Susruta Samhita - Mandhata Global

Chap. I.J CIIIKITSA STHANAM. 25
An ulcer attended with fever, suppuration and burning
sensation due to the excited state of the deranged
Pitta and congestion of blood should be allayed (Nir-
vapana—literally putting out) with suitable and proper
medicinal remedies. It should be allayed with com-
pounds made up of the proper cooling drugs (of the
Mis'raka chapter), pasted with milk and lubricated with
clarified butter. Cooling plasters (Lepa) should then be
applied as well. 55-56.
An ulcer whose flesh is eaten away, which discharges
a thin secretion, or is non-suppurating in its character,
and is marked by roughness, hardness, shivering and
the presence of an aching and piercing pain, should
be fomented with a poultice-like efficacious preparation
(Utkarikai )cooked with the drugs of Vayu-subduing
properties, those included within the Amla-varga, and
those which belong to the Kdkolyadi group, and with
the oily seeds (such as linseed, sesamum, mustard,
castor, etc.). An indurated, painful, faetid, moist and
slimy ulcer should be washed with a disinfectant or
purifying lotion consisting of a decoction of the drugs
mentioned before for the purpose. 57"58.
Plugs or lints plastered with a paste of the purifying
drugs (enumerated before) should be inserted into an
ulcer with any foreign matter (e.g., pus) lying embedded
in it, or into one with a deep but narrow opening, or into
one situated in a fleshy part of the body. An ulcer full
of putrid flesh and marked by the action of the highly
deranged Doshas (Vayu and Kapha) should be purified
with a paste of the aforesaid available drugs making up
the plug. An ulcer of a Pittaja origin, which is deep-
seated and attended with a burning sensation and with
suppuration, should be purified with the application of
a medicated clarified butter, prepared with the purifying