Susruta Samhita - Mandhata Global

332 THE SUSHRUTA SAMHITA. [Chap. VII.
in case there is pain (in urinating). Milk boiled with
Triphald or Varshdbhu should be administered as a
drink and a decoction of the drugs of the Vira-tarddi
group should be employed in all these cases.* lO.
A physician should have recourse to the following
measures (surgical operations") in cases where the
above-mentioned decoctions, medicated milk, alkalies,
clarified butter and Uttara-vasti (urethral syringe) of
the aforesaid drugs, etc., would prove ineffective. Surgical
operations in these cases do not prove successful even in
the hands of a skilful and experienced surgeon ; so
a surgical (Lithotomic) operation should be considered
a remedy that has little to recommend itself. The death
of the patient is almost certain without a surgical opera-
tion and the result to be derived from it is also uncertain.
Hence a skilled surgeon should perform such operations
only with the permission of the king. 11-12.
Modes of Surgical Operations :—The
patient should be soothed (Snigdha) by the application of
oleaginous substances, his system should be cleansed with
emetics and purgatives and be slightly reduced thereby ;
he should then be fomented after being anointed
with oily unguents ; and be made to pertake of a
meal. Prayers, offerings and prophylactic charms
should be offered and the instruments and surgical
accessories required in the case should be arranged
in the order laid down in the Agropaharaniya chapter
of the present work (Sutra-sthdnam, ch. V.). The
* Dallana recommends the use of Triphald boiled with milk in
cases of pain accompanying Plttaja As'mari, while that boiled with
Varshdbhu is advised to be given for the alleviation of pain in a case of
Vdtaja or Kaphaja As'mari. The drugs of Vira-tarddi group should be
used with milk, clarified butter, a decoction, Yavdgu (gruel), food, etc.,
and also for bath, immersion, etc.