathara: The
6.
Apana Vayu
vital
is
deranged and aggravated by the Udavarta produced by

a checked desire for urination and
completely
and distends, with an excruciating pain
The
below the umbilicus.
jathara and the lower
disease
orifices*
is
{vis.
urethra) are obstructed in this disease.
NlUtrOtSanga: The
in
7.
disease
scanty
exterior surface of the glan
with or without pain,
and
urination)
is
is
jets
the
the anus and the
stream of urine gliding along the bladder

gradually emitted
up
fills
abdomen
called Mutra-
in
in
which
the
and urethra
or runs
down
is
the
penis with blood, whether
called
Mutrotsanga
(lit.
gliding
an outcome of the deranged and aggra-
vated action of the bodily Vayu.
8.
Mutra-kshayaand Mutra-granthl:
The deranged and aggravated
Pitta
and Vayu
in
the
bladder of an extremely fatigued person already suffer-
an extreme parchedness of organism,
ing from
lodgement
in the bladder producing, in concert,
finds
a sensa-
burning and pain attended with a scanty

accumulation of urine in the cavity of the organ (lit.
tion of local
absence of
made
*
micturition).
to yeild only to
Some
the bladder
read
is
The
**pil*fafMfrw('
obstructed.
disease which
can be
the virtue of therapeutic agents
the lower part viz., the neck of
UTTARA-TANTRA.
ChapMLVHI.}
with the greatest
by
(of the orifice)
of the bladder and
characteristic pain,
its
orifice
and which
called
the symp-
calculii) in that
completely obstructing
stands
being dribbled out in scanty
its
Mutra-granthi.
its
drop of urine, or
without letting out a single
admits only of
all
etc.,
toms of the presence of gravels (urinary

organ,
Mutra-kshaya.
Granthi suddenly occurring
fixed
on the interior side

exhibiting
called
difficulty is
small round painful
363
jets,
is
5-10.
Mutra-ukra and Ushna-va'ta :

woman
person visiting a
the presence of a strong
in
urging towards urination and by voluntarily repressing

the same
found to pass urine highly charged with
is
semen which
is
sometimes seen to precede or follow
The
the discharge of urine.

bles
The
washing or
the
disease
urine).
is
The
called
disease
urine in this case resem-
solution
in
in
colour.
semen-charged
(lit.
which the Pitta of a person
deranged by such factors as

exercise,
ashes
of
Mutra-s'ukra
over-fatiguing
physical
exposure to the sun, or arduous pedestrian
journey, gets into his bladder completely wrapped in the
deranged
Vayu
of his body, and produces an intense
burning sensation
in
his
bladder,
penis and the anus,
up a painful flow of a dark yellow or blood*

streaked urine or of blood alone through the urethra in
setting
its
stead, is designated as Ushna-va'ta.
11-12.
Two kinds of Mutraukasa'da : A nonslimy and thick flow of yellow-coloured urine attended
with a burning sensation, and

like
powdered Rochana when
The wise
Mntraukaerfda.
disease to the
action
leaving
dried,
ascribe
is
sediment
called (Pittaja)
the origin of this
of the deranged
Pitta.
The
type in which a pale sediment resembling the powders

of conch-shell
is
deposited
when the
urine
is
dried and
THE SUSURUTA SAMHITA\
364
in
which the flow
painful and
is
the urine
is sliirty,
be attributed to the action of
thick and white, should
the deranged Kapha.
[Chp. L.VIII.
It is
but another variety of the
disease described immediately before.
13.
General Treatment :Medicinal decoctions,

Kalkas, (medicated) Ghritas, (various kinds of) foods,
lambatives, preparations of milk, alkalis,
fomentation
and
honey, Asavas,
be employed
should
Uttara-vasti
according to their indications in coping with an attack

of any of the aforesaid ailments.
An
cian shall resort, in these cases, to
measures which are
or shall employ in their
efficacious in cases of Asfmari,
entirely the
described
Udavarta.
medicinal
intelligent physi-
compounds
which have been
under the treatment of urinary
as curative
14.
case of Mutra-krichchhra
would be relieved by the
use of pasted Ervdruseeds and Saindhava weighing an
Aksha and taken with the fermented paddy-boilings.
person afflicted with Mutra-krichchhra should take
wine (prepared from Pishta or pasted
rice,)
tion with SouvarchalasdXx, or he should
pared from honey by biting
any wine made from

Karsha measure of
meat
treacle.
Kumkuma
at
in
combina-
take wine pre-
intervals, or take
In the alternative,
should be kept saturated
with honey and water during the night and this should
be taken in the morning, whereby the patient would be
relieved of the trouble (of Mutra-krichchhra).
the
principal wine
pasted rice) with
By
taking
that prepared from Pishta or

powdered Eld, Jiraka and Ndgara
(viz.,
salt,
and saturated with the acid juice of pomegranade one

would get rid of Mutra-krichchhra. 1 5 16.
Half a Prastha measure of water with four times as
much
of milk together with
the drugs of the
Prithak-
Pdrnyddi (Vidari-gandhadi) group and Gokskura*Toote
UTTARA-TANTRA.
Chap. LVIII.]
365
till all the water is evaporated.

from an attack of Mutra-ghata due
should be kept boiling
A person
suffering
to the concerted
should use this medicated milk,
and honey.
Vayu and
of deranged
action
The dung of an
when
Pitta
cooled, with sugar
horse should
ass or of a
he squeezed through a piece of linen and a Kudava
measure of
this expressed liquid should
cure of an attack of painful urination.
An Aksha
be taken for the

17
18.
compound made by
Deva-ddru,
Murvd and Yasktipasting Musta, Abhayd,
measure
of
the
madhu, should be taken with the decoction of Drdkshd.
Amalaka and Aksha (Vibhitaka) together

weighing a Vadara measure should be taken with salt
Abhayd,
and water
for getting
An Udumbara
nation.
relief
cases
in
of painful
uri-
measure of Drdkshd should be
kept saturated in water for the whole night and this

cold
morning)
should be taken (in the
infusion
getting relief in cases of painful urination.
measure of the expressed
for
Kudava
of Nidigdhikd or the
juice
Kalka of the same should be taken with honey as a

relief
from the urinary complaints.
By
taking a
Kudava measure
19.
of the
expressed juice
of Amalaka, a person suffering from uninary complaints
would get
rid
patient should
of his troubles.
drink a potion consisting of powdered
small Eld, dissolved in the expressed juice
(and mixed with honey),

of the tender
washing.
The
roots
of
or
of
Amalaka
he should take a paste
Tala (palm) with cold
expressed juice of
rice-
Tmpusha and white
Karkataka should also be prescribed to be taken with

milk
in
the morning.
In the alternative a person should
take a potion consisting of milk duly boiled with the

Madlatra group saturated with clarified
drugs of the
butter as the
compound
is
possessed of excellent diuretic
366
properties
(e.
and tends
remove the seminal troubles
to
Mutra-rfukra) as well.
g.,
compound
20.
consisting of Vald, S'vadamshtrd, seeds
of lotus (Krouncha)*, Tandula

of S'ata-parvan
roots
of Aksha,
[Chap LVIII.
(i.e.,
seeds) of Kokildk$ha\,
Devadaru, Chitraka and stone
\,
pasted together and dissolved in wine should
be taken by a person under the circumstances inasmuch

.
as
it
removes the defects of urine and eliminates the
gravels from the bladder.
The
21.
ashes of burnt Pdtald wood, which are
cious in relieving
all
effica-
be
sorts of urinary troubles, should
manner of
strained seven times in succession (after the
Kshara preparation) and taken with a small quantity

of
In a similar
oil.
way
a paste oiNala, Ikshu, Dartha,
As'ma-bheda and the seeds of Trapusha and Ervdruka,

should be duly washed in milk and
in
combination with
Powders of Tvak,
Eld and Tri-katu should be taken by the

in
and taken
filtered
clarified butter.
intelligent
one
combination with the alkaline solution of the ashes
of Pdtald, Yava-kshdra, Pdribhadra and

tives
made
Tt'la.
of the powders of the above-mentioned drugs
should be separately licked with treacle.
Now
ficial
in
Lamba-
shall
Mutra-dosha (urinary
should be administered to
application of
22
24.
describe the measures which are bene-
Sneha and Sveda.
Purgatives
'defects).
a patient
after
the due
Uttara-vastis should
be injected after he has been duly purged.
25.
Sexual intercourse should be refrained from by a

person afflicted with a discharge of blood from the
* Dallana explains Kiounchasthi as bones of a
Krouncha
bird,
but
wo
are not inclined to accept this explanation.
t Some explain "Kokilakghaka-tandula" as meaning Kokiliksha and

Tandula (rice) which meaning may also be accepted.
t "S'ata-parvan"
may mean
Durba-grass'or bamboo,
UTTARA-TANTRA.
Chap. LVIII.]
urethra owing to sexual

treated
367
and he should be
excesses,
remedies which arc constructive tonics
with
meat-soup, milk, clarified butter, *
(e. g.,
vastis
should be applied
of applying which has already

cribed.
under the
the urethra,
into
circumstances, with cock's lard and with
(See Chikitsa, XXVII).
Uttara-
etc.).
oil,
the process
been elaborately des26-37.
Half a Patra measure of honey, one Patra measure

of clarified
butter churned from milk (Kshira-sarpis)
and equal parts
of
sugar,
Attnagufttd-seed, Ikshuraka
ing
one half part
laddie.
Pani-tala
pound should
By
Drdks/td,
and Pippali, together weigh*
half of
,J.e.,
mixed by
thoroughly
and powdered
stirring
half a Patra) should be
the
compound with a
(two Tolas) measure of this com-
be. licked,
followed
using this Ghrita, a
man
is
by draughts
of milk.
relieved of all injurious
and gets rid of distressing and

dreadful urinary troubles which cannot otherwise be
principles of his body,
easily cured
by any other remedy. It acts as an excellent

and, by using it, even a barren woman
of her sterility and of all other vaginal and
blood-purifier,
may
get rid
uterine complaints which usually obstruct or retard con-
ception in females.
28.
Dallana says that K&rtika does not read
this,
would increase the number originally mentioned, as

has already been mentioned in Prameha.
is
to
mentioned here
to
make
the case
more
in as
much
as this
also because this case
But according to
Jejjata,
this
clear.
t Dallana's reading here evidently is 'Kshira-garpishah', but according

a variant the reading would be "Kshira-sarpish u" i.e., milk and
clarified
butter (taken
of Chakrapani and
way and
together).
The
latter
reading has the support
Vrinda who, however, read these
prescribe the drugs in
somewhat
different
lines in
former reading 'Kshira-sarpishah' with the sixth case-ending
more grammatical.
a different
proportions.
is,
The
however,
THE SUSHRUTA
368
SAMHITA*.
Equal parts of Void, stones of

tnadhu,
Stvadamshtrd (Gokshura),
(lotus-stem), Kas'eru,
[Chap. LVIII.
Kola-fruits,
Yashti-
S'atdvan, Mrindla
seeds of Ikshuraka, Sahasra-virya
Payasyd
(Durba), Anufumati (Slala-parni),
(Vidari), Kdld,
S'rigd/avinndiFvidmp&mi), Ati-vald and the drugs of the
Vrimhcmiya (K&kolyadi) group should be duly boiled

with four times of water of their combined weight and a
Tula masure of
treacle.
of water would remain,

strained through a piece
When
it
only a Drona measure
should be taken
of linen.
It
should then be
duly cooked with an Adhaka measure of
The medicated
kept in an
(when cooled) should be
it
By using
earthen pitcher.
Ghrita, one would be cured of
Thus ends the
clarified butter.
prepared) with a Prastha
Ghrita (thus
measure of honey added to
down and
medicated
this
urinary troubles.*
all
29.
Uttara-Tantra of the Sus'ruta
fifty-eighth chapter in the
Samhita" which deals with the (symptoms and) treatment of the suppression
of urine (Mutraghata).
Additional Text : Powders
of TugA-kshiri and sugar should be
mixed together with honey and licked
in
the digesting capacity of the patient and
be taken.
By
its
use the patient
an auspicious day according
would be able to conquer
troubles if he observes a perfect continence.
is
relief
possessed of vigour (Ojas) and strength would
cheerful.
all
seminal
One whose semen has been
wasted by sexual excesses would get instantaneous
who
to
a draught of milk should then
and a man
be refreshed and
CHAPTER
Now we
shall discourse
LIX.
with the (symptoms and) medical treatment of the defects

of urine
(Mutra-dosha-Pratishedha).*
Classification
The
divided
i.
known
disease
as
Mutropaghrita
eight
types
according as an attack is induced by the deranged action
of the bodily Vayu, Pitta and Kapha separately, or is
is
into
due to the concerted action of
or to the
the pressure of the feces incarcerated
or to
intestine),
i.e.
to the constipation of the
the presence of any stone
The
of them,
all
external blow or hurt (on the locality),
of an
effects
different
eighth
is
(As'mari
(in
the
bowels or
in the
to
bladder).
one due to the presence of gravels
the
This disease is one of the

in the bladder).
most painful and distressing ailments which assail the
(Sarkara
human body.
2.
Specific
urine
Symptoms: A
coming out
flow
of
drops and producing an oppressive
in
and bursting pain

is
scanty
the scrotum, penis and bladder,
in
the specific feature of the Viftija type of the disease.
The Pittaja type
characterised
is
by the emission of
dark yellow) and (very) warm

urine which produces a burning sensation in the scrotum,
bloody or high-coloured
(lit.
bladder and penis being burnt by

