Susruta Samhita - Mandhata Global

Chap. XVII.] CHIKITSA STHANAM. 42 1
Treatment of Nadi-vrana :—A Case of
Naidi-Vrana (sinus) due to the concerted action of the
three Doshas (Sannipatajaj baffles all cure, while the
four remaining types are amenable to careful medical
treatment, Poultices (Upanah-i^* should be applied at
the outset in the Vattaja Na'di-Vrana and then
the course of the pus-channels should be (ascer-
tained and) fully opened (with a knife) and bandaged
with a paste of sesamum, Apdmdrg-a-seeds and
SaindJiava salt. A decoction of (the drugs of) the
Vrihat-Pancha-mula group should be constantly
used in washing the ulcer. Oil i* duly cooked with
the following drugs, viz , Himsrd,
Haridrd, Katuka,
Vald, GojiJivikd and Viha-xoois should be used for the
purification, filling up and healing of the sores of
the sinus. 9-1 1.
Treatment of Pittaja Nadl :— in a case
of Pittaja sinus, an intelligent surgeon should
employ a porridge (Utkarika) mixed with milk and
clarified butter as a poultice. Then having opened
the sinus with a knife, a plaster composed of Tila,
Ndga-danti and Yashti-inadhu should be applied to
heal it. A decoction of Soma, Nimha and Haridrd
should be used by a skillful surgeon in washing the
ulcer daily. A medicated Ghrita cooked with S'ydmd,
Trivrit^ Triphald, Haridrd, Ddrii-Haridrd, RodJira
and Kutaja and with milk should be used to lubricate
(Tarpana) the sinus. This Ghrita will even heal a sinus
affecting the Koshtha. 12-13.
* Poulticing with the drugs which induce suppuration is not approv*
ed of by Gayaddsa.
t Four seers of oil, the (Kalka) drugs combindely weighing one
seer and sixteen seers of water are to be taken in its preparation.
Dallana.