Susruta Samhita - Mandhata Global

Chap. XVIII.] CHIKITSA STHANAM. 437
be treated with fomentations of the vapours of the
decoctions of tender leaves of the Vayu-subduing drugs
prepared by boiling them with Kanjika, various kinds
of urine and milk as well as with minced meat and oil,
and should be applied in the manner of a Nadisveda.
After this fomentation, the contents should be carefully
drained ;from inside the goitre). Then after having duly
purified (the incidental ulcer;, it should be plastered with
a medicinal compound composed of (the seeds ofj the
S'ana, Atasi, Mulaka, S'igru and sesamum and Kinva
and the piths of the Piydla^ or with that composed of
Kdld, Arnritd, S'igru, Punarnavd, Arka, Gaja-pippali,
Karahdta ,
Madana) and Kushtha, or with that com-
posed of Ekaishikd, Vrikshaka and Tilvaka. All of
them should be pasted with Sura and Kanjika and ap-
plied hot to the affected part. The internal u;e of a
medicated oil, cooked* with Amritd^ Nimba, Hamsdhvd,
Vrikshaka, Pippali, Vald, Ati-vald, and Deva-ddni,
always proves efficacious in a case of goitre. 34-56.
Treatment of Kaphaja Cala-g^anda :
— A case of the Kaphaja type of goitre should be treated
with applications of fomentation and poultice and
should be duly drained (Visrava). Then a medicinal
plaster composed of Aja-gandhd, Ati-vishd, Vis'alyd,
Vishdnikd, Kushtha^ S'ukdhvayd, Gunjd (taken in
equal parts) and pasted with the alkaline water
prepared from the ashes of the Palds'a wood should
be applied hot to the affected part. A medicated oil
cooked with the drugs of the Pippalyddi group and
mixed with the five officinal kinds of salt should
* Some say that the oil should be prepared with the decoction as
well as with Kalka of the said drugs. Others, however, hold that water
should be used in the preparation of the oil and the said drugs should be
used only as a Kalka.