* Dallana's reading evidently is
he says that the variant here

that
in
some do not read
this
chapter
Udavarta,
etc.
is
this
in
is
Mutfa*dosha.
it
were.
(Strangury),
He
A
for
says further
on the ground that the matter

Mutraghata and
him, it must oe read here for treat-
chapter at
all
included in the chapters on As'mari,
But, according
other authoritative works.
have read
as
Mutra-krlchchhra
some Mis.
to
ment's sake as well as on the ground of
pilers
fire,
this as
its
being separately treattd in
Madhava, Chakra-pani, Vrinda and other com-
Mutra-krichchhra in a separate chapter as here.
47
370
[Chap. LIX.
sense of weight or heaviness in the scrotum, penis
and
bladder, an appearance
and
of goose-flesh (on the skin)
of cold, white and glossy (oily) urine, drc
the emission
mark the Kaphaja
the features which

sensation (in
the urethra,
frequent emission
etc.),
of urine
of varied
micturition and loss of consciousness
which point to the

which
is
The
urethra,
Burning
type,
shivering (of the body),

colours,
are the indications
Sa'nnipa'fcika origin of the disease
very hard to cure.
3-6.
presence of any nicer in or an injury to the
by any external
object gives rise to an extremely
distressing stricture in the case of
which the characteristic
The
symptoms of Vata-vasti manifest themselves.

pression
of the
feces
Vayu which,
abdomen and
local
the
painful
with cramps
(in
produces a distension of
in its turn,
sup-
leads to the aggravation of the
of urine accompanied
suppression
the bladder).
7-8.
Astnarija and darkara'Ja :Mutra-ghata

(obstructed urination) due
Sthana).
to
presence of As'mari
the
(in
Nidana
Stones and gravels are of similar origin and
exhibit similar symptoms.
symptoms which
ot
the
been already mentioned
(stone) has
Now
Sarkara (gravel or urinary calculus
describe the
(dried
?)
in the
bladder).
condensed Kapha
Flakes or particles of deranged and
when baked
me
hear
are the distinguishing traits of a case
by the action of the deranged and

in pieces by the deranged
aggravated Pitta and severed
bodily VAyu, are called Sarkard (gravels) giving rise to
such symptoms as cardiac troubles (pain

etc.),
shivering,
the digestive
urination.
cramps
fire,
The
in the loins, great
fainting
fits
and
painful
in
the heart,
diminution of
and obstructed
pain, however, subsides with the
dence of the desire for micturition
(full
the bladder), the relief from the pain
subsi-
evacuation of
continuing until
3?I
tfTTARA-tANTRA.
Chap. LIX.J
the orifice of the organ (urethra)
is
not again obstructed
by the presence of other calculi

These are the symptoms which characterise a case of Mutraghata (obstructed
i.
urination)due to the presence of gravels in the bladder.
General Treatment : Now

mode
the
agents to
treatment and active therapeutic
of medical
be employed
in the
eight cases of Mutra-
Medical measures and remedies mentioned
ghata.
9.
shall describe
in
connection with the treatment of As'mari (stone) should
employed
also* be
sion
with
in
each
the present instance in due succes-
in
commencing
proper regard to
case.
of Sneha,
with the application
10.
Treatment of Vataja Type :Oil,

butter
fied
etc.
the Dosha or Dhosas involved
clari-
and lard mixed together should be duly
cooked with S'va-damshtrd, As'mabheda, Kumbhi (a kind

of moss),
HapusM,
Katitakdri, Bald, S'atdvari, Rdsnd,
Varuna, Giri-karnikd
gandhddi group.
Oil
and the
drugs
be similarly cooked and prepared with
The above
or injected
of the
or clarified butter alone
Viddri-
may
also
the above drugs.
preparations should be internally administered,

into
the intestines after the manner of an
Anuvasana-vasti, or into the urethra as an Uttara-vasti for

giving relief in cases of Va'taja Mutra-krichchhra.
Pittaja
and
11-12.
Kaphaja Types :The
internal use of the clarified butter duly
cooked with the
drugs of the Trina-pancha-mula, Utpalddi, KdkolyddizxiA
Nyagrodhddi groups, would give an instantaneous

a
in
this
case
of Pittaja
Mutra-Krichchhra.
relief
The use of
Ghrita as an Uttara-vasti would also similarly give
Dallana says that the presence of the particle
mode of medical treatment

Mutrighata should aUo be applied in this case.
indicates that the
"V (meaning also)
prescribed
in
cases of
372
relief in a case of
cooked with the
manner
used after the

tions.
the
Any Sneha
present type.
preceding
of
[Chap. LIX.
duly
drugs should be similarly
any
of the three Vasti-applica-
Purging with milk and the expressed juice of Ikshu
and of Drdks/id
is
also beneficial.
Oils
Yavagus
and
duly cooked with the drugs of the Surasddi, Ushakddi,
Mustddi and the Varunddi groups would prove curative

in
Kaphaja Mutra-krichchhra. 13 14.

Tri-dOShaja Type : The foregoing measures
a case of
and remedies should be employed

type
of Mutra-krichchhra
of the
intensity
Pulverised
Tri-doshaja
predominance of the Doshas involved.
compound
of Phalgu
chika (white Punarnava),

iron) taken
in the
according to the nature and
(Kakodumbara), Vris-
Darbka and As'ma-sdra (dead
with water, potions of Surd
(wine),
expressed juice of Ikshu, and the decoction
would
relieve pain in a case of Mutra-krichchhra.
Medicines and medicinal

the chapter on
be employed
in
the
a
(Abhighita) to the
measures
the
Darbha
of
15.
mentioned
in
treatment of Sadyo-vrana should

case
of stricture due
urethra.
any hurt
to
Vayu-subduing remedies
should be constantly used, and baths, fomentations, unguents,
applications of Vasti
employed
in
The treatment
and powders
case of Purishaja
of the last
two kinds
{vis. As'mari-ja
Sarkara-ja) has already been described.
Thus ends the
fifty-ninth chapter of the
should be
Mutra-krichchhra.
and
16-17.
Uttara-Tantra
in
the Sus'rula
Samhitft which deals with the (symptoms and) medical treatment of Mutra-
dosha.
Here ends the Kaya-Chikits^.
CHAPTER
Now we
shall -discourse
LX.
with the (symptoms and) medical treatment of
brought on through super-human*
disease
(Ama'nusha-Pratishedha).
Now we
dilate
in
and which
to the effect that
ulcers
should
fluences
cast
the
influences
i.
upon the dictum which has been
put forward
is
first
portion
of the present work,
a patient suffering from
always be protected from the
by
the
night-rangers
(i. e.
evil
in-
monsters,
ghost,
and malignant spirits, etc.). Whoever produces superhuman character in a man by making him exhibit
uncommon fortitude and marked irrelevancy in his
dealings and the power to know the private and future
events
is
called
a.
Graha.
2-3.
Causes of Influence by a Graha :

Innumerable are the Grahas and their tutelary
divinities
who roam about
in the
of their innate
tendency for mischief and cruelty and
world in quest of offerings or out
choose their victims from

in
body, mind and acts
These
figures
among
persons
who
are impure
be they ulcerated or
otherwise.
Grahas though possessed of various shapes and

are mainly classified under eight groups or
families.
The Devas
(deities)
and their enemies
(viz.
the
Asuras,\ Gandharvas, Yakshas, Pitris (manes), Bhujangas,

(Serpent-dieties),
Rakshasas (monsters)
(filthy goblins) are the eight classes
and Pis'achas
of Grahas.
4-5.
Indications of attack by Grahas :
person possessed by a
*
Deva
Amanusba lit. non-manusha,
tbe deities,
deities.
'.
e.
(divine)
Graha
other than
human.
is
cleanly,
It includes
demons, ghosts, monsters and the manes and even the serpent-
*HE SUSHRUTA SAMHITA.
$H
contented, vigorous and with
IX
[Chap.
He
little sleep.
speaks in
good and pure Sanskrit, betrays a strong and decided

liking for flowers and perfumes, grants boons (after the
of
fashion
a divine being) to
Brahmanas, and
and
all
devoted to
is
fixed gaze (in his eyes).
stares with a
person labouring under the malignant influence
an Asura Graha
of the gods,
(devil)
Brahmanas
brow with arched

with
eyes,
of
perspires copiously, speaks
and
his
preceptors, knits
has no
fear,
becomes
ill
satisfied
kinds of food or drink and exhibits vicious
all
propensities.
under the
person
of
influence
Gandharva Graha moves about happily along lovely

river-banks, or in lovely forest.
Always cleanly in body
and
acts,
laughs
scent's,
dances.
merrily
and croons sweet songs and
Copper-coloured
eyes,
for
partiality
wearing
red garments, vigour and fortitude, repeated offers
thin
for
he shows fondness for songs, flowers and sweet
granting
boons
restiveness (D.
R.
or gifts
fastness
to
in
persons,
walking)
taciternity,
and
gravity
mind are the symptoms which are manifested in

a person coming under the influence of a Yaksha
of the
Graha.
6-9.
Graha becomes calm and quiet as well as reverent towards the

person similarly affected by a Pitri
He
manes.
offers oblations
on AWtf-grass and libations
of water for their satisfaction,
worn
in
a fashion so as to
exhibits a liking for cooked

treacle
and Payasa.
influence of a
fall
with the
upper garment
under his
meat as
left
well as
arm and
sesamum,
person struck by the malignant
Bhujanga Graha, sometimes moves on
breast along the ground like a serpent, always licks
corners of his lips with the tip of his tongue,
drowsy (D. R.
irritable)
for treacle, honey, milk
his
the
becomes
and shows a marked predilection
and Payasa.
10-1
1.
UTTARA-TANTRA.
Chap. LX.]
A fondness
ardent
and various kind9 of

extreme cruelty,
blood
for flesh,
375
blank shamelessness,
spirit,
courageousness,
stirring out
in
cleanliness
are
extraordinary
irritability,
night and
the
an entire disregard of
the traits which
mark
ed
by
of
the |frame, roughness of behaviour,
from the
smell
fetid
and
a Rsfeshasa Graha.
restiveness,
person attack-
Haughtiness, emaciation
garrulousness,
extreme
body,
voracious
strength,
eating,
uncleanliness
fondness for
cold
water and lonely places, stirring abroad in the night

R. fondness for walking
(D.
forest)
vicious
about the out-skirts of
and roaming about weeping and

pursuits (D. R. anxious
looks)
engaged
in
are the features
which show that a person has been possessed by a

PiB'icha Graha.
Prognosis
12-13.
If a person possessed by a Graha,

has swollen eyes, quick pace, foam at the mouth which
he licks himself, drowsiness, staggering gait which
sometimes compels him to fall down on the ground or
if he is possessed by a Graha after his fall from a
hill,
if
an elephant, a tree or such other high place, or
he be old,* he should be regarded as incurable.
Times Of possession : A
strikes
i. e.
possesses
man
at
full
Deva
moon
14.
Graha
an Asura
Graha at the meeting of day and night i. e. in the

a Gandharva generally
morning and evening twilights
on the eighth and a Yaksha on the first day of
A Pitri Graha possesses a man on
the fortnights.
and a Sarpa Graha (serpentthe new moon day
;
day of the new or full moon.

