Susruta Samhita - Mandhata Global

562 THE SUSHRUTA SAMHITA. [Chap. I.
weak and emaciated with the troubles of a long-stand ins
sore, taking full precaution not to tax his digestive
powers. Anti-toxic (Vishaghna) medicines and measures
and symptoms of poisonings will be described under
their respective heads in the Kalpa-Sthanam. 104-105.
^iro-vircchana and Nasya : — s'iro-virechana
measures (errhines) shou d be resorted to by
skilful physicians in respect of ulcers situated in the
clavicle regions and marked by itching and swelling.
The use of medicated (fatty) snuff (Nasya) is recommended
in cases where the ulcers would be found to be
seated in the regions above the clavicles and marked by
an aggravated condition of the deranged Vayu, pain,
and absence of the oily matter. 106-107.
Kavala-CJharana :—Medicated gargles (con-
sisting of decoctions of drugs) of purifying or healing
virtues either hot or cold * (according to require-
ments) should be used in the case of an ulcer in the
mouth, for the purpose of alleviating the Doshas therein,
for allaying the local pain and burning, and for removing
the impurities of the teeth and the tongue. 108.
Dhuma-pana :— inhaling of smoke or vapours
(of medicated drug.s) should be prescribed in cases of ulcers
of the deranged Vayu and Kapha attended with swelling,
secretion and pain and situated in the region above the
clavicles. Application of honey and clarified butter, se-
parately or mixed together should be prescribed in cases
of extended or elongated ulcers which are traumatic or
incidental in their character (Sadyo-Vrana) for allaying
the heat of the ulcer and for bringing about its adhe-
sion. Surgical instruments should be used in conncc-
* Hot gargles are recommended in cases of ulcers of the deranged
Vayu and Kapha while cold ones in cases of ulcers of the aggravated Pitta
and blood.