Susruta Samhita - Mandhata Global

Chap, v.] CHIKITSA STHANAM. 3O3
As an alternativ^e, a plaster composed S'dlaparni,
Pris'niparni, Vrihati and Kantakdri, pasted together
with milk and mixed with Tarpana * should be applied
(to the seat of the disease). In cases of Vata-Rakta
involving the concerted action of two or three of the
Doshas, the remedy consists in applying such drugs in
combination as are possessed of the efficacy of subduing
the action of each of them. 15.
Guda-Haritaki and Pippali-Vardhatnana
Yogas : HaritaH with treacle may be used
in all types of Vata-Rakta. As an alternative, the
patient should be enjoined to use Pippali, pasted with
milk or water, every day (in the following way).^ The
number of Pippali should be increased by five or ten
respectively on each successive day till the tenth day of
its use ; after which period the number of Pippali should
be decreased (by a similar number) on each successive
day till it is reduced to the original five or ten. The
patient should live on a diet of milk and rice only (during
the entire course of this treatement). This medicine
which is known as the Pippali-Vardhamaiia.t proves
efficacious in cases of Vata-Rakta, chronic fever
(Vishama-Jvara), aversion to food, jaundice, enlarged
spleen, piles, cough, asthma, cedema, phthysis, loss of
appetite, heart-disease and ascitis. 16.
Clarified butter, cooked in milk with the paste of
the drugs of the Jivaniya group, should be used in
* Flour of barley or fried grain, dissolved in water, is known as
Tarpana.
i The dosage should begin originally with five or ten Pippalis according
to the strength of the patient.
X Maharshi Charaka mentions this Yoga in the chapter on Rasayana
and prescribes it also in the treatement of Udara. Chakradatta mentions
the use of this medicine in the treatment of liver and spleen and of
fever.