Rakshasa Graha possesses a man at night and a
devil) enters
* In place of
incurable)
when
on the
"qrHtT
it
fifth
*&' Madhava reads Hf^m^*
has continued for thirteen yeara,
i.
e.
Cit is
also
376
[Chap. LX.
pydcha Graha on the fourteenth day of the fortnights.

A Graha imperceptibly enters into the body of the
patient in the same way as an image imperceptibly
into (the surface of ) a
enters
body of an organic being and as
the
penetrates into
the rays of the sun are collected in
known as
gem and
the Surja-kanta
body unseen.
as heat or cold
mirror,
lens
the crystal
as soul enters the
5-1 6.
Austere penances and vows, self-control, truthfulness,

charities
and
religious
practices as well
qualities* are either wholly
or
as
the eight
the
partially present in
Grahas according to the degree of their respective power.
These
spiritual bodies never
come
Those who
beings.
hold contrary opinioh, must be ignorant of the

teries of
demonology.
It is
of thousands and hundreds
of the Grahas,
who
and blood, and who

the
men on earth. 17.

Of these malignant
associated with
mys-
the thousands and hundreds

of millions of the followers
are fierce-looking
stir
nor
contact with,
in
human
do they themselves strike
abroad
spirits
the gods
and fond of
in the night
(Grahas) those
who
be regarded
should
flesh
and possess
are
as of
partaking of a tinge of
celestial essence in virtue of their
Those who are known as Deva Grahas

and are cleanly should be worshipped and homaged
and prayed like the other gods of our Pantheon.
divine virtues.
The Grahas should be

virtues
The
and
credited
characteristics
eight qualities referred to
with
those
powers,
which are the attributes of

are
(1)
Animan
or the
superhuman
power of
power of becoming as small as an atom
at will.
becoming excessively
Vyapti expansiveness.
kasya irrisestible
will.
light at will.
will.
(5)
(6) Is'itvagreatness.
skyitasuppression of passion.
(3)
Mahiman power
(7)
(2)
Laghiman
(4) Pra-
of increasing the size at
Vns'ilvajself-control and
(8)
Kamava.
UTTARA-TANTRA.
Chap. LX.J
377
Tbey are the issues of Nairiti's

daughters and their living has been fixed as such by
the various Ganas (or groups of gods and demi-gods)
their respective masters.
as they are always adverse to truthfulness,
performance of the dictates of the
roam about
celestial
in quest of evil
nature of their
and mischief
own
perament have been termed

that branch of medical
i. e.
divine
the true
Those that
>is'tra.
in spite
of the
essence and tem-
Bhutas
(spirits).
Hence
which treats of the

therapeutics of diseases which originate from the influences of Bhutas (or Grahas) is called
the Bhuta-
Vidy*
science
18-20.
General Religious Treatment :Japas

(mental repetition of a Mantra sacred to any deity),
Homas
(offering
of oblation9
the gods) and
to
other
religious rites in accordance with the proper rules should
be undertaken by a careful physician for their propitiaOfferings of garlands of red flowers with red
tion.
scents (such as red Sandal paste, Kumkuma, etc.), seeds
(such as mustard, barley, etc.\ honey, clarified butter
and
all sorts
of victuals are the articles required general-
ly for (propitiation of) all classes (of Grahas):
Specific
21.
Treatment :
Religious
Clothes, wine, blood, flesh or milk should be offered to
them according
to their
respective likings*.
to the respective Grahas should be
Offerings
made on
the
day
corresponding to that in which they generally strike

their victims.
Homas
in
the
fire
with the offerings of
Kus'a, Svastika, cakes (Pupa), clarified butter, umbrella
and Payasa (porridge) should be made to the Deva

To the Asura
(celestial) Grahas in divine temples.
Grahas the offering
should
the
* This S'loka corresponding to "cloth
according to Pallana.
He dot*
made
likings"
the yard
in
is
only a valiant
not seem to read this S'loka.
48
378
(Chatwara),
evening)
be
etc.
made with wine and
of boiled
Gandharva Grahas should
the soup of Jdngala animals
the midst of a gathering
Grahas should
LX.
of a house at the proper time {vis. at
offerings to the
[Chap.
while those to the
hi
Yaksha
be. made inside
Mdsha
pulse
a house with the cakes

(Kulmasha), blood, wine, etc.
The
Pitri Grahas should be propitiated with the offer-
ings
made on Kus'a
the
B&shasa?
should be dedicated
crossing
forests or at the
in
offerings to
dreadful
flesh should
lonely
to the
be offered
in
22.
Medical Treatment : In
ent Mantras enjoined to
(in
river
of two roads, while
Pidachas cooked or uncooked
a lonely chamber.
Mddhavi and
grass together with
and Kunda flowers on the banks of a
case the
works on Demonology) are found to be
the following medical
preval-
be recited on such occasions
measures, should
ineffective
be employed.
Skin and hairs of a goat, a bear, a Salyaka (porcupine),

or of an owl pasted togother with
Hingu and
goat's urine
and made, into incense sticks, should be burnt before

the patient, who would be fumigated with the fumes
emitted therefrom.
The
would readily yield to
it.
attack even of a violent Graha
The drugs known as GajaAmalaka and Sarshapa,
pippali, Pippali-roots, Tti-katu,
duly soaked
in
the biles of a lizard, mungoose, cat
and bear should be employed as unguents, snuffs and

wash by an experienced physician. Dungs of an as,
horse, mule, owl, camel*, dog, jackal, vulture,
crow and
boar pasted together with the urine of a she-goat should
be duly cooked with an adequate quantity of oil.

thus prepared would be beneficial if used (as
oil
etc) in the preceding manner.

*
The word
elephant.
in the text is 'Karabha'
The
snuff,
23-25.
which many mean a camel
Dallana explicitly explains the word as a camel.
01
an
UTTARA-TANTRA.
Chap. LX.]
S'irisAa-se&i,
3^9
La/una, S'mthi, Siddhdrthaka, Vacha,
Rajani and Krishna should
Manjis/ithd,
and dried
together with goat's urine
in
be
pasted
the
shade.
Vartis (sticks) prepared with this should be applied with
the bile (of a
cow) along the eye-lids as an Anjana.
Vartis prepared with Naktamdla-hxat,
Tri-katu, roots
of S'yondka and of Vilva as well as the
Haridrd should be used as an Anjana

Saindhava, Katuka, Hingu,
in
two kinds of
a similar way.
Vayasthd (Guduchi) and
Vachd, pasted together with goat's urine and

bile of a fish, should
in cases
Matured
thaka,
be similarly used as an Anjana

by the Grahas which would not
of attacks
otherwise yield.
with the
26-28.
Las'una, Hingu, Siddkdr-
clarified butter,
Vacha, Golomi, Ajalomi,
2?//:fo/'z
(Jatamdmsi),
Jatd (Gandha-mamsi), Kukkuti (a kind of bulb), Sarpagandhd, Kdna, (Kshira-kakoli),
Vishdnikd (Madhurika),
Rishya-prokta, Vayasthd, S'ringi, Mohana-Valli, (Vata-
Latd (Priyangu), Anjana
patrika), Arka-xoote, Tri-katu,
(Rasanjana\ Srotonjana, Naipdli, Haritdla

articles
which have the efficacy of exorcising
and other
evil spirits,
as well as the dungs, hairs, skin, Vasa, urine, blood,

nails, etc. of lions, tigers, bears,
cows, dogs, Salyakas,
lizards,
elephants,
cats,
camels, mongooses,
should be used in the preparation of

butter which should
snuffing
drugs should be used
oil
and
etc.,
clarified
be used internally as well as in
and as unguents.
powdered compound
bile
horses
made
Pills
of the above
in sprinkling (wash) and
in dusting (the
body of the
their
patient).
paste prepared with the above drugs should be
as plasters.
Ghrita,
etc.
surely cures
The due and proper

thus prepared would,
all sorts
application of the
in
of mental disorders.
Unholy and improper
articles
used
oil,
very short time,

29.
should not be em-
$80
ployed
in
a case due to the
Graha (divine
No
{Chap. L5C.
influence
of any
Deva
measure should be
adopted in a case of possession by a Graha other than
that due to the influence of a Pis'acha Graha in as much
as the mighty Grahas, if offended, might kill both the
patient and the physician for the act.
A physician,
spirit).
treating such a
rules laid
(Ch.
XX,
wealth.
dawn
hostile
case with discretion

in
the chapter
Sutra-Sthana)
may
according to the
known
as the Hitahita
acquire both
fame and
30-31.
Thus ends the
sixtieth chapter of the
Ultara-Tantra in the Sus'ruta-
Samhiti which deals with the (symptoms and) treatment of the disease
brought on through superhuman influences.
CHAPTER LXL
Now we
shall discourse
with the (symptoms and) medical treatment of Apa-
(Apasmsfra-Pratishedha). i.
Derivative Significance : The
smara
word
"Smriti" signifies the faculty of past sense-perceptions
and
"Apa" denotes the
(the prefix)
object or attribute).
Hence,
dividual loses the faculty of past
Apasmrfra (Epilepsy) and
Causes
it
Excessive,
any
which an in-
privation (of
this disease (in
cognitions)
turns fatal.
inadequate
termed
and improper
attention to the objects of the sense as well

actions, partaking of filthy,
is
2.
as to their
impure, incompatible and
uncongenial articles of fare and regimen of conduct,

repression of
any natural urging of the body
unto a
fancies,
woman
fright,
in
or aggra-
Tamas (nescience), or going in
vation of the Rajas and
her menses, or indulgence in amorous
anxiety, anger, or grief,
etc.,
leads to an
aggravation of the bodily Doshas which in their turn
mind (Chetas) very

Apasmara. 3.
affect the
and give
greatly
rise
to
The sense-carrying Srotas (channels) of the body

overwhelmed by the concerted action of the deranged
Doshas bring
in
a predominance of Rajas and
Tamas
(Nescience) causing the patient unconscious and forgetful

of all past memories.
his hands
and
legs in
He
writhes in agony and throws
convulsive jerks
with contracted
He
gnashes his teeth,
eyes (D. R. tongue) and eye-brows.
with foams at the mouth,
etc.,
and
falls to
the ground
with open eyes, the consciousness returning a

while after.
The
disease
is
called
short
Apasmara which
is
THE SUSHRUTA SAMHItX
3S2
typesvis., Vataja,
into four distinct
classified
tChap. LXI.
Kaphaja and Sannipataja.
Pittaja,
4.
Premonitory Symptoms : The
throb-
bing of the heart, emptiness or lightness (of the chest

sense as
the external world
if
Symptoms
:
appearance
found to usher in an attack (of Apasmara).
types In
i.e.
fastly),
the symptoms, which are usually
are
sleeplessness
away
stupid
pensiveness, fainting,
perspiration,
and
vanishing
is
of VsCtaJa
the Va'taja type of
5.
and Pittaja
Apasmara the patient

is coming after
fancies that a dark supernatural being
him
to
seize
his
person and
frightened and faints in
is
consequence with shivering grinding of the teeth

lock-jaw, laboured breathing
Fainting
which
fierce-looking
further
is
by
excited
is
yellow and
and foaming
terror of being
being
marked by
*. e.
mouth.
at the
by a
seized
the Pittaja type
in
thirst, increased
heat of the
body, perspiration, fainting, mild tremor of the limbs
and
restlessness.
7.
Kaphaja and Sannipataja Types :

