Susruta Samhita - Mandhata Global

248
THE SUSHRUTA SAMHITA
.
[Chap. I.
Blood-letting" :—Blood-letting should be re-
sorted to in a case of newly formed swelling for
its resolution and for alleviating the pain. Bleeding
(Visravana) is recomnmended in the case of an ulcer
which is indurated, marked by a considerable swelling
and inflammation and is reddish black or red-coloured,
extremely painful, gagged in its shape and considerably
extended at its base (congested), specially in the case
of a poisonous ulcer, for the subsidence of the pain and
for warding off a process of suppuratiou therein, either
by applying leeches or by opening (a vein in the
locality) by means of an instrument. An ulcer-patient
of a dry or parched temperament affected with dis-
tressing supervenients or ulcer-cachixia or who is weak
should be made to drink an emulsive potion cooked
with (a decoction of) appropriate drugs. A patient
afflicted with an ulcer with an elevated margin and
attended with swelling and specially marked by the
presence of the deranged Kapha and by a flow of
blackish red blood should be treated with emetics.
Ulcer-experts recommend purgatives to a patient
afflicted with an old or long-standing ulcer, attended
with a deranged condition of the Vayu and Pitta.
An excision should be made into an ulcer which refuses
to suppurate and which is of a hard and indurated
character attended with sloughing of the local nerves and
ligaments (Snayu). An opening^ or excision (Bhedana)
should be made into an ulcer (Vrana) in the inside of
which pus has accumalated and makes it heave up and
which not finding any outlet consequently eats into the
underlying tissues and makes fissures and cavities. 40-46.
Measures which contribute to a spontaneous bursting
by medicinal applications (Da^rana) of a swelling should
be adopted in the case of an infant or an old or enfeebled