Susruta Samhita - Mandhata Global

348 THE SUSIIRUTA SAMIIITA. [Chap. IX.
disease which is the fourth (in order of enumeration) and
that even is purely contingent on the willingness and
capacity of the patient to conform to a strict regimen of
diet, conduct and dress. Blood-letting and purifying
measures (emetics and purgatives) should be resorted to
in such a case and then the special medicinal remedies
prepared from Bhallatakaf, Silaijatu, Gnggulu, Aguru,
Tuvaraka, Khadira, and Asaua and the Ayaskriti
should be used in accordance with the prescribed rules.
The disease in its fifth form (is found to invade the
bones and) should be given up as incurable. $-6.
Treatments of Doshaja Types :— in
the first stage of Kushtha, the patient should be treated
in accordance with the prescribed maxims (lules) of
Sneha-pana. In a case of Vataja-Kushtha, cil or
clarified butter, cooked with (a decoction and Kalka of)
MesJia s'ritigi, S'wadainshtrd, S'artigashtd, Guduchi
and the drugs included in the group of Das'amula
should be used as drink and ointment. In cases
of the Pittaja type, the patient should be made to
drink (a potion consisting of) clarified butter prepared
with (a decoction and Kalka of) Dhava, As'vakarna,
Kakubha, Palds'a^ Pichu-mardha, Parpataka, Madhiika,
Rodhra and Samangd. In the Kaphaja type, clarified
butter cooked with (a decoction and Kalka of) Piydla,
S'dia, Aragvadha, Nhnha^ Saptaparna, Chitraka,
Markka, Vacha and Kushtha should be prescribed.
* Bhallalaka-preparations have been described in the treatment cf
Ars'as, preparations of S'ilajatu, Guggulu, Aguru and Tuvaraka in the
treatment of Prameha-pidaka, and Khadira, ASana and Ayaskriti prepara-
tions in the treatment of Maha-kushtha,
t Oil should be used in a case of Kapha-predominance, whereas
clarified butter in that of Pitta-predominance. Others assert that clarified
butler should be used for drinking purposes and oil for anointments.