Where
the patient
is
excited by a fancied dread as
supernatural being of white colour
hend him,
it
is
characterised
symptoms
as
talk
Kaphaja type which is

by the. exhibition of such
shivering,
on the ground and
in the heart, thirst

teristics
a case of the
moreover
prostrat e
if
coming to appre-
is
nausea,
sleepiness,
and nausea are the
of the three types respectively.
and the making of
indistinct
are present in all the types,
falling
vomiting of mucus.
The
specific
Pain
charac-
But delirious
and moaning sounds

specific features of
all
the three foregoing types manifest themselves in concert

in a case of
Sannipa'tika type.
10.
DiSCUSSlon on its Cause :The
sudden
appearance of the disease without any apparent cause
UTTARA-TANTRA.
Chap. LXI.]
and also
after
its
383
sudden and spontaneous
disappearance
a short while without any apparent treatment,
have induced several medical authorities to hold that
Apasmara
Several
is
not due to any (aggravation of the) Dosha.
authorities,
on
the
have described,
contrary,
on the authority of other works on the
the
subject,
gradual aggravation of the (suddenly) deranged Doshas

as well as the concomitant
symptoms
of the disease
in
its
various phases with the spontaneous and speedy nature
of
its
abatement (though only temporary). Hence
be presumed that as seeds sprout
make
the rains
in
autumn
may
it
only,
when
the ground ready to receive them, the
shortness of time being counted as no factor poten t enough

the process (of sprouting), so the deranged
Doshas of the body though gradually aggravated bring
to obstruct
on, as a matter of fact, an attack of
Apasmara with
all its
concomitant symptoms, only under conditions favourable to
its
appearance which may, however, be short and
transitory in
is
its
duration.
Hence
this dreadful
certainly a disease of idiopathic origin,
Apasmara
it.
General Treatment :Medicinal agents
and
remedies to be mentioned in connection with insanity
(Unmada) may be as well employed

disease.
The use of matured clarified
the present
in
butter both in-
and as unguents is recommended. Medicinal

measures and compounds mentioned under the head
ternally
of possession by the Grahas are also specially beneficial

in
the present disease.
Oil duly cooked with S'igru,
Kinna (sediment of wine) and

with the expressed juice of Nimda-baivks and with cow's
urine weiging four times as much, should be employed as
Katvattga,
^Syonaka),
unguents. Draughts and embrocations of

(separately) with
the biles of a
oil
lizard, a
elephant (or snake), a deer of the Prishata
duly cooked
mongoose, an
class,
a bear
384
[Chap.
LXL
and a cow, are recommended. Strong medicinal errhines

and purgatives
god and
Rudra
should be administered. The divine #
(Siro-virechana) as well as strong emetics
the host of his followers should be regularly worshipped
12
and propitiated every day.
Specific
15.
Treatment : Clarified butter duly
cooked with goat's urine and with the decoction of

Kulattha, Yava, Kola, S'anaseeds, Palankashd (Guggulu
may
Jatdmdtnsi, Das'a-mula and Pathyd
be given with
advantage in a case of the Vitaja type (of Apasmara).

butter duly cooked with the decoction of the
Clarified
drugs of the
first (i.e.
Vidari-gandhadi) group and with
the drugs of Kdkolyddi group (as Kalka)

tered with milk,
honey and sugar would be
a case of the Pittaja type.
The
adminis-
if
beneficial
in
use of (the medicated)
Ghrita duly cooked with Kiislmd, Vachd and the drugs

of the Mustakddi group (as Kalka) and with the decoction of the drugs of the
Aragvadhddi group* and with
the five officinal kinds of animal urine

in cases of
recommended
is
the Kaphaja type of Apasmara.
16
SlddhaYthaka Ghrita : Clarified

duly cooked with (the Kalka
of;
18.
butter
Sura-druma,
Vacha,
Siddhdrtha, Vyoslta, Hingu, Manjishthd, the
Kusftt/ia,
two kinds
of
Samangd;
Rajani,
Tri-phald,
Ambuda
(Musta), Karanja-sccds, S'irish f-seeds, Giri-karttd (white

Aparajita,
as
much
and Hutds'ana (Chitraka) and with four times
of cow's urine
which proves curative

the intestines),
is
called
Siddharthaka Ghrita,
in cases of poisoning,
Kushtha,
Kapha, Vishama-Jvara,
Apasmara. 19.
asthma,
worms
(in
derangements of
Bhuta-graha,
insanity
and
* According to Dallana, the Ghrita should be cooked with the decoction of Krishna and Vacha,
should be used as Kalka.
while the drugs of ths Aragvadhddi group
Chap.
UTTARA-TANTRA.
LXL]
385
Pancha-gavya Ghrita :Clarified
butter
duly cooked with the Kalka of Da/a-mula, barks of

Indra-vtiksAa* Murvd, B/idrgif, Tri-p/iald, Sampdka,
(Aragvadha), S'reyasi
mdrga and
Pilu,
Apdand with the decoction of Bhu-nimba,

(Gaja-pippali), Sapta-parni,
Putika (Karanja), Vyosha, CAitraka,
Trivrit,
PdtAd, the
two kinds of Haridrd, the two kinds of Sdrtvd, Pushkara-roots Katuka, Madayanti (Mallika), Ugrd (Vacha),
Ni'ini and Vidanga, and with the milk, curd (Dadhi),
urine and the expressed liquid of dung of a cow is
called
Pancha-gavya Ghrita.
It
proves curative in
forms of Apasmara, Bhuta-graha, Chaturthaka

tian) fever, Phthisis,
Asthma and
Insanity.
all
(quar-
20.
General Treatment :Vastis
be
should
applied in the Vataja, purgatives, in the
Pittaja and
Kaphaja types of Apasmara. 21.
Milk should be duly cooked with Bhdrgi and Payasa
(porridge) should be prepared by cooking grains of >ali
emetics, in the
with this milk.
rice
to a
This preparation should be given
boar kept fasting for three days.
assured that the food taken has acquired

(i.e.
When
it
is
a sweet taste
that the process of digestion has begun in the stomach
of the boar) and
when the symptoms of poisoning come
to be exhibited in the boar, the contents should be taken
and (should be dried and)

Three parts of this powder and one part of
out (of the boar's stomach)
powdered.
Kinva (the sediment of wine) should be mixed together

and made to ferment in a cleansed earthen pitcher with
The wine
the addition of the cooled decoction of Bhdrgi.
(Sura) thus prepared should be given in proper doses

*
Twak
t
By
the term 'Indra-vriksha-twak'
some mean (barks
of)
Kutaja and
(cinnamon).
BhauiPallana
explains
it
as
to
Goshthodumbara the wild
49
fig.
THE SUSRUTA SAMHITA
386
the patient as soon as
it
would acquire
[Chap. LXI.
its
(particular)
and aroma.
Venesection (in the forehead) as
recommended before (S>arira-sth3na, Chap. VIII, 25-26)
should be resorted to and prophylactic and auspicious
taste
articles
should be used (by the patient).
Tbut end* the
sixty-first
23-23.
chapter in the Uttara-Tantra of the Stufaita
Samhita which deals with the (symptoms and) treatment of Apasmara.
CHAPTER
Now we
shall discourse
LXII.
with the (symptoms and) medical treatmentlof Insanity
(UnmsCda-Pratishedha).
Derivation In as much
:
i.
as (in this disease)
the deranged bodily Dosha3 traversing the upper part of
the body affect the up-coursing nerves and produce thereby a distracting state of the mind, it is called Unnutda
2.
(Insanity), and it is a disease of the Manas (mind).
Classification :This
five different
disease
is
divided into
types according to the nature of their
origin viz., the three types
due
to the
of the three deranged and aggravated
several actions
Doshas, the one
and the one due to

There is a sixth kind
grief, etc. (real or imaginary).
also, w'a, that due to the effects of poison, which should
be treated according to the nature and intensity of the
deranged Dosha or Doshas lying at the root and
which in its early stage, if not abnormally aggravated,
goes by the name of Mada. 3.
due to
their
concerted
actions
Premonitory Symptoms : Fits
of
un-
consciousness, agitated state of the mind, ringing of the

ears,
emaciation of
the
body,
excessive
energy
of
action aversion to food, eating filthy things in dreams,
perturbation
and
ie.
palpitation (of the heart) due to
vertigo or giddiness are the
which forebode
insanity.
a speedy
and
symptoms
in
Vayu
a patient
impending attack of
4.
Specific
Symptoms
of
Vtftaja,
Pittaja
Shaggy appearance, use of

and Kaphaja types
harsh language, appearance of a number of Dhamanis
:
THE SUSRUTA SAMHITA
388
[Chap. LXII.
(nerves) over the body, laboured breathing (D. R. experi-
ence of excessive coldness), emaciation of the body and

throbbing of the joints of the limbs are the specific fea*
Unmada) and
tures of a case of the Vfftaja type (of
the
patient in such a case reads clapping his hands, or sings
while dancing, or shouts or wanders about.

thirst, perspiration,
Excessive
burning sensation, voracious eating,
insomnia, desire for shade, cold, wind and walks on the
banks
(of rivers or tanks),
cold water and fancied
the day are the
fits
of anger, fancying
sight of stars
symptoms which
the Fittaja type.
in the
fire in
heavens
Vomiting, dulness of appetite,
tude or gone-feeling
the limbs, aversion
in
in
a case of
characterise
lassi-
food,
to
fondness for sexual propulsion and loveliness, stupidity,
somnolence, reservedness in speech, eating

for
warm
night
things and
mark a
case of the
Kaphaja type
Trl-doshaja Type : A
insanity exhibits
the
all
Kapha.
Vata, Pitta and
specific
full
fondness
of insanity. 5-7.
case of Sa'nnipa'tika
symptoms belonging
three aforesaid types origined

vis.,
little,
aggravation of the disease in the
to the
from the three Doshas,
symptoms of the disease are
should be deemed as incurable.
which the
case in
manifested
Several
in
authorities,
however, hold the Sannipatika type to be sometimes

curable.
8.
okaJa and Vfshaja types : A
person
own enemy
or any such person, or suffering from any distracted
state of the mind owing to a loss of wealth, or from any
frightened
by a
thief,
a king's officers or his
grief (ooka) or bereavement
ed love
traction
would
sciously talk
his
any disappoint-
have an attack of mental
likely
(insanity).
or from
In
such cases
he
would
dis-
uncon-
incoherently about subjects uppermost in
mind or would sing
in a stupid fashion or
laugh or
.UTTARA-TANTRA.
Chap. LXII.]
weep.
(These
are the
389
symptoms of Sokaja
insanity).
Redness of the eyes, dulness of complexion and of the

perceptive
diminution
faculties,
bodily
of
extreme dejection, blush on face and

ness are the
due to the
loss of conscious-
symptoms which mark a
effects of poisoning.
first
of insanity
case
9-10.
General Treatment : A
from insanity should be
strength,
patient
suffering
with Sneha and
treated
Sveda and then subjected to a course of emetics, purgatives
and head-purgatives
(Siro-Virechana).
of various sorts of (drugs
should be mixed with
flesh
in)
mustard
the purpose (of snuffing).
beef or dog's
used
oil
all
cases.
and employed
for
Fumigation with burnt putrid
should be constantly employed.
Snuffing and unguents of mustard

cious in
Powders
Avapida snuffing
The
patient
oil
are also effica-
should be surprised
with wonderful sights and the news of the death of any

of his dear ones should be related to him.
He
should
be constantly frightened with sights of fierce-looking
men, well-trained elephants or
The
patient
non-venomous snakes.
should be threatened with being fastened
with ropes or being flogged, or frightened with bundles

of blazing hay, after being fastened, while asleep.
He
should also be pierced in his body with pointed instruments, avoiding, however, the vulnerable parts*, or he
should be
made
cover over
it.
to reside constantly in a dry well with a
Barley gruel, powders of parched barley
mixed with water alone should be given to him on every

third day by an intelligent physician. The diet of the
#
patient should consist also of palatable and appetising
articles.
*
11.
Additional Text :The
patient should likewise be threatened
with being foiced into a burning hut
He
should be also kept immersed
in water or threatened with the fall of a thunder bolt.
THE SUSRUTA SAMHITA
390
HIaha'-Kalya'na Ghrlta
[Chap. LXII.
butter
'.Clarified
duly cooked with twice as much of milk and with

