Susruta Samhita - Mandhata Global

440 THE SUSHRUTA SAMHITA. [Chap, XIX.
Applications of Sneha (oil, etc.), poultices (Upandha),
and plasters (Pradeha) of the Vayu-subduing drugs should
be applied to the affected part. If the tumour (Vriddhi)
begins to suppurate, it should be made to do so
fully. It should be then opened with an incision
avoiding the median line (Sevant) of the perineum
and the proper purifying (i.e., antiseptic and healing)
measures should be resorted to in the usual way
laid down (in the treatment of Dvi-vrana*). 3.
Treatment of Pittaja Vriddhi : —
case of the non-suppurated stage of Pittaja Vriddhi
may be beneficially treated with the remedies laid
down in connection with a case of the same type of
glandular swelling (Pittaja Granthi). In the c?.se of
it being suppurated, the surgeon should open it with
a knife and purify it with the application of honey
and clarified butter. The incidental ulcer should then be
healed up with oils and pastes of healing virtues. 4.
Treatment of Raktaja Vriddhi :~In a
case of Raktaja Vriddhi (originated through the vitia-
ted condition of the blood), the (vitiated) blood should
be drawn out by the application of leeches. As an
alternative, purgatives should be administered through
the medium of honey and sugar Remedial measures
described in connection with the Pittaja type of the
disease should be employed both in the suppurated
and the non-suppurated stages (of this type). 5.
Treatment of Kaphaja Vriddhi :— In
a case of the Kaphaja type of the disease, poultices
with the heat-making f
drugs (i.c , Vachadi, Pippalyadi
* According to Gayadasa, the measures to be adopted should be those
laid down in the Mi.s'raka chapter (Chap. XXV).
t Some say that the heat-producing drugs are those comprised in the
Aja-gandhadi group mentioned in the Mis raka chapter, Sutra Sihdnam.
A