Susruta Samhita - Mandhata Global

438 THE SUSHRUTA SAMHITA. [Chap. XVIII.
be taken by the patient. Emetics, errhines and
inhalations of Vairechanika-dhuma are beneficial in such
cases. In the Va'taja and the Kaphaja types of goitre
(Gala-ganda), the skilful physician should employ
suppurating measures in partially suppurated cases.
The patient's diet should consist of rice, barley and
Miidga soup and should be taken with honey, Trikatu,
cow's urine, fresh ginger, Patola and Nimba. 37-39.
Treatment of IVIedoja Gala-ganda :—
In a case of aMedoja goitre (due to the deranged fat\ the
patient should be first made to use oleaginous substances
(internally and externally) and venesection should then
be resorted to, as advised before (S.-.rira-Sthdna. Ch VIII).
A hot plaster composed of S'ydmd (Trivrit), Sudhd,
Maudura, Danti and Rasdnjana pasted together should
be applied to the seat of the disease. Powders of the
essential parts (Sara) of a S'dla tree mixed with cow's
urine may be given every morning with advantage
As an alternative, the Goitre (Gala ganda) should
be opened, its fatty contents fully removed and the
wound then sutured. Or it should be cauterised with
the application of heated animal marrow, clarified
butter, lard, or honey ; after which it should be lubri-
cated with clarified bulter and honey (mixed together),
and a pulverised compound of Kdsisa, Tuttha, and
Gorochand, should be applied to it ; or after lubricating
it with oil, it should be dusted with the ashes of cow-
dung and of S'dla-sdra. Daily washings with the decoc-
tion of Triphald, hard bandaging and a diet of barley,
prove efficacious (in cases of goitre). 40,
Thus ends the Eighteenth Chapter of the Chikitsita Sthanam in the
Sub'ruta Samhita, which deals with the medical treatment of Glands,
Scrofula, Tumour and Goitre.