Vidanga, Trifhald, Musta, Manjishthd, Dddima, Utpakt,
S'ydmd, Ela-vdlukd, Eld,
Deva-ddru,
C/iaitdana,
(redi
Barhishtha (Balaka), Haridrd, Kushtha, Parnini Salaparni), Sdrivd,
Harenukd, Trivrit,
patra, Ndga-kes'ara and
Vacha,
Dattti,
Tdlisa-
Mdlati flowers as Kalka(is called
Kalya'na Ghrita* and) proves curative in cases of Gulma,

cough, fever, asthma, phthisis and insanity. Clarified
much
butter duly cooked with four times as
and with the aforesaid drugs
Kalka and with the
as
drugs of the Kdkolyddi group added to

after-throw
of
its
is
of milk
it
by way of an
The range
called Maha'-kalya'Da Ghrita.
includes (such ailments as)
therapeutic application
Apasmara, (attack by) Graha, consumption, impotency,

emaciation and
ed above.
sterility as well as
the diseases mention-
12.
Phala Ghrita :Clarified

with
Bdlaha,
Haridrd,
Kushtha,
Yamdni,
Vacha,
Padmak 1
struck
It
should
by malignant
evil propensities
Eld,
Deva-ddru,
Yashti-inadhu.
and
and with four times as much of
milk and with sugar

beneficial.
As'vagandhd,
Medd,
Kdkoli,
as Kalka)
Katuka,
Manjishthd,
Hingu,
Tri-phald,
cooked
butter duly
an
as
also
after-throw
stars as well as for
and short
would
be
be presented for infants
intellect.
male adults of
This
Phala-Ghrita* and removes barrenness of
is
known
women
2?f/m/(Manduka-parni), AinJri, Vidanga,
as
13.
Tri-katu,
Hingu, Surd (Deva-daru\ Jatd (Jata-mamsi), Vishaghni

(Haridra), Las'un.% (garlic),
Surasd,
Vacha, JyoHshmati,
Rdsnd,
Vis'alyd (Guduchi),
Ndga-vinnd
According to Dallana the mentions of these two
Ghrita and Phala Grita) are interpolations.
(a
kind
recipes
of
(Kalyana
UTTARA-TANTRA.
Chap. LXII.]
391
Anantd, Abhayd and Sourdshtri taken
Indra-varuni),
in equal parts should
be pounded together and made
into a paste with
addition of elephant's urine.
the
should then be dried in the shade, and
be prepared
intelligent person as
Vartis should
These should be used by
thereof.
an
gation and Avapida.
Anjana, unguent,
resorted to.
eye)
Apanga
Measures and drugs mentioned
likewise
an
fumi*
(outer
and Lalata (forehead) should be
tion with the treatment
may be
snuff,
14.
Blood-letting from the Uras (chest),
corner of the
It
of
employed
in connec-
Apasmara and Graha-roga
in the present instance.
Oily
purgatives (Sneha-vasti) should be administered after

the subsidence of the deranged Dosha.
In a case of the filth kind

the cause of grief should be
[viz,
first
5.
Sokaja) of insanity
removed.
In
of insanity the restoration of the serenity of
be
first
attempted.
remedies should
be
resorted
to
insanity).
(anti-toxin) measures should
in
the sixty-second
chapter in the
Mada
anti-venomous
be resorted to
(of insanity due to the effects of poison.
Thus ends
of these
a case of
Mild
forms
mind should
Mild and gentle forms
(preliminary stage of
Sus'rula Sarahita
all
in
a case
17-18.
Uttara-Tantra of
'
the
which deals with the (symptoms and) treatment of
Insanity.
Here ends the Bhuta-vldya-Tantra.
CHAPTER
Now we
shall discourse
LXIII.
with the different combinations of the (six) different
Rasas
(Rasa-bheda-vlkalpa-Adhyaya).
The
different
fifteen
already spoken of (in Chapter
meant only
XXI, Sutra-Sthana)
for the sixty-three different
They
(viz.thc different Doshas)
are
combinations of
the (six) Rasas (taken one, two, three, four, five or
a time).
i.
combinations of the Doshas
may
all
at
be manifest
separately (Avidagdha) or combinedly (Vidagdha) with
one another and the number of their combinations should

be taken to be sixty-three pari passu with the sixtythree different combinations of the (six) different Rasas.
In other words, the combinations of the Doshas with

one another already spoken of should be considered by
an intelligent person to be sixty-three

fifteen
only,
Sthana).
as spoken
of in
in
all
(and not
Chapter XXI,
Sutra-
3.
EnumerationTaken
The Madhura Rasa
two
(sweet taste)
at
coming
time:
first
in the
order of enumeration has got five combinations (with
the other five Rasas) taken
two at a time.
Amla Rasa
got four
(acid taste) has
Similarly
combinations and
Lavana Rasa (saline taste) has got three. Katuka

Rasa (pungent taste) has got two and Tikta Rasa (bitter
taste) has got only one with Kasaya Rasa (astringent
taste).
The different combinations taken two at a time
are thus fifteen in
(1)
Sweet and
and pungent
They
acid, (2)
are as follows
sweet and saline, (3) sweet
sweet and bitter and (5) sweet and

these are the five combinations of Madhura
astringent
all.
(4)
UTTRA-T ANTRA.
Chap. LXIII.]
(sweet) Rasa,
(3)
Acid and
are
the
Acid and
(i)
and
bitter,
Acid and pungent
saline, (2)
(4)
combinations
four
393
Acid and astringent these

Rasa.
of Amla (acid)
Saline and pungent, (2) Saline and
(1)
Saline and astringent
of
Lavana
Fungent and astringent
Rasa,
(l)
Pungent and
bitter,
two
Thus the
combinations (of the six Rases) taken

have been enumerated. Now we shall
different
at a time
speak of their combinations taken three at a time.
Taken three at a time

Rasa
and
two combinaBitter and pungent is
the only combination of Tilcta (bitter) Rasa.

fifteen
(3)
these are the
Katuka (pungent) Rasa.
tions of
and
these are the three combinations
(2)
(saline)
bitter,
(,s*veet
coming
taste)
first
4.
:The Madhura
in the list
has got ten
combinations (with the other Rasas taken three at a

time).
Amla Rasa
Similarly
(acid taste)
has got six
Lavana Rasa (saline taste) has got half that number

and Katuka Rasa (pungent taste) has got only
e. three
i.
They
one combination
and
acid and
acid
saline
(7)
saline,
follows:
(1)
Sweet,
Sweet,
(3)
Sweet, acid and astringent, (5) Sweet,

pungent, (6) Sweet, saline
and bitter,
bitter, (4)
and
Sweet,
and
(2)
arc as
Sweet, acid and pungent,
bitter,
saline
(9)
and astringent, (8) Sweet, pungent

pungent and astringent, and
Sweet,
Sweet, bitter and
astringent these are the ten

combinations of the Rasas taken three at a time and
(10)
beginning with Madhura (sweet) Rasa.
and pungent,(2) Acid, salin; and

and astringent,
(4) Acid,
taste.
(1)
time
Saline,
and)
(6)
bitter
combinations
Amla
and
bitter,
(2)
(3)
Saline,
and
Acid,
bitter, (5)
Acid,
beginning with
pungent
pungent and astringent,
Acid, saline
Acid, saline
pungent and
and astringent, and

astringent these arc the six
pungent
three at a
(1)
bitter, (3)
(acid)
Saline,
bitter,
50
and
(taken
and

THE SUS1IRUTA
394
astringent these are
taste,
(i)
[Chap. LXIII.
three combinations (taken.
the
time)
beginning
Pungent,
bitter
three at
SAMIIItX.
Lavana
with
and
(saline)
astringent
the
is
only one combination (taken three at a time and) begin-
Katuka (puugent)
ning with
different
taste.
Thus the twenty
combinations (of the six Rasas) taken three at
time have been
Now we
explained.
their combinations taken four at a time.
5.
Taken four at a time : The

Rasa has got ten
(sweet)
Similarly
at a time.
and Lavana
:(r)
follows
Rasa
bitter, (3)
gent, (4) Sweet, acid,
saline,
only
Sweet, acid,
(6)
and astringent, and
these are
(10)
(5,)
saline,
four,
are as
Sweet, acid,
pungent and
and astiingcnt,
Sweet,
(8)
Sweet, saline, pungent
(91
Sweet,
pungent,
bitter
and
the ten combinations (taken four
Madhma
a time and) beginning with
at
They
one.
bittci
Sweet,
bitter
astringent
of four
Rasa has got
Sweet, acid, saline and astrin-
pungent and

bitter, (7)
\acid)
Sweet, acid, saline and pungent, '2) Sweet,
and
acid, saline
Madhura
different combinations
Amla
(saline/
speak of
shall
(sweet)
Rasa.
pungent and bitter, (2) Acid, saline,

and astringent, (3) Acid, pungent, bitter and
(l) Acid, saline,
bitter
astringent,
and (4) Acid,
these are the four
this
is
(saline) taste.
six
Thus the
fifteen
Rasas) taken
enumerated.
Now we
shall
taken
a time.
6.
five at
Taken
Amla
pungent, bitter and astringent
the only one combination beginning with
(of the
five
pungent and astringent
combinations beginning with
taste, (r) Saline,
(acid)
saline,
five at a
different
four at a
Lavana
combinations
time have been
speak of their combinations
time
:-Th:re would be
combinations (of the six Rasas) taken
five
time and beginning with the Madhura (sweet)
at
Rasa,
UTTARA-TANTRA.
Chap. LXU1.]
and only one with Amla

follows
Sweet,
(i)
acid,
Sweet, acid, saline,
(2)
acid, pungent,
saline,
bitter
and
pungent, bitter and
and
They
Rasa.
(acid)
and
astringent,
Sweet,
and
5)
Sweet,
astringent,
astringentthese are the
(1)
only one
astringent
is
bination of the kind beginning with
combinations taken
been enumerated.
Now wc
shall
the
a time
five at
beginning with Madhura (sweet) Rasa,
six
(3)
(4)
pungent, bitter and
Thus the
as
bitter,
astringent,
combinations (of the six Rasas) taken
five
are
pungent and
saline,
pungent
Sweet, acid, saline, bitter
39$
Acid, saline,
Amla
five at
comRasa.
(acid
a time have
speak of their com-
bination with
(all
the six at a time.

)
The combination
six at a time
this kind
is
astringent.
is
(1)
(of the
only one.
six Rasas)
taken
(all
The only combination
the)
of
Sweet, acid, saline, pungent, bitter and
8,
Separately taken one at
7.
a time,
the six
Rasas
will
Madhura (sweet), (2) Amla acid\ (3) Lavana

Katuka (pungent\ (5) Tikta (bitter and (6)
Kashaya (astringent), 9.
be
(1)
(saline\ (4)
Memorable Verse : Sixty-three

tions of the six different Rasas have been
combina-
enumerated
by the experts on Rasa and these sixty-three combinations should be prescribed by experienced physicians
with due regard to (the
aggravation or diminution of
one or more of) the (three) different Doshas.

