Susruta Samhita - Mandhata Global

Ghap. XIV ] CHIKITSA STHANAM. 399
( fomentations ) should be made and the patient
should be fed on boiled rice mixed with milk-curd.
Then the vein (Sira) inside the elbow of his left hand,
should be duly opened. The spleen should be rubbed
with the hand for the proper out-flow of its deranged
blood (^for the relief of that enlarged organ). Then
having properly cleansed his system, the physician
should advise the patient to take the alkali of marine
oyster-shells thrDUgh the medium of milk. As an alter-
native, Yava-kshdra should be given to \\\vi\\\\t\iSauvarch-
ikd and Hingu, or with filtered alkali (made with the
ashes) of Paldsa wood. As an alternative, the alkali
of Pdrijdtaka, Ikshvdku and Apdmdtga^ mixed with oil,
should be prescribed ; or the decoction of S'obhdnjana,
mixed with Chitraka^Saindhava 3.ndPippali,or the alkali
of Puti-karanja, filtered with Kdnjika and mixed with
a copious quantity of Vid salt (black salt) and
powdered Pippali should be administerd, 17.
Shat-palaka Ghrita :—One pala weight of
each of the following drugs, viz,. Pippali, Pippali-roots,
Chiiraka, S'unthi, Yava-kshdra and Saindhava should
be cooked with one Prastha measure of clarified butter
and the same quantity of milk*. The medicated Ghrita
thus prepared is called the Shat-palaka-Ghrita. It is high-
ly efficacious in cases of an enlargement of the spleen,
impaired digestion, Gulma, dropsy, Udavarta, swelling
(Svayathu), jaundice, cough, asthma, catarrh, Urdhva-
Vata and Vishama-Jvara. In cases of Udara attended
with impaired digestion, the Hingva'di Churna should be
prescribed. These measures should be as well employ-
ed in a case of an enlargement of the liver (Yakrit),
but the speciality is that the vein (inside the elbow) of
* The practice, in this case, is to add twelve Seers (three prastha
measures) of water to the Prastha measure of milk at the time of cooking.