Susruta Samhita - Mandhata Global

240 THE SUSHRUTA SAMHITA. [Chap. I.
strength and tenacity. Hence the chapter is called
Dvivraniya. 2.
In all cases of traumatic ulcers, cooling measures
should be at once resorted to, just after (the fall or
blow or stroke), for the cooling of the expanding (radia-
ting) heat of the incidenta' ulcer, in the manner laid
down in respect of (the pacification of enraged) Pitta,
and a compound of honey and clarified butter should be
applied on the wounded locality for the adhesion
(Sandhdna) of the lacerated parts, [and for the pacifica-
tion, i e, restoration to normal state, of the local blood
and Vdyu aggravated through an obstruction of their
passage]. Hence arises the necessity of making the
tw^o-fold classification of ulcers. After that (a week)
a traumatic ulcer should be treated as an idiopathic
one (to all intents and purposes\ inasmuch as it is
found to be associated with deranged Vayu, Pitta or
Kapha Hence at that stage the medical treatment
of both the forms of ulcer is (practically) the same. 3.
In short, ulcers are further subdivided (particularly)
into fifteen groups, according to the presence of the
morbific diathesis (deranged Vayu, Pitta Kapha
and blood therein), either severally or in combi-
nations as described (before) in the Chapter on Vrana-
Pras'na (Sutra Sthanam. Ch. XXI). Several author-
ities, by adding the simple uncomplicated ulcers (un-
associated with any of the morbific principles of the
deranged Vayu, Pitta, &c.) to the list, hold the number
of types to be sixteen. (Practically they are in-
numerable, according to the combinations made of the
deranged Vayu, etc. and the different Dh£itus of the
system). 4.
Symptoms of ulcer may be divided into two kinds viz.,
General and Specific. Pain is the general characteristic