Thus ends
the sixty-third chapter of the (Jttar^Tantra in the
Samhita which deals with the

Rasas.
ro.
different combinations of the
(six)
Sus'ruta
different
CHAPTEE LXIV.
Now we

Health (Svastha-Vritta-
shall discourse
Rules
with the
adhyaya).
of
i.
Health indicates a normal condition of the (three)
Doshas (fundamental principles), Agni (the digestive

Mala (excrements via, feces, urine, etc)*, and
the (seven) Dhatus or root- principles of the body
mind and
as well as a serene state of the body,
fire),
the
sense-organs.
It
that
Sutra-sthana,
is
body and
of the
mind)
brief outline of the
in its
means
to
rules to be observed for the
also
stated
object
maintain this healthy
treatment
to
has already been

the primary
(of the
state
normal equilibrium.
be applied and
of the
realisation of that end,
Now we
been given before.
the
in
medical
of
shall
has
a
into
enter
lengthy and elaborate dissertation on the subject.
2-3.
Regimen of diet and conduct

VarSha (rainy) Season -Articles
in
the
cular tastes which are remedial to the
deranged
bodily Dosha should be used
or
specific
of parti-
employed by experi-
enced persons in the particular season
year in
of the
which the Doshas are respectively aggravated. The

bodily Vayu, etc., of a person is generally aggravated
during the Yarsha (rainy) season owing to a slimy
condition of the
of the digestive
organism, producing an impairment
fire
as well as
Articles of astringent, bitter
therefore be
personages
*
Some
prescribed
during
explain
and awakening,
etc.
those
goose-flesh
and pungent
for
king
months
of
on the
tastes
and
skin.
should
king-like
the year
for
'Kriya' separately aa the organic functions e.g. bleep
D.UIana.
UTTARA-TANTRA.
Chap. LXIV.]
correcting
or remedying the altered slimy condition of
which obtain
(things
397
body, as well
inside) the
as
food should be non-liquid and
nor too
(fatty or lardacious)
be composed
making
prescribed
potency.
XLV,
made neither too emollient

Ruksha (dry), and should
which are appetising and heatWater for drinking should be
Sutra-sthana),
air
if
the sky
is
before
heated and
or water,
subsequently cooled, should be taken

with honey,
down
the rules laid
according to
chapter
(in
of articles
in their
for
The
mitigating the aggravation of the bodily Doshas.
combination
in
overcast with clouds and the
charged with humid vapours, making the water
is
consequently very cold.
The
(rainy)
5.
herbs and vegetables being newly grown in this

(over-juicy
arc
season,
very easy to digest
man
a wise
and) consequently not

should, therefore, avoid
the excessive use of physical exercise, water, dew, sexual

intercourse
and the
One
indigestion).
rays (which
sun's
should,
might lead to
in this season, lie
upon some
damp due to the emission

of earthly vapours at this time.
When feeling cold one
should protect oneself from it with warm clothes and
higher place to avoid the cold
should
with
lie
fire
pastes,
inside a
burning within.
from blasts of wind and
Fine
Aguru
should be used as
is
digested should be strictly avoided.
Rules for
and
in
Sleep at day-time and eating before the
previous meal
sweet
free
and elephants should be used as conveyance
season.
this
room
Autumn
bitter
tastes,
: Articles
different
6.
of astringent,
preparations
of
milk and of sugar-cane-juice as well as honey, S'd/iricc,

Mudg(i-pu\sc,
be used
oil
in the
and the meat of Jangala animals should
Autumn
water are recommended

clear
and pure at
this
(Sarat) season.
in this
season
All
as
time of the year.
kinds of
they are
all
Swimming
<
tHE SUSHRUTA
39$
and (immersion)
Vtpala (water
ponds
in
{Chap. LXIV.
SAMHITA*.
of
full
Kmnala
(lotus)
The
and the use of sandal-pastes are recommended.

aggravation of Pitta
should,
the (previous)
in
this season,
in
and
enjoying the moon's rays at dusk
lily),
season
rainy
be duly remedied by the use of
Tikta-Ghrita (.Chapter IX, Chikitsita sthana), by means of

venesection or
by
the use of purgatives. Tikshna (sharp-
potencied or pungent), acid, hot and alkaline articles (of

food) as well as the sun's rays, sexual excess and sleep
and keeping
at day-time
late
hours should be avoided.
Sweet and cold water and purified wine as transparent as
recommended.
crystals are also

in this season
washed, as
of the autumnal
and consequently
were, by the clear white rays
it
moon and
of the Agastya star,*
All kinds of water are
being purified by the rising
become very
beneficial.
clear
and transparent
Clean and
scented with sandal-pastes or with
thin
camphor as
garlands of autumnal flowers should be worn,
Sidhu
all
class of
clothes
well as
and the
wine should be judiciously taken In
short,
Pitta-subduing measures should be taken in
season.
7.
Rules for
Seasons: The
dry (Ruksha).
very airy.
Vayu
this
Hemanta and winter

of Hemanta is cold but
weak and the atmosphere is
season
The sun
is
Hence, owing to the outside cold, the bodily
The abdominal
owing to the internal cold and dries
up the bodily Rasa (liquid portion of the system); The
fire
is
also aggravated in this season.
becomes
dull
use of oleaginous things
is,
therefore, beneficial
in
this
* The waters in the rainy season are generally muddy and impure.
When, after the rains, the waters become purer, it is said in Hindu mythology that owing to the rise of Agastya (a star making its appearance in
the horizon after the rainsgenerally in the beginning of September) the
waters become clear and transparent.
UTTARA-T ANTRA,
Cbap. LXIV.]
season.
The
pungent
399
use of saline, alkaline, bitter, acid
and
articles of diet (prepared) with the addition of
clarified butter
or oil are beneficial.
Food should not
be taken cold, and drinks prepared with tikshna (hotpotencied) articles (such as strong wine
after
the body
pasting
Baths should be taken

all
all
in tepid
should be taken,
with Aguru-pastes.
over
water after rubbing in
surrounded by rooms on
all
sides
and containing
pots (serving the purpose of chimneys) should be
and
bed-rooms,
as
warm
Sufficiently
the
body should be
coverings for the
the sweet embraces of maidens with big
lie
within
breasts
thighs and scented with the fumes of Aguru, and

can, in this season, enjoy
heart's
Sweet,
fire-
used
should be silken.
bed-sheets
Kings (and king-like personages) should
used.
oil
Large inner apartments completely
over the body.
and
they
the sexual pleasures to their
content and should take proper soothing food.

bitter,
pungent, acid and saline articles of food
and drink, as well as Tila (sesamum-seeds), Mdska-puhe,

pot-herbs, curd, different modifications of sugar-cane-juice,
scented and newly husked S'dli-rice, flesh
Anupa, Kravyada,
Audaka
of Prasaha,
Plava
and Padin classes* of animals, as well as clear transparent wines and all other invigorating articles of diet
Bilcs'aya,
(aquatic),
should be used to his content at the advent of cold by

a person wishing vigour (of the body and of the mind).
The
rules for
Hemanta enumerated above would hold
equally good for the
Sis'ira
(winter) season.
RuICS for Spring :The
bodily
8-9.
Kapha
al-
ready stored in the organism owing to the coldness of

the
bod during
the
Hemanta
season
is
aggravated
during the spring by the (increasing) heat (of the sun

* For a
see Chapter
list
of the
XLVI,
animals of the different classes mentioned here,
Sutra-sthana,*pages 480
&c,
Vol.
|.
THE SUSIIRUTA SAMIHTX
4<X>
[Chap. LXIV.
and consequently of the organism) and gives

many diseases. Acid, sweet, demulcent and
articles of food
heavy
(of digestion)
barley,
be avoided, and
should, therefore,
be had to vomiting,
of
articles
Shashtika-
etc.
Mudga-pulse,
potency,
cold
rice,
meat of the animals

as
etc.,
saline
and Kodrava-ncz should be duly prescribed

the cold /. c. in the spring with the soup of the
Nivdra
after
to
and drink as well as those that are
recourse should
ricc,
rise
bringals
and
Asava and
of the Vishkira class, such as Lava,
with the soup of Patola, iWwSrt-lcavcs,
as
well
other
the
A-ava and Sidhu prepared
from honey should be freely used

exercise should be
sorts of
All
vegetables.
bitter
especially
had recourse
in
to,
the spring. Physical
Anjana
(collyrium)
should be applied (to the eyes), strong smokes should be

inhaled and strong gargles used in the spring. Everything
should be used with tepid water and
consisting
diet
Ruksha (non-demulcent),
of Tikshna (strong-potencied),
pungent, alkaline, astringent, tepid and non-liquid articles
and especially the preparations of barley, Mudga pulse

and honey would be beneficial in the spring. Physical
exercise in the shape of mock-fight, walk, or the throwing
Utsadana (massage) and
of stones would be beneficial.
bath should be had, and groves should be resorted
Sexual
The
pleasure
bodily
may
Kapha
be
stored
enjoyed in
in
the body
this
to.
season.
during the
llcmanta season should be eliminated by means of SiroVireka (crrhines), vomiting, Niruha-vasti and gargles,
Day-sleep and sweet, demulcent aud liquid articles
etc.
of fare as well as those hard to digest should be strictly

avoided.
10.
Rules for
toil,
Summer : Physical
hot and excessively drying articles of fare
exercise,
{e.g.
those
prepared with pulses), as well as those abounding in
UTTARA-TANTRA.
[Chap. LXIV.
heat-producing
{e.
pungent, acid and saline) tastes
gt
should be avoided in summer.

rivers as well as
be resorted
to,
Large tanks, lakes and
charming gardens and cold rooms should
and the
finest (refreshing) sandal-pastes
garlands of flowers of lotuses and

palm-leaf-fans
4*
and necklaces
lilies,
stones and
summer.
pearls) as well as light clothes should be used in
Sweet-scented
and cooling Panakas and Manthas with
abundance of sugar should be used.
mixed with
cold food
(tasteful
should at that time
Sweet, liquid and
clarified butter,
sweetened with sugar, etc

be found
from
soft breeze
(of precious
and
at that time.
One
on a bed strewn over with
full-
and) beneficial
lie
and boiled milk
taken at night-time would
blown and fresh flowers in some palatial building with

his body besmeared with sandal-pastes and refreshed by
cooling breeze,
ir.
Rules for PrsCvrit (rainy) season*

Articles of the three {vis.
sweet, acid
and
Rasas as well as milk, tepid meat-soup,
saline)
*.
heavy
clarified
oil,
and everything which is Vrimhana (fat-making)

and Abhishyandi (secreting) in its nature are beneficial
butter,
after the
season.
end of the summer season i. e.

The bodily Vayu which is liable
in
the rainy
to be aggra-
vated and which actually begins to aggravate in the
summer should be
pacified
subduing remedies.
12 A.
by wise men with Vayu-
Ruksha (non-demulcent) and heatManthas prepared with abundance

producing
of water, the sun's rays, physical exercise, day-sleep and
sexual intercourse should be avoided in this season. Old
River^water,
articles,
barley, old Shastika-r'ux, old

*
first
A period
S'dli-nct,
and old wheat
of four months has been ascribed to the rains.
two months
are ealled Pravrit, and the last
the rainy season.
Of these
the
two Varsbaboth meaning
See chapter VI, Sutra-stbana.
51
THE SUSRUTA SAMHITA
402
[Chap. LX1V.
should be used as food, and the bed to
lie
stretched inside a room where there

and should be covered over with a
no
rain-water (in and after
its
is
upon should be
blast
of wind
The
soft bed-sheet.
descent on the earth) becomes
poisoned with the excretions, urine, salivation, sputum,

etc.,
of poisonous animals as well as with the poisonous
its use should,

atmosphere peculiar to the rainy season
therefore,
be strictly avoided in this season. The
;
naturally aggravated bodily
Vayu (in
this season) should
be duly pacified, or the rules for Varsha
(t.e.
the rainy
season) should be duly observed in this season*,
Whoever observes
2.
these rules for the different seasons
of the year does not suffer from the evil
due to the change of seasons.
consequences
1 3.
Different kinds of food : Now we
shall
deal with the twelve different kinds of food (and drink).
They
Snigdha
are -Cold, hot,
(demulcent),
Ruksha
(non-demulcent), liquid, dry, taken once a day, twice a

day, taken with medicine, taken
in smaller quantity,
taken for the pacification of (any aggravated Dosha) and

taken for subsistence.
Persons
afflicted
14.
with
thirst,
heat, alcoholism,
ing sensation, Rakta-pitta, poisoning and

as well as those
excess
suffering
from the
burn-
epileptic
effects
fits
of sexual
should be treated with cold food (and drink)
while persons afflicted with the aggravation of bodily
Kapha and Vayu
as well as those already
treated
purgatives or Sneha and those whose bodies are
Kleda (physical moisture) should be treated with

food (and drink).
with
full
of
warm
15-16.
Persons suffering from the aggravation of bodily
Vayu and from a parched (Ruksha)

*
The whole
of this Para
dots not read this.Dalian*.
is
an interpolation
condition
in as
much
of the
as Jejjata
UTTARA-TANf RA.
Chap. LX1V.]
403
body as well as those suffering from the effects of

sexual excess and those accustomed to physical exercise
should be treated with Snigdha food (and drink)
well as those suffering from
treated with a
Meha and
while
as
those previously
Sneha should be treated with Ruksha
non-demulcent) food and drink.
(or
Medas and Kapha
persons with an excess of bodily
17-18.
Weak, parched and thirsty persons should be given

Drava (liquid) food while those suffering from Meha
;
and ulcers as well as those whose bodies arc
Kleda (bodily moisture) should

juicy)
of
impaired digestion should
Persons with
food.
full
be given dry (non-
be given only one meal every day, so that the digestive
may
fire
have opportunities
persons with the proper
be given two meals a day.
be rekindled
to)
amount
of
while
digestion should
19-20.
Medicine should be given with food and drink to

a person
averse
quantity
would
to
it,
be
while food and drink in smaller

persons suffering
to
beneficial
impaired digestion or any other disease. Food

and drink administered with due regard to the bodily
from
Doslias
of food
called Dosha-pras'amana
while any kind
and drink taken for the preservation of life by
is
healthy person would
and drink.
be called Vrittayrtha food
These are the twelve
and drink.
different kinds of food
21-22.
Proper times forthe administration

Of Medicines :We
specific times
{*".
e.
tion of medicines.
shall
now speak
of the ten
proper occasions) fdr the administra-
They are
Nir-bhakta, Prag-bhakta,
Adho-bhakta, Madhye-bhakta, Antara-bhakta, Sa-bhakta,
Samudga, Muhur-muhuh, Grisa and Grasantara. 23.

Of the above medicines what is applied alone
(with or without some vehicle but not with any food
THE SUSRUTA SAMHITA
404
or drink)
is
[Chap. LXIV.
Nirbhftkta medicine.
called
not applied with any food ^but applied by
without any vehicle) would have greater
soon and certainly destroy the disease
applied in
is
but a medicine should not be applied in this

child,
woman ^nd
an old man, a young
temperament, for
it
weaken the patient
medicine taken
a meal,
is
cases).
is
mouth owing
On
to
its
24.
just before
medicine taken
digested, does not lead to
easily
diminution of strength and
to a
persons of mild
an empty stomach)
(in
Prrfgbhakta.
called
such a manner,
such
way
produce lassitude and
likely to
is
(in
with or
and would
effect
it
medicine
itself
in
any
not ejected out of the
is
being covered over with the meal,
the other hand, taken before the meal,
it
adds to the
bodily strength and proves the most convenient form in
which a medicine can be administered

infants,
females and persons
medicine taken just after a meal

It
to
men,
old
of timid disposition.
Adhobhakta.
called
is
conquers diseases which affect the upper part of the
body and
gives strength in
many
ways.
25-26.
medicine taken in the course of a meal
Madhyebhakta.
fails to
be diffused
medicine taken
all
through, the organism and
hence proves beneficial only

are confined
to
the
in
those ailments which
middle part
the
of
medicine taken between the two meals
(*. e.
morning-meal but before the evening-meal)
Antaribhakta.
It is
called
*
Sabhakta.
"A
before
body.
after
the
called
is
invigorating to the mind, greatly
appetising and Hridya (agreeable) and
every respect.
manner
this
in
called
is
is
beneficial
medicine applied with* any food

It is
is
most convenient to administer
medicine applied with food"
and taken with the meal
in
or,
it
may mean a medicine

may mean that the meal
(while being prepared) with the medicines to be applied.
prepared
is
cooked
UTTARA-TANTRA.
Chap. LXIV.]
a medicine
with
infant patients as
food
as
well
taking any medicine.
A
close
old and
of female,
cases
in
40$
cases of those averse to
in
27-29.
medicine taken at the beginning and again at the

of a
meal
is
This form of
Stfmudga.
called
is most beneficial in cases where the

deranged bodily Doshas take both the (upward and
administration
downward)
cither with
This mode
courses.
or
is
medicine taken at
without food,
severe cases of asthma,
to be adopted in
ccugh, hiccough and vomiting.
every morsel (Grasa) of food
called
form the medicine

for increasing the
in
Muhurmuhuh.
called
is
intervals,
is
medicine taken with

Gorafoa.
In this
the shape of a powder is administered
appetite
cases
in
Vajikara (aphrodisiac) medicines
ministered in this form.

alternate morsel of food
weak
of
are also better ad-
medicine taken with each
Emetics
called Gra'saotara
is
patients.
and Dhumas as well as the well-known and well-experi-
mented lambatives
of asthma
cases
for
occasions for administering medicines.
Proper time
for
gets free stool, urine and
eructations,
free,
30-33.
when he
and feels his body
when he
of the heart as well as natural
(Apana) Vayu, when he
and has got
relish for
be
taking food :The
proper time for giving diet to a patient
and sense-organs light and
should
These are the ten proper
administered in this form.
feels
is
gets free actions
courses
of his bodily
hungry (D. R.
feels
easy)
food and when his Kukshi (belly)
becomes light (i. e. when his belly appears to be empty

on account of hunger). 34.
Thus ends
the sixty-fourth chapter in the Uttara-tantra of the Sus'ruta-
Sambitt which deals with the Rules of Hygiene.
CHAPTER LXV.
Now we
shall discourse
on the chapter which dea's
with the technical terms used
in this treatise
(Tantra-
Yuktf-Na'ma-Adhyaya). i.
Names of the technical terms:
There are thirty-two technical terms
They are (i)

(j)
in
Treatise.
this
Adhikarana, (2) Yoga, (3) Padartha,

(5) Uddesa, (6) Nirdes'a, (7) Upades'a,
Hetvartha,
Atides'a, (it)
(8) Apades'a, (9) Pradcs'a. (10)
(12) Vakya-s'esha,
(13J
Arthapatti,
(14)
Apavarga,
Viparyaya,
Ekanta, (17) Anekanta, (l) Purvapaksha, (19) Niraaya, (20) Anumata, (21) Vidhana,
Atikranta-vekshana,
An^gatA-vekshana,
(22)
( 23 )
(15) Prasanga, (16)
(24)
Sams'aya,
(27)
Nirvachana,
(30)
Samuchchaya,
(25)
Vyakhyana,
(2S)
(31) Vikalpa,
Necessity : What
(26)
Nidars'ana,
is
Sva-samjna,
(29)
Niyoga,
and (32) Uhya.
the necessity
2.
of the
use
terms (Tantra-Yukti) ? The answer

is For connecting words together, i. e., making up sentences and giving a sense or meaning to them.
3.
of these technical
Memorable verses : By the use of technical

terms
the points of argument of
in a .scientific treatise
the opposite party are frustrated
own argument
and the points of one's
The meanings
are established.
of the
words, whether clearly used or not, whether direct or

indirect, or partially used, if there
treatise are also

cal terms).
made
Just as the sun
and a lighted lamp
shows a
(the inside of) a
so the technical terms used

i. e.,
is
any such,
in the
distinct (by the use of the techni-
in
cluster of lotus
room
at their best,
treatise clearly
explain the intended meaning.
4.
show
UTTAKA-TANTRA.
Chap. LXV.]
Of
these terms
which something
subject of
Adhikarana
spoken
is
Rasa or on
The term "Toga"

Amrita-valli,
Pippali,
the subject about
is
For example
of.
an
Abhayd,
the two kinds of Bald and
*. e.
with
Vrikshaka,
with Devd-ddru
efficacious in
Here the main idea is 'Siddham

and taken internally
but
cases of Gala-ganda.
pivet'
5.
cooked
duly
oil
Himsrd,
Nimba,
should be cooked
the word 'Siddham'

hemistich, far
used in the
is
(the
the union of words or sentences
should be prescribed for drinking as being

all
on
(the subject of) Dosha.

is
For example
together.
407
away from
half of the second
first
the word 'Pivet' in the sentence.
This combining together of the different words, however

distant in a sentence,
is
Yoga.
called a
6.
The term "Padartha" is the meaning implied by

word or an aphorism (*. e. a sentence). Padarthas are
innumerable.
when used
meanings
in
;
For example Sncha, Sveda, or Anjana,

a sentence, would each imply two or three
but only one meaning which tallies with the
use of the previous or subsequent
word
should be understood in each case.

tence "Vedotpattim
Thus,
Vyakhya syamah"
discourse on the origin
of the
(in
'Veda',
*'.
text)
the sen-
in
we
e.
the
the
use
shall
of the
word "Veda" would put the hearer at a loss to understand which of the Vedas is going to be discoursed on,
for there are several
we
Vedas, viz Rigveda,

,
elc.
But when
try to understand the expression in connection
the previous or subsequent

the root
'vid'
may mean
use of the
either
or 'Vindati' (to get) we can
the origin of Ayurveda.
term Padartha.
Jletwartha
This
'Vichafana' (discussion)
afterwards
conclusion that the subject to

is
with
expression - for
come
be discoursed
what
is
the
to
upon
is
meant by the
7.
is
the meaning indirectly
implied
by a

408
word.
so
an
For .exampleas earth

ulcer
is
moistened by water,
is
moistened (and consequently secretes) by
(the taking of) Mds/ia-pu\se, milk, etc.
Udderfa
8.
For example
any foreign matter but secondarily
the statement in
is
[Oup. LXV.
Jjalya (ordinarily
brief.
implying any obstructing matter in the body).
Nirdesa
"âlya"
is
the statement in detail.
two
of
is
kinds
"Agantu" (traumatic).
"Sarira"
9.
For example
(idiopathic) and
10.
an instruction for the doing of a thing

For example one thould not sit
in a particular way.
and
one
night
should give up sleep at the
at
up
1
1.
day time.
Upaderfa
is
Apades'a
it
the statement of reason.
is
has been specified that Sleshma
use of the articles of sweet taste.
For example
increased
is
by the
1 2.
Fradesa is the determination of a present action

from past events. For example Devadatta's >alya has
been extracted by
will also
this person, hence Yajnadatta's Salya
be extracted by him.
1 3.
some future event

present
some
event.
For
example one's bodily
from
Vayu courses upwards by such and such an action,
Atiderfa
the determination of
is
hence one
may
get (an attack of Vataja) Udavarta
such an action.
Ipavarga
is
by
14.
the extraction
exception of (some-
*. e.
from something more comprehensive or extended,

that is to say, it is an exception to the general rule. For
thing)
example
fomentation should not be
suffering
from the
suffering
from insect-poison.
VtCkya-rfeslia is
effects
applied to persons
of poisoning excepting those

1 5,
the word the absence of the use
make the sentence incomplete. For

example -when we say of the head, the hands, the legs,
of "which does not
UTTARA-TANTRA.
Chap. LXV.J
the stds, the back,

chest"
abdomen
the
becomes evident that these
it
are intended.
409
Udara
and the
(parts) of a 'person'
16.
Arthapatti (presumption' is the term used when

the sense (of a sentence), though not specifically mentioned, can
yet be
presumed or
indirectly
example* when one says
For
can be taken,'
(solid food)
deduced.
another
to
'this
not willing to drink a (liquid) Yavagu or gruel.
Viparyaya
words used
(reverse)
(in
term
the
is
rice
he
becomes evident that
it
is
17.
used whetx the
a sentence) convey quite a different or
opposite sense. For example,
-when
said that 'ema-
it is
ciated,
weak and
to be
medically treated', the opposite sense becomes
evident,
vis.,
that strong,
are very difficult
persons
frightened
and
such-like persons are
easy to be medically treated.
very
18.
Prasanga (connected reasoning) is the term used

when a different subject is introduced at the end. It
is also the term used when the same sense is
repeated
in different words in different places (in the same topic).
For example it is said in the chapter on Vedotpatti
(Chapter
I,
organism)
five
is
Sutra-Sthana)
"Purusha"
that
(liv'ng
the sum-total of the "Maha-bhutas"' (or the
primary elements vis., earth, water,
ether) and the Hariri (or the soul), that
fire,
air
and
medical treat-
ment should be made of him (Purusha) and that he

the subject matter of every action)
repeated in the
that
chapter on
and
five
The common example
philosophy
is
does not eat
of an
is
been
'
said
to be
the
Arthapatti (presumption) in Sanskrit
from which
at night, otherwise he could not
has
Maha-bhutas and the soul and
'Pino Devadatto divi
at day-time),
it
Bhuta-vidya (demonology)
the Purusha has therefore been
combination of the
*
na bhumkte,'
it
is
{*. .,
Pat
Devadajia
evident that he certainly eats
have become
fat.
52

THE SUSHKUTA SAMH1TA.
4l6
that he
the subject-matter
is
treatment.
LXV-
sorts of medical
all
19.
Ekrfnta
certain
of
[Chap.
in
is
the term used to denote a thing which
For example
every case.
purgation, and Madana-iruit produces vomiting.
Anekffata
is
the term
is
Trivrit causes
20.
used to denote certainty
in
some cases and uncertainty in some other cases. For

example many authorities hold that 'Dravya' or the
thing
itself is the principal factor, some hold the Rasa'

or taste (in a thing) to be- the principal factor, some
again hold the "Viryya" or potency
to be the principal
and others hold "Vipaka" or digestive reaction
factor
to be the principal factor.
Purva-paksha
is (the
apparent objection.
21.
putting of) a question with an
For example (the question why
are the four kinds of Vataja-Prameha incurable.
22.
Nirnaya is the reply to a Purva-paksha

For example the (bodily) Vayu affects
spreads
or question.
i.e.
over the (whole) body and then forces the urine through
passage with the (vitiated bodily
Vasa (greasc\
and Majjan (marrow). The Vataja cases
(of Prameha) arc, therefore, incurable.
As has been
said the (bodily) Vayu affects * /. spreads over the
(the
Medas
(fatj
whole body and coming
Medas
(fat),
contact w ith the (bodily]
and courses downward.
vitiated
Prameha)
is
is
the
term
used
(quoted but) not refuted.
authorities hold that there
(Now, as
The Vataja
are, therefore, incut able.
Annmata
another
in
Majjan (marrow) and Vasa (grease) becomes

cases (of
23.
when an opinion of
For examplesome
are seven
this is not refuted it is said to
Rasas or
be
tastes.
Anumata
or
by the author). 24.

Vidhina is the act of mentioning, at the beginning,
the fact to, be established. For examplethe vulnerable
sanctioned
Chap. LXV.]
UTTARA-TANTRA.
or vital
parts
number,
and
established.
(Marmans)
has
this
been
stated
to
in
be
the Sutra-sthana
'it
it
be dealt with
will
will
be
can be said
in
such terms as
For example
dealt with hereafter'.
when something
the term u<ed
is
in the future is referred to in
'this
in the Chikitsita-
26.
Atikrtfntavekshana
thing in the past
be said
in
is
referred
is
Samrfaya
example
is
legs)
not
is
amputation of the hand and of
or explanation
description
For example Purusha as
While only the
twenty-four factors constituting this body
works
of
the twenty-fifth
factor has been dealt with in this book.
dealt with in other
the
in
28.
the
is
can
it
examples of two
are cited.
For
subjects
Tala-Hridaya (Marmans
fatal
fatal.
Vy&hyrfna
the details.
has already been
'it
used when
dissimilar
hurt to the
hands and
For example
to.
27.
the term
is
and
opposite
when some-
the term used
the Chikitsita-sthdna
said in the Sutra-sthana'.
the leg
the thigh are eleven
in
already
25.
AnrfgataVekshana
sthana'.
411
have been
29.
Sva-samjna' denotes the specific terms specially used

in
any work and not in common with any other work. For
(in medical works) means
example the term 'Mithuna'

the two things,
vis.,
UdaTiarana*
lished
honey and
clarified butter.
the example of what
is
or well-known
in
the
30.
well-estab-
is
For example
world.
Udahnrana has been recognised here as a technical term.
sho.uld
not
have
included in the
been
(see
list
recognised
para
have been 33 and not 32.
'ril'TOWl
etc- as
2),
as such,
Had
it
been
Dallana prefers
so,
takes j'
the
tix
in continuation of the
after
But
it
has not been
it
number would
regard
to
an interpolation and adding a
^% Mfafl*j<l3<.V)t(
since
the
portion
the sentence
example of qftî
4T2
cooling measures should

against warmth.
[Chap.
LXV.
be had recourse to to guard
'.31.
Nirvaphana is the derivation of a term. For example Ayus (life) is the -Subject-matter,, of this work,
and a man gets (the means of) Ayus (longevity) from
this work and hence it is called Ayurveda.
32.
Nidarsana is the term used when the meaning (of
a word or sentence) is supported by example?. For
examplejust as the (digestive) fire in the Koshtha
(abdomen) increases
in contact
with (the local bodily)
Vayu, so also an ulcer increases when

(bodily) Vayu, Pitta and Kapha.
33.
Niyoga
a duty.
is
the enjoining
Sanrachchaya
nected but
by the
of something to be done as
For example only what
should be taken.
assisted
beneficial (Pathya)
is
34.
is
more conFor
of) Ena and
the joining (of two or
independent ideas) as such and such*
example in
the group of flesh, (those
Harina (two kinds of deer), Lava and Tittira (two kinds

of birds) and Saranga (spotted deer) are the principal
ones.
to
35.
Vikalpa is the term used when something is said

be this or that, i. ., when alternatives are used. For
exampleeither meat-soup
or
Yavagu
with
be
used in such and such
clarified butter (should
case).
(gruel)
cooked
36.
Uhya
is
the term used
when something more can
be understood by an intelligent man, though not

nitely
used.
chapter on
Sthana) that
For example
it
has been said
Anna
in the previous para.
(food)
His meaning
is
is
of
that
four
the
defi-
the
Sutra-
kinds, vis.,(t)
word fifEir being not
found in the sense referred to in para. 30, the reader

popular example.
XLVI,
Anna-pana-vidhi (Chapter
in
is
aBked to find out a

Chap. LXV.]
Bhaksbja
that has to be
(masticable) or the solid food
bitten with the teeth before eating, (2)
the solid food
with the teeth,
proper
(3)
Bhojya
(edible) or
W be bitten
which has not
i. e.,
Lehya
4*3
(lambative) or the semi-liquid
food that has to be licked like an electuary, and (4)
Peya
food proper that has to be
(drink) or the liquid
drunk
but of these four kinds, two kinds only
Anna and Paniya) have been mentioned

Here
the chapter).
are) understood.
respect of food
therein
For,
(said that the other
when only two
'
Bhakshya
'
both being of the same kind,
term 'Lehya'
is
included
being of the same kind, viz

food,
in
the
kinds only {vh
common
solid
Here have been

technical
fully
work
And why?
vis.,
in
solid
food
Because
'
Anna
and the
And
the articles of
and
language as being of two
liquid).
17.
by me the thirty-
fully described
terms for
the
investigation
The
intelligent
conversant with these technical
like
lights,
as
it
were,
is
into
what the Sage Dhanvantari

Thus ends the
sixty-fifth
the
man who
termswhich
to be regarded as the
greatest physician and to be held in great esteem.

is
'
'Peya' both
the term
liquid.
essence of this Tantra (work).

is
the "four
of, all
though they are really of four kinds, are usually
spoken of
two
two kinds)
included in the term
is
naming
(in
arc mentioned in
and drink, the inclusion
easily comprehended.
is
the term
it is
{vie.,
says.
This
38.
chapter of the Uttara.T^ntta in the Sus'ruta.
Semhitf which deals with the technical terms used
ift
this
work
CHAPTER LXVL
Now we
with and)
shall discourse
on the chapter which (deals
called the different modifications (combi-
is
nations) of the different Doshas Dosha-Bhedavlkalpa-na'fna'dhya'ya.
Revered
the son- of Vis'vamitra, asks (the
Sus'ruta,
following to) the high-minded Divodasa, well-versed in

all
the eight divisions of Ayurveda, with intellect sharp
and a9 deep as an ocean, as it were, and with all the

difficulties in the meanings of the Sastras fully solved.
The question is It has been already said that there
how
are sixty-two* varieties of the Doshas, but
when taken
divided
time'
one,
two or
23.
On
hearing his
(Divodasa) with
all
word the great
Sus'ruta.
The
the
sage
solved
his difficulties
pleased and thus narrated
urine
are they
the three at a
all
true
and king
was greatly
conditions
to
4.
three Doshas, the (seven) Dhatus,
these,
their
in
corporeal frame in
and
Rasas
conjunction with the (six
necessary (for the constitution).
Puruha or
feces
normal state, hold together the
human body
5.
has
sixteen
sub-strataf.
The PrAnas (vis. the organs of sense) are eleven in number while the number of diseases is one thousand
one hundred and twenty and that of elementary sub*
The
reference
sixty-three
in
their
Which
all
is
to
and not sixty-two.
normal
state,
chapter LXIII, but
The
three
there
Dh&us Vayu,
cannot properly be called
the three Dhilus are in their normal
the
Pitta
Doshas.
state,
is
said
number
is
and Kapha,
The
to
state in
be the
6jrd. combination (see also para. 8 below).

t
The
sixteen sub-strata are the five elementary principles, (viz
Water, Fire, Air and Ether) and the eleven sense-organs.
Earth,

Chap.
LXVt]
UTTARA-TANTRA.
stances (Dravya)
is
five
^t$
hundred and seventy-three, -
The
these have already been explained in detail.

qualities (vis., Sattva,
three
Rajas and Tamas) have also been
in connection with the (three) different Doshas

Vayu, Pitta and Kapha) which are generally said
to have sixty-tw combinations.
6 8.
explained
{vis.,
Doshas :
Different Co'mblnationsof
The
three
Doshas
have three combinaDoshas is aggravated
separately
where one of the

and the other two are in their normal
tions,
viz.,
Taken
state.
two at a time, both of them aggravated, whether equally

or unequally (with the third in its normal state), the
number
number
of combinations
would be nine
while the
of combinations would be thirteen if they are

taken three at a time all of them aggravated, both
equally and unequally (thus
with the aggravated Doshas).
making twenty-five in all

With an equal number of
combinations in cases of the diminution of the Doshas

(taken one, two or three at a time)
The number
we have
fifty
of combinations (taken
combi-
two
and three at a time) with the aggravated and diminished Doshas mixed together would be twelve only.
Thus making sixty-two in all. 9
nations.
The number
of combinations,
would be innumerable.
It,
cian to treat a patient with
when mixed
therefore,
one,
together,
behoves a physi-
the different combinations
of the (six different) Rasas after properly
diagnosing
the disease with a due regard to the aggravation, of the

different
Doshas and without going into any
details.
In ameliorating a disease, the physician
doer of that action the
effect
whereof
instruments with which the action
is
is
is
the
health and
the
performed are
the Rasas while the Doshas are the causes.

site
hereof
is
want of
health.
10.
further
The oppo-
THE SUSHROTA SAMHITX
4*6
The
enriched with
Uttara-Tantra,
[Chap.
the
LXYI.
sixty-six
chapters wherein have been described and explained the

order of the words and their meanings, and wherein
have been explained very clearly the hidden meanings

of the terms for making them clear to persons of weak
intellect, has thus been duly explained to you in accordance with your question.
1 1.
Persons reading, according to the

this
treatise
rules
laid
down,
together with the Uttara-Tantra coming
from (the mouth of) Brahma himself, are not abondoned

by their wished for objects, that is to say, they are sure
to obtain
true.
them.
This word
of
Brahma
is
perfectly
12.
Thus ends the
SamhlU which
sixty-sixth chapter
(deals with and)
is
of the Uttara-Tantra in the Sus'ruta-
called the different combinations of the
different Dosfaas.
Here ends the Uttara-Tantra.
THE END

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a'Kfri!

THE SUSHRUTA SAMHITA

THE SUSHRUTA SAMHITA

KAVIRAJ KUNJA LAL MI1SHAGRATN A,

KASHI GHOSE'S LANE, CALCUTTA

PRINTED AT THE BHARAT M1IIIR PRESS BY

Messrs. SANYAL & Co.,

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

was some years ago that we took upon ourof bringing

selves the rather ambitious task

mention that the appreciation

home and abroad

donation, enabled us to bring this

out India that the

Highness the Maharaja

Alwar (Rajputana), who

desire to record here

of gratitude towards His

a great patron of letters and a lover of Ayurvedic

and many noble undertakings

country have depended

words of mine can adequately ex-

admiration for the good he

that the whole

worth and importance

before the public,

translation does not claim to

ary excellence, as our sole aim has been to render

could the original into one

Sushruta Samhita cannot

would convey the exact meaning of the original.

cases put within brackets such

English words as may approximately render the

West a scientific treatise

Hindu system of medicine

and even to-day millions of people

being treated according

system which has stood the

against rival systems of

the day, cinnot be lightly brushed aside as wholly

has been said

which recognises prayer as one of the means

not yet risen above prayer in

faith in the efficacy of

instead of dying out,

like their brethren of

Europe, rely chiefly upon

prayer also as an efficient form of remedy.

recognising the influence of mind on body, and the

efficacy of faith in certain forms of

as a special method, falling

within the province of priests.

show what abiding interest there is for all time

or old, have received

than a mere stimulus

and that many foreign discoveries may be traced

some modern men of

cannot be accused of having any bias in favour

Surgeon General Sir Pardey

course nf his speech

recent years are merely re-discoveries of the facts

very work, the

Medical Journal observed in

